Publication Date


Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Tamara McKinnon

Second Advisor

Vladimir Skorohod

Third Advisor

Simon Wahla


Barriers, Hypertension, Medication non-adherence


Hypertension is the leading cause of deaths related to cardiovascular disease conditions. A vast number of patients are not taking their medications as prescribed by the physicians. This non-adherence to hypertensive treatment plans results in increased numbers of cases of unstable blood pressure. Medication adherence will help to manage the controllable cardiovascular diseases and will automatically decrease the incidences of emergent cases in hospitals and urgent care clinics. It will further decrease the costs of diagnostic evaluations used during the emergent visits. This decreased patient load in the emergency rooms will improve quality patient care. The study timeframe of data collection and result analysis was from September 14, 2018 to October 30, 2019. This pilot study identified a relationship between medication non-adherence rate and number of barriers. The greater the barrier, the higher the non-adherence rate. With the help of open-ended questions, the study identified multiple barriers which are consistent with medication non-adherence rates.


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