[83] Despite general consistency in the evidence supporting the notion that nurse-led interventions inform the management of HTN, there is some variability in provider and patient preferences. The patient focus group revealed that some patients did not feel that their providers offered the full range of management strategies available and prioritized pharmacologic interventions. This highlights an opportunity to utilize nurse-led interventions for lifestyle modification. Additionally, the patient focus group found that patients would like to be offered verbal education as well as educational materials, such as pamphlets. Some patients reported that they did not receive information on the sequelae of high blood pressure and that their providers did not consider individual patient characteristics that could impact their high blood pressure and management strategies. A common theme highlighted in the patient focus group was the desire for ongoing communication and education from providers to patients. This is a potential area in which nurse-led intervention can fill current gaps in care. In general, nurse-led intervention is well received by patients and most providers. Patients often appreciate nurse-led intervention due to increased accessibility to care and time efficiency. As this is a Reviewed, New-replaced recommendation, the Work Group systematically reviewed evidence related to this recommendation identified in the evidence review conducted as part of this guideline update.[82-88] The Work Group s confidence in the quality of the evidence is very low for all included studies due to the lack of objectivity of outcome assessment, incomplete outcome data, selective reporting, small sample size, lack of blinding, and recruitment bias. The body of evidence had some limitations including confounders in the analysis.[82-88] Other considerations regarding this recommendation included the benefits of improved blood pressure and medication adherence outweighing the potential harms (none identified). Patient values and preferences were somewhat varied. 