Purpose This project was designed to increase family practice clinicians’ adherence to the American College of Cardiology/American Heart Association (2013) and American Diabetes Association (ADA, 2016) clinical practice guidelines for the prevention of cardiovascular disease (CVD) in 40‐ to 75‐year‐old adults with type II diabetes (DMII) through interactive education, an electronic alert, and quality improvement sessions on the treatment and management of cholesterol in a family practice primary care setting. Data sources A pre‐ and postretrospective chart review of 159 charts from a family practice clinic was conducted. Included in the chart review were 40‐ to 75‐year‐olds with a diagnosis of DMII. Conclusions Three outcomes were analyzed. Assessment of Atherosclerotic Cardiovascular Disease risk score increased from 0% to 76.7% (X2 (1, 159) = 93.46, p < .001), diet and exercise counseling documentation increased from 85% to 100%, and statin therapy application increased from 55.1% to 72.2% (X2 (1, 159) = 11.55, p = .003) in eligible adults 40–75 years‐old with DMII. Implications for practice This initiative helps to build the body of evidence regarding useful interventions to improve primary prevention of CVD by improving clinician adherence to the clinical care guidelines for 40‐ to 75‐year‐old adults with DMII.

Hypertension affects approximately 73 million Americans. Clients and providers working together to control the disease can help prevent life-threatening illnesses. Patient perceptions about their illness can influence health behaviors, but little is known about the perceptions of Mexican American adults in relation to hypertension. This descriptive study used semistructured interviews to elicit Patient Explanatory Models of hypertension among 15 hypertensive Mexican American adults. Findings revealed that personal models of cause, treatment, and outcomes were often vague. This information can be useful for planning individual education and treatment that provides meaningful care.

Controversy surrounds the use of standardized exit exams to predict and prepare students for NCLEX success. The purpose of this study was to explore the relationships between Kaplan integrated exam scores and the HESI® exit exam score to determine early indicators of success on the exit exam. A retrospective records review was used to explore relationships between performance on integrated tests and the standardized exit exam. A solid Kaplan comprehensive medical surgical exam score was highly correlated with success on the HESI exit exam. Tracking and follow-up resulted in exit exam success for nearly all students.