Date of Award

Spring 5-11-2023

Degree Type

Dissertation/Thesis

Degree Name

Doctor of Nursing Practice (DNP)

School

Leadership and Advanced Nursing Practice

Committee Chair

Dr. Lisa Morgan

Committee Chair School

Leadership and Advanced Nursing Practice

Committee Member 2

Dr. Lawanda Baskin

Committee Member 2 School

Leadership and Advanced Nursing Practice

Abstract

Hypertension is known as a condition in which raised blood vessel pressure persists. On a normal day, the pressure can rise and fall causing damage to the heart. When the pressure stays at higher readings, damage can be caused to the heart and can also lead to additional health problems. Another word for high blood pressure is hypertension. The blood is carried to all body parts from the heart by the arteries. The harder the heart pumps the higher the blood pressure (Centers for Diseases Control and Prevention [CDC], 2020). When hypertension is not diagnosed and treated at an early age many patients will experience morbidity and mortality.

An objective structured clinical examination (OSCE) is an educational tool in healthcare settings and universities used to further educate health care professionals. The OSCE can be used to improve the students’ feelings of autonomy and confidence and assure each student is educated about human rights and social accountability. The purpose is to make sure the students have become knowledgeable in this area (Aronowitz et al., 2017). The OSCE could be used to evaluate the College of Nursing and Health Professions graduates and faculty’s attitudes as reliable and valid methods of competent assessment tools (Omu, 2016).

The purpose of the doctoral project was to provide an evidenced-based OSCE to The University of Southern Mississippi Family Nurse Practitioner Program using The International Association for Clinical Simulation and Learning (INACSL) standards and the 2020 International Society of Hypertension (ISH) Guidelines. Thus, an OSCE was based on the best recommendations supported by INACSL and the 2020 ISH guidelines. The OSCE includes outcomes, objectives, and a case scenario. A written dialogue was done for a video produced at USM’s Simulation Lab. The video and survey were sent via email to a panel of experts stating that the OSCE would be beneficial. The video, online standard consent, prequestionnaire, and postquestionnaire were sent through Qualtrics® to FNP students from USM via email. Data was collected anonymously through Qualtrics® and the participants stated that the early onset hypertension OSCE is a beneficial tool.

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