First Advisor

Stoeckel, Pamella

Thesis Committee Member(s)

Cullen, Patricia L.


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights School of Nursing

Document Type

Thesis - Open Access

Number of Pages

51 pages


Abstract Hypertension in the elderly population is a serious problem with approximately 65 million hypertensive adults in the United States. One important factor contributing to uncontrolled hypertension in the elderly population is medication non-adherence. The director of a cardiology clinic in Southern Georgia noted that older Black male patients were not taking their blood pressure medication as prescribed and as result had uncontrolled hypertension. It was proposed that a nurse protocol with tools to address non-adherence was an approach to address this problem. This qualitative key informant study identified a purposive sample of 10 Black men 65- 70 with a primary diagnosis of hypertension that was non-adherent in taking their hypertensive medication. The nurse conducted individual 45 minute teaching session with each participant that included tools to help them take their medication. A 15 minute follow-up phone call was done after one week. Participants were then interviewed about their perception of taking hypertensive medication. The interviews were recorded, transcribed, and coded for themes using constant comparative analysis. Six themes emerged: Medication Bottle Guides Medication Usage; Confusion about Side Effects; Reasons for Not Taking Medications; New Behavior; Unchanged Behavior, and Discovery of Other Problems. The overall result was that older Black men perceived that they were more adherent in taking their hypertensive medication following a nurse administered medication protocol. Key terms: Hypertensive, uncontrolled hypertensive, medication compliance, medication adherence, hypertensive in black men, and medication adherence protocol

Date of Award

Fall 2014

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

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