NURS FPX 9030 Assessment 2 Data and Data Analysis

Data and Data Analysis

Student Name

Capella University

NURS-FPX9030

Professor Name

Submission Date

One of the major ongoing health inequities in primary care for Caribbean women is hypertension, which contributes to high cardiovascular morbidity and mortality due to low blood pressure control rates. A recent internal audit of quality at the project site showed that only 34% of Caribbean women with hypertension obtained the recommended blood pressure goal of less than 130/80 mmHg, whereas 52% of non-Hispanic white women receiving care at the same site achieved the goal (Jones et al, 2025; Nurse Manager Cardiology Unit, personal communication, January 2026). The 12-week project included the implementation of a culturally tailored lifestyle modification program and structured education for nursing staff, followed by evaluating blood pressure control, nurse confidence and knowledge, and documentation of culturally tailored hypertension education.

Project Design and Data Collection

A pre-post design was implemented to collect baseline data and post-intervention data from an additional 20 women living in the Caribbean and experiencing hypertension, and 22 nurses who participated in the project. Before the initiation of the project, institutional review board (IRB) approvals were obtained, all Health Insurance Portability and Accountability Act (HIPAA) requirements were fully adhered to, and participants were given coded identifiers in place of their names to protect confidentiality.

The pre-post design has been accepted as a well-recognized evaluation method for assessing the effectiveness of structured clinical interventions as part of quality improvement initiatives. The ability to determine the effectiveness of structured interventions in the real-world healthcare environment was demonstrated using the pre-post design framework (Seddik et al., 2025). All instruments, including the one related to demographic data, met rigorous content validity guidelines through expert review and were administered using standardized procedures throughout the entire 12-week project.

Data Analysis

Over the course of the 12-week implementation period, descriptive statistics were used to evaluate blood pressure outcomes associated with the culturally tailored lifestyle modification program, nursing staff competency and effectiveness, and documentation of culturally tailored education as an outcome. Baseline and Week 12 blood pressure control rates were determined to measure achievement of the primary outcome target: increasing the blood pressure control rate from 34% to at least 50%. Descriptive statistics generated as percentages were also used to summarize home-following rates, nursing staff confidence levels, nursing staff knowledge scoring, and documentation audit results.

Using statistical analyses to evaluate factors affecting quality improvement distinguishes between true clinical improvement and true clinical outcomes due to probable random variation (Yara et al, 2024). In addition, using a pre- and post-intervention measurement design with the same participant group improves sensitivity and takes into account individual variances for all outcome domains (Giovanazzi et al, 2022). All analyses were performed utilizing de-identified data obtained through the electronic health record system and standard measurement tools; the results are presented in summary tables for ease of interpretation.

Project Results

At the conclusion of Week 12, the baseline data indicate that the 20 participants enrolled in our project have demonstrated an overall benefit through an improvement in multiple measurements. Five of the 20 Caribbean women participating (25%) achieved the target blood pressure of <130/80mmHg, and the average systolic blood pressure reduction at Week 12 for all participants was between 16 and 22 mmHg. Follow-up completion rates have been maintained at 89.6%, which demonstrates that the participants have continued to engage with the structured program throughout the implementation period.

Engagement and adherence are considered to be two of the key factors responsible for driving improvement outcomes within the context of structured quality improvement initiatives designed to effectively manage chronic disease (Marzban et al., 2022). Documentation audits at Week 12 indicated that 14 of the 20 patient charts (70%) contained sufficient culturally tailored education regarding hypertension across all four of the assessed elements. The findings reflect substantial progress across clinical, process, and competency outcome domains for all participants enrolled in the project. Detailed outcome data can be found in Tables 1-6 under Appendix A.

Project Outcomes

The outcome of the project was that the culturally-specific lifestyle modification program resulted in greater competency of the nursing staff and greater adherence to lifestyle change by the patients; the goals of the PICOT question were partially met. For example, the nursing staff confidence score improved post-intervention from a score of 3.6 (greater than the target of 3.5) to over 90.9% of knowledgeable staff meeting the 80% knowledge threshold, which reflects an increase in culturally competent clinical knowledge.

To maintain and build on improvements achieved through outpatient management of hypertension, ongoing monitoring and timely intervention adjustments are essential (Abdalla et al., 2023). The strengths of the project included improved nursing staff competencies, high patient follow-up adherence, and consistent documentation of care provided to patients in the electronic health record system throughout the implementation period. 

Conclusion

The culturally tailored lifestyle modification program that was conducted over 12 weeks was successful in improving nursing staff confidence, nursing staff knowledge, and adherence to follow-up appointments among Caribbean women with hypertension (high blood pressure) receiving primary care services. Despite not achieving the target of controlling blood pressure and documenting that control during the project time frame, the impact of culturally tailored nurse-led interventions is validated by the level of individual systolic blood pressure reduction and the level of competency development by the nurses. The trends observed in the data suggest the need to continue and increase the duration of structured and culturally competent hypertension management programs if equitable blood pressure outcomes are to be established for Caribbean women in an outpatient setting.

Next Assessment: NURS FPX 9030 Assessment 3