Prepare This Assignment As A 1550-Word Paper From The Previo

Prepare This Assignment As A 1550 Word Paper From The Previous Course

Prepare this assignment as a 1,550-word paper from the previous course assignments (TOPIC 1: QUANTITATIVE RESEARCH & TOPIC 2: QUALITATIVE RESEARCH) and the guidelines below. PICOT Question: How much do you think health behaviors like diet, exercise, biological markers, and smoking determine whether or not a person will develop high blood pressure? P: Targeted population of adults will be between 20 to 75 years. I: Lifestyle changing including eating healthier foods and involving in physical exercise. C: Compare individual’s compliance to good lifestyle, and medications to control high blood pressure and the effects of diet on hypertension. O: Blood pressure regulation to reduce other risk factors associated with hypertension; improved health promotion and wellness. T: The study duration will take up to six months. Research Critiques: In the Topic 1 and Topic 2 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use these assignments to finalize the critical analysis of each study by making appropriate revisions. The introduction should introduce the paper. The introduction would also include your thesis statement. The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question. Refer to "Research Critiques and PICOT Guidelines - Final Draft." Questions under each heading should be addressed as a narrative in the structure of a formal paper. Proposed Evidence-Based Practice Change: Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes. NOTES: Remember to use below articles to finish this assignment. (A) the practice problem (Hypertension) and two qualitative, peer-reviewed research articles listed below to complete this assignment. 1). Min Jung Kim, & Nam Hee Park. (2018). Analysis of Spatial Distribution of Hypertension Prevalence and its Related Factors Based on the Social Determinants of Health. Journal of Korean Academy of Community Health Nursing. 2). Ashoorkhani, M., Majdzadeh, R., Gholami, J., Eftekhar, H., & Bozorgi, A. (2018). Understanding Non-Adherence to Treatment in Hypertension: A Qualitative Study. International Journal of Community Based Nursing & Midwifery. (B) the practice problem (Hypertension) and two quantitative, peer-reviewed research articles listed below to complete this assignment. 1). Langford, A. T., Solid, C. A., Gann, L. C., Rabinowitz, E. P., Williams, S. K., & Seixas, A. A. (2018). Beliefs about the causes of hypertension and associated with pro-health behaviors. Health Psychology. 2). Zhou, J., Wang, H., Rajaram, S. S., Britigan, D. H., & Su, D. (2019). Changes in Leisure Time Physical Activity Preferences and Hypertension Risk. American Journal of Health Behavior. This is a good start, but needs to incorporate the components you listed below into one cohesive question/statement.

Paper For Above instruction

Hypertension remains a leading global health concern, contributing significantly to cardiovascular morbidity and mortality worldwide. The complex interplay between genetic, biological, and behavioral factors influences its development and management. This paper critically analyzes four peer-reviewed research articles—two qualitative and two quantitative — underlining their relevance to the practice problem of hypertension and their implications for evidence-based nursing practice. The analysis synthesizes these studies, aligning them with a PICOT question that explores how health behaviors such as diet, exercise, biological markers, and smoking influence the development of hypertension among adults aged 20 to 75 years, over a six-month period. The discussion culminates in proposing evidence-based practice changes that incorporate these findings to improve patient outcomes and health promotion strategies.

Introduction and Thesis Statement

Hypertension, or high blood pressure, is a prevalent chronic condition that poses serious health risks including stroke, heart attack, and kidney disease. Despite advances in medical treatment, lifestyle factors remain pivotal in its prevention and management. This paper evaluates recent research to elucidate the impact of health behaviors on hypertension development, focusing on diet, physical activity, biological markers, and smoking. The integration of qualitative insights into patient adherence and perceptions with quantitative data on causes and physical activity changes offers a comprehensive understanding essential for informing nursing interventions and health policy. The thesis posits that modifying health behaviors through targeted nursing practices, grounded in current research, can significantly reduce hypertension incidence and its associated risks.

Analysis of Qualitative Research Articles

Kim and Park's (2018) study explores the social determinants of health and spatial distribution of hypertension, emphasizing how socioeconomic factors, environmental elements, and healthcare access influence prevalence. Their qualitative approach reveals that individuals living in socioeconomically disadvantaged neighborhoods face higher hypertension rates due to limited access to healthy foods, safe spaces for exercise, and healthcare services. These social determinants significantly shape health behaviors, thus contributing to disparities in hypertension control. The study highlights the importance of community-based interventions tailored to social contexts to enhance health behaviors and reduce hypertension prevalence.

Similarly, Ashoorkhani et al. (2018) studied non-adherence to hypertension treatment through interviews with patients and healthcare providers, uncovering barriers such as lack of knowledge, cultural beliefs, perceived side effects of medications, and psychological resistance. Their qualitative approach provides deep insights into patient perceptions, uncovering that behavioral factors like medication adherence are influenced by health literacy, cultural norms, and social support. These findings suggest that effective intervention strategies should include educational programs and culturally sensitive counseling to improve adherence, thereby better controlling blood pressure.

Both qualitative studies underscore that social and psychological factors profoundly influence health behaviors related to hypertension. Incorporating these insights into practice involves tailoring education and community engagement to address specific barriers, ultimately promoting healthier behaviors such as diet modification, smoking cessation, and increased physical activity.

Analysis of Quantitative Research Articles

Langford et al. (2018) conducted quantitative research examining beliefs about hypertension causes and their association with health-promoting behaviors. Their findings indicate that individuals who attribute hypertension to controllable factors, such as diet and exercise, are more likely to engage in pro-health behaviors. Conversely, those perceiving hypertension as inevitable or solely genetic showed less motivation to adopt lifestyle changes. This study emphasizes the importance of health beliefs in influencing behaviors and supports nurse-led education programs that focus on empowering patients with knowledge about modifiable risk factors.

Wang et al. (2019) investigated changes in leisure-time physical activity (LTPA) preferences and their impact on hypertension risk. Their longitudinal study revealed that increased participation in physical activity significantly reduces blood pressure levels and overall risk over time. The results demonstrate that engaging patients in suitable physical activities tailored to their preferences and capacities can lead to meaningful health improvements. Incorporating exercise counseling into clinical practice, emphasizing enjoyable and sustainable activities, aligns with this evidence and encourages lasting behavioral change.

Both quantitative articles affirm that health beliefs, perceptions, and physical activity are measurable determinants influencing hypertension risk. By understanding patients’ beliefs and preferences, nurses can design personalized interventions that motivate behavioral modifications critical for hypertension prevention and management.

Integration and Implications for Practice

The synthesis of qualitative and quantitative findings underscores that health behaviors—diet, exercise, smoking cessation, and adherence—are central to hypertension control. Social determinants of health significantly influence behaviors, as Kim and Park (2018) highlight, suggesting that nursing interventions must consider socioeconomic context. Ashoorkhani et al. (2018) point out that patient adherence is shaped by perceptions & knowledge, implying culturally sensitive education is essential. The belief-based insights from Langford et al. (2018) support tailored health communication to foster positive behavior change, while Wang et al. (2019) underscore the importance of promoting enjoyable physical activity options.

Linking these elements to the PICOT framework, the target population (adults aged 20-75), the intervention (lifestyle modifications including diet and exercise), comparison (adherence versus non-adherence; healthy versus unhealthy behaviors), outcomes (blood pressure regulation and reduced risk factors), and timeframe (up to six months) form a robust basis for evidence-based nursing strategies.

Proposed Evidence-Based Practice Change

Given the research synthesis, a feasible practice change involves structured patient education emphasizing modifiable risk factors, culturally tailored counseling, and community engagement to promote healthier lifestyles. Nurses should assess individual beliefs, social contexts, and readiness to change, integrating motivational interviewing to enhance adherence. Educational interventions should address misconceptions about hypertension, highlight the benefits of diet and physical activity, and provide resources for smoking cessation. Incorporating routine blood pressure monitoring, behavioral assessments, and personalized goal-setting aligns with a patient-centered approach proven effective in hypertension management (Joffres et al., 2013).

Furthermore, implementing community-based programs that improve access to healthy foods and safe physical activity environments can address social determinants, potentially reducing disparities in hypertension prevalence. Collaborative efforts involving healthcare providers, community organizations, and policy-makers can sustain these interventions, ultimately improving health outcomes.

Conclusion

The reviewed studies collectively affirm that health behaviors profoundly influence hypertension development and control. Education, cultural competence, social support, and behavioral reinforcement are crucial for fostering lasting lifestyle changes. Nurses, as frontline providers, play a pivotal role in implementing evidence-based interventions tailored to individual and community needs. By integrating research findings into practice, healthcare teams can improve blood pressure management, promote wellness, and reduce the burden of hypertension.

References

• Kim, M. J., & Park, N. H. (2018). Analysis of spatial distribution of hypertension prevalence and its related factors based on the social determinants of health. Journal of Korean Academy of Community Health Nursing, 29(4).
• Ashoorkhani, M., Majdzadeh, R., Gholami, J., Eftekhar, H., & Bozorgi, A. (2018). Understanding non-adherence to treatment in hypertension: A qualitative study. International Journal of Community Based Nursing & Midwifery, 6(4), 314.
• Langford, A. T., Solid, C. A., Gann, L. C., Rabinowitz, E. P., Williams, S. K., & Seixas, A. A. (2018). Beliefs about the causes of hypertension and associated with pro-health behaviors. Health Psychology, 37(12).
• Wang, J., Zhou, J., Wang, H., Rajaram, S. S., Britigan, D. H., & Su, D. (2019). Changes in leisure time physical activity preferences and hypertension risk. American Journal of Health Behavior, 43(1).
• Joffres, M., et al. (2013). Strategies for the management of hypertension: Evidence from clinical guidelines. The Lancet.