Incorporating Emergency Management Training Within School-Based Health Centers, Alicia Christian

Seton Hall University Dissertations and Theses (ETDs)

Background: Emergencies are situations that present without warning but require skilled individuals to provide aid to someone needing assistance. The pediatric primary care setting rarely experiences emergency-based care, which could lead to a lack of training in this area of expertise. As pediatric primary care extends to schools, there is also a need to ensure staff and providers have an annual emergency management training program. Project Aim: The current program aimed to determine the need to incorporate emergency management training in the school-based health center (SBHC) setting. Methods: This quality improvement project method was a pre-intervention with post-intervention design. The …

Evaluation Of Telemedicine As An Option For Providing Safe, Accessible, Care To Young Adults In A University Setting, Diane Lynch

Seton Hall University Dissertations and Theses (ETDs)

Previously underutilized, telemedicine has been implemented within a wide variety of health settings as a safe and efficient way of delivering healthcare during the COVID-19 pandemic. Maintaining operations during the pandemic made implementation of telemedicine an important aspect of college and university health center reopening plans. The purpose of this project was to evaluate the acceptance and quality of a telemedicine program implemented at the health center of a medium sized private university.

Data were collected via patient and staff surveys to measure satisfaction with the program and a retrospective review of electronic medical records was conducted to obtain data …

A Rollout Of A Blood Pressure Remote Patient Monitoring Program To Improve High-Risk Maternal Outcomes At A Pilot Clinic For Systemwide Expansion, Laura Geron

Seton Hall University Dissertations and Theses (ETDs)

An existing virtual care platform provides an innovative means of early recognition, identification, and intervention for women with elevated blood pressures during pregnancy, known as preeclampsia. A pilot program took place at a Northeastern prenatal care clinic where patients were identified as high-risk for preeclampsia, enrolled, educated by their providers, and equipped with Bluetooth-enabled blood pressure cuffs.

Through remote patient monitoring (RPM) technology, blood pressure readings could transmit from a patient’s residence to a portal accessible by their clinic provider at any time. This doctoral-level quality improvement project focuses on the identification of patients at high-risk for preeclampsia, their enrollment …

The Best Care Begins With Self-Care: An Educational Initiative For Nurses, Betty Sanisidro

Seton Hall University Dissertations and Theses (ETDs)

An educational initiative was developed and implemented to aid in ascertaining if self-care modalities implemented by nurses lead to decreased symptoms of compassion fatigue and burnout, to support current research that self-care practices do prevent compassion fatigue and burnout, and to enhance the growing body of evidence to support nursing and self-care practices. This educational initiative and preventive program included the creation and implementation of a one-hour training session for early identification of burnout among occupational health nurses with a follow up self-enrollment in a four-week initiative focusing on self-compassion interventions and Mindful Self Compassion (MSC) for participating nurses. This …

On The Road To Accreditation For Ambulatory Health Care- A College Health Center Quality Assurance And Improvement Program, Kathleen Hynes-Lifland

Seton Hall University Dissertations and Theses (ETDs)

The time has come for figureheads in higher education to address and strengthen Quality Assurance (QA) and Quality Improvement (QI) in college health. Goals and objectives should be designed to pursue better care and health. Quality Assurance (QA) strives to guarantee that health care providers are adhering to their policies, procedures, and protocols. Compliance may be monitored by intermittent audits, peer review activities, and inspections. QA answers the question, “are we meeting the standards?” This project attempted to provide these standards through the development of a QA/QI policy and procedure which reflects ideologies set forth by the Accreditation Association for …

The Creation Of A Template For The Incorporation Of A Human Milk Analyzer Into A Human Milk Bank, Sarah Rieber

Seton Hall University Dissertations and Theses (ETDs)

Abstract

A milk bank is a nonprofit service that collects, screens, and processes by pasteurization human milk that is donated by mothers not biologically related to the infant in need. Milk is then dispensed to hospitals and private homes to babies with a prescription. A milk bank collects and analyzes human milk, as breast milk is the ideal nutrition source and the gold standard feeding method for infants. Breast milk significantly reduces premature babies' chance of developing necrotizing enterocolitis (NEC) and offers gastrointestinal protection, increases immunity, decreases the likelihood of asthma, allergies, ear infections, obesity, and respiratory ailments. Some mothers …

Promotion Of Heart Failure Self-Care In The Outpatient Setting, Meredith C. Lubas

Seton Hall University Dissertations and Theses (ETDs)

Medical management of chronic heart failure consists of a closely managed medication regimen, cardiovascular testing, interventions, and lifestyle modification, including self-care practices. While medication management, testing, and interventions have concrete guidelines, heart failure self-care education lacks solid guidelines and thus is often poorly defined and variable in practice. Outpatient heart failure treatment typically focuses on medication management more than self-care practices. This project addresses the current lack of heart failure self-care education in the outpatient setting.

For this project, a total of seven patients with heart failure with a reduced ejection fraction received a patient survey in order to assess …

Debriefing With Pearls & Watson’S Caritas, Heather A. Uccello

Seton Hall University Dissertations and Theses (ETDs)

Debriefing, an important aspect of students’ clinical experience, is a reflective, critical thinking analysis and communication strategy that provides rapid feedback after either a simulated or genuine clinical event. To teach this higher-level critical thinking skill throughout the learning process, nursing programs require specific methodology and faculty expertise. The National League for Nursing supports nurse educators having a theory-based strategy, formal training, and ongoing competency evaluation. Informed by Jean Watson’s Theory and the Promoting Excellence and Reflective Learning in Simulation standardized debriefing tool methodology, this project outlines a framework that nursing schools can use to potentially improve the debriefing process …

Social Anxiety Screening And Associated Factors Among University Students, Kathleen Prendergast

Seton Hall University Dissertations and Theses (ETDs)

Social anxiety is a type of anxiety triggered by social situations whereby the individual feels scrutinized by others, and which may contribute to avoidance of certain situations. This avoidance can interfere with personal, academic, and career endeavors. Cognitive behavioral therapy can help manage social anxiety. However, social anxiety is often underrecognized and
under treated. A survey with the Liebowitz Social Anxiety Scale (LSAS) was disseminated to identify and address this need among students in a large Northeastern university in the United States. The study is valuable as a pilot study. There was a small response rate for participation in the …

Athletic Training Educators’ Perceptions Of Interprofessional Education And Educational Strategies Used To Infuse Ipe Within Athletic Training Programs: A Mixed Methods Approach, Christina Orozco Nevers

Seton Hall University Dissertations and Theses (ETDs)

BACKGROUND: As athletic trainers (ATs) educators and professionals we recognize the importance of preparing our students to practice as part of an interprofessional team and acknowledge that this training must begin while they are in the academy. Although there is lots of information about interprofessional education (IPE) in various other healthcare professions (HCPs), there is limited information about how AT educators are infusing IPE into the curriculum. To maximize the development of interprofessional teaming practices in healthcare we must first understand the most effective ways to infuse IPE in AT professional programs given how compact the curriculum is. Educators must …

The Impact Of High Intensity Interval Training On Neurogenesis And Angiogenesis In The Dentate Gyrus, Darrin Lenhart

Seton Hall University Dissertations and Theses (ETDs)

BACKGROUND: Exercise is associated with improved neuronal health and longevity, synaptic plasticity, cerebral blood volume, overall brain volume, and neurogenesis which collectively may have the power to forestall neurodegenerative disease.

PURPOSE: This study aims to explore the impact of high intensity interval training on individuals with mild cognitive impairment using a range of cognitive, physiological, and biomechanical measures. Specifically, this study seeks to assess the impact of high intensity interval training on neurogenesis and angiogenesis in the dentate gyrus of individuals with mild cognitive impairment versus healthy age-matched controls, as assessed by urinalysis of BDNF levels, performance on the Rey …

Police Officers' Perceptions Of The Law Enforcement Narcan Program And The Effectiveness In Fighting The Opioid Epidemic, James Russo

Seton Hall University Dissertations and Theses (ETDs)

Abstract

The purpose of this study was to investigate how police officers perceived the N.J. Narcan policy and standards in saving lives and deterring opioid use. This study also examined the impact of the law enforcement Narcan program in reducing the opioid overdose death rate. Participant interviews will be conducted, and thematic coding will be utilized to capture the dominant themes associated with the police officers’ perceptions of the N.J. Narcan policy and standards in reducing the opioid overdose death rate. Fifteen police officers will participate in the study, and their anonymity will be maintained to elicit transparent responses. This …

Clinically Relevant Dosage Of Vancomycin Does Not Negatively Impact Periosteum Derived Osteoblast Precursor Cellular Functions, Alexis Hernandez

Seton Hall University Dissertations and Theses (ETDs)

Surgical site infections (SSI) can develop post-operatively and carry significant clinical and financial implications. SSI can carry a cost of up to $30,000 per case, as well as an estimated 6 day longer hospitalization. Patients with Type II Diabetes (DM) have an increased susceptibility to infection and suffer from poor bone healing overall. Therefore, diabetic patients who have undergone orthopedic surgery risk both an increased chance of developing an SSI as well as suboptimal bone healing. Vancomycin and other antibiotics have traditionally been used prophylactically to prevent infection, however the effect of vancomycin on bone healing in a diabetic population …

Passing As White: The Experiences Of Bipoc Supervisees, Bridget Anton

Seton Hall University Dissertations and Theses (ETDs)

Cross-racial supervisory dyads are becoming more prevalent due to the increased diversity of graduate students in psychology. However, research has not adequately examined the narratives of BIPOC supervisees who pass as White. People who pass as White might not be seen as a person of color and their identities might be ignored because it is considered invisible. Due to the lack of research on BIPOC supervisees with a passing identity experience within the context of the supervisory dyad, this study explored the subjective experiences of BIPOC supervisees who pass as White in cross-racial supervisor dyads. Furthermore, an exploration into conversations …

Exploring The Relationship Between Burnout And Supervisory Support Among Respiratory Therapists, Ahmad Eissa Alhaykan

Seton Hall University Dissertations and Theses (ETDs)

Background: Respiratory therapists (RTs) provide patient-centered care in diverse clinical settings for various patients. RTs most frequently work with acutely injured and critically ill patients. Working with these populations often takes an emotional toll on the practitioner, resulting in high rates of burnout. A high prevalence of burnout has been detected among health professionals. Even though RTs face unique stresses in the workplace, there is a lack of research addressing burnout among these professionals. Because workplace stressors are not expected to decrease in the near future in healthcare organizations, the search for protecting factors against burnout, such as supervisory …

Exploring Antibiotic Resistance And The Effect Of Antimicrobial Stewardship On Physicians’ And Non-Physician Prescribing Clinicians Through Knowledge, Attitudes, Practices And Beliefs (Kapb) Utilizing The Social Cognitive Theory (Sct), Tamika Carty

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

Exploring Antibiotic Resistance and the Effect of Antimicrobial Stewardship on Physicians’ and Non-Physician Prescribing Clinicians through Knowledge, Attitudes, Practices and Beliefs (KAPB) Utilizing the Social Cognitive Theory (SCT)

Tamika Carty

Seton Hall University, 2021

Dissertation Chair: Genevieve Pinto Zipp, PT, EdD, FNAP

Background: Antibiotics are one of the greatest medical discoveries, revolutionizing the field of medicine. However, antimicrobial and antibiotic over usage has become a prevalent issue among outpatients, leading to antibiotic resistance (AR) (Ventola, 2015). As a result of, its widespread usage and associated concerns, the World Health Organization (WHO) has cited AR as a growing concern for …

Implementation Of Yoga To Treat Insomnia In An Adult Population, Kerri Penders

Seton Hall University DNP Final Projects

Background: Insomnia is a highly prevalent disorder with deleterious health consequences, including increased risk of high blood pressure, heart disease, diabetes, anxiety, and depression. Current treatment relies on cognitive behavioral therapy and sedative hypnotics. A non-pharmacological approach is needed to manage insomnia in the long term.
Project Aim: The present program aimed to determine whether four weeks of yoga improves insomnia and anxiety severity and reduces medication use. Methods:This was a quality improvement project with a pre-intervention–post-intervention design. Before intervention, patients received standard cognitive behavioral therapy for insomnia from a sleep provider and, if there was no improvement in their …

Theranostic Applications Of Sirna Bioconjugates In Cancer Detection And Treatment, Sunil S. Shah

Seton Hall University Dissertations and Theses (ETDs)

Abstract

The emerging field of RNA nanotechnology has led to rapid advances in the applications of RNA in chemical biology, medicinal chemistry, and biotechnology. At the forefront of its utility is the ability to self-assemble multiple siRNAs into nanostructure formulations capable of targeting selected oncogenes and potentiating the gene therapy of malignant tumors. Self-assembled siRNA integrates multiple siRNAs within a single molecular platform for silencing multiple oncogenic mRNA targets with high precision and efficacy to potentially induce cancer cell apoptosis through the RNA interference (RNAi) pathway. Furthermore, the conjugation of siRNA self-assemblies with bio-active probes results in multi-functional theranostic (therapy+diagnostic) …

Museums & Community Resilience: Improving Post-Crisis Outreach In Latinx Communities By Combining Library And Museum Practices, Sua Lorena Mendez

Seton Hall University Dissertations and Theses (ETDs)

Museums are held in the public trust and are accountable to their communities, including minority groups such as the Latinx population. Despite this, museums struggle to engage with Latinx communities, who are particularly affected during and after a crisis or emergency. Currently, museums do not have professional guidelines on supporting community resilience, or a community’s ability to respond to and recover from a crisis. In contrast, libraries, which function as similar community organizations, have field-wide community resilience plans and professional librarians have actively researched how libraries can assist their communities after a significant crisis. Using a multi-case library and museum …

Understanding Older Adults Living In Medically Underserved Areas Perspectives Regarding Type 2 Diabetes Care Received, Christopher Rogers

Seton Hall University Dissertations and Theses (ETDs)

Older adults with type 2 diabetes living in medically underserved areas (MUAs) have unique health and social needs that must be taken into consideration when supporting their type 2 diabetes treatment and management care. Effective treatment and management of type 2 diabetes for older adults living in MUAs requires incorporating the preferences, desires, needs, values, and goals of the person at the center of the care into his/her care plan. Shifting care to be conducive to the treatment and management goals and plans co-created with older adults living in MUAs based on their individual physical, psychological, social, and spiritual preferences, …

Nurses' Perspectives On Pain Management In The Emergency Department, Elizabeth Fitzgerald

Seton Hall University Dissertations and Theses (ETDs)

Over 130 million people seek care in emergency departments (ED) in the United States annually. Most patients who seek treatment in emergency departments are experiencing a painful condition, and as such, ED nurses should have a deep understanding of pain management in the ED. There is limited qualitative research which explores pain management from the nurses’ perspective. The purpose of this study is to describe pain management from the nurse’s perspective. Thorne’s (2005) method of Interpretive Description guided this qualitative inquiry. New knowledge describing the nature of pain management in the ED provides insight into elements which support and impede …

A National Study On The Relationship Between Programmatic Factors And Athletic Training Education Board Of Certification Pass Rates, Leslie Rippon

Seton Hall University Dissertations and Theses (ETDs)

In athletic training (AT) education, the first-time BOC pass rate is a significant marker of a program’s success, and the Commission on Accreditation of Athletic Training Education (CAATE) requires programs to maintain a first-time 3-year aggregate BOC examination pass rate over 70%. There is limited published research on BOC pass rates on Professional Masters’ (PM) programs. Therefore, it is essential to identify modifiable factors that have a relationship with first-time pass rates. This study's aim was to investigate the relationships between programmatic factors and the first-time BOC pass rate for PM AT students while controlling for student and institutional factors. …

Exploring Communication Processes During Transitions From Acute Care To Skilled Nursing Facilities And Perceived Barriers To Communication, Marrizzia Oxford

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: The need for skilled care and long-term care services often becomes necessary as the older adult transitions into the golden years. In the United States, more than 1.5 million adults live in long-term care facilities, with this number expected to double by 2050 (Johnson, Pope joy & Radina, 2010). Effective communication between the healthcare professionals who refer individuals from an acute care setting to a skilled nursing facility can be challenging and ultimately impact their transfer status and Plan of Care (POC) or plan of action implementation for meeting healthcare goals of the patient …

Altruism And Self-Concept In Pediatric Intensive Care Unit Nurses: Is There A Relationship With Reports Of Workplace Violence?, Minnette Markus-Rodden

Seton Hall University Dissertations and Theses (ETDs)

Incidents of workplace violence (WPV) are pervasive in healthcare settings. WPV in the US occurs four times more frequently in the healthcare sector than in the private sector. However, the true incidence of WPV in healthcare settings is thought to be much higher secondary to significant under-reporting. The American Nurses Association (2019) reports, while one in four nurses are assaulted, only 20-60% of the incidents are reported. This extensive range is due to the lack of an accepted definition of what constitutes WPV, variable reporting mechanisms, and an overall perception by healthcare workers that WPV is “part of the job”. …

The Association Between Participation In Extracurricular Activities And Adolescent Mental Health, Michael Gottfried

Seton Hall University Dissertations and Theses (ETDs)

A growing number of adolescents are affected by depression, anxiety, and suicide each year, with females experiencing higher rates than males. Meanwhile, the demand for students’ time is increasing, and many participate in more extracurricular activities. This study will help answer the questions, “to what extent does participation in school-sponsored extracurricular activities impact an adolescent’s mental health?”, “to what extent does this impact vary by the type of activity?”, and “to what extent do these outcomes vary by gender?” While other studies have considered each of these variables, none look closely at all three (participation, gender, and type of activity) …

Exploring The Relationship Between Work Engagement And Psychological Contract Fulfillment In Health Care Organization-Employed Physicians, Oyebanjo Olowe

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

While physician employment by healthcare organizations (HCO) in the United States continues to rise and private practice ownership continues to decline, many physicians are disengaged and leaving their organization as their job expectations are not fulfilled. Concurrently, some are changing practice patterns that may lead to decreased access to care despite the forecasted shortage of 84,900 fewer physicians and the aging US population's project growth by 2033. Prior work on physician work engagement has been practitioner-based, never using the widely accepted validated Utrecht work engagement scale. Also, there has been little work on psychological contract fulfillment (PCF ) in …

Parents’ Perception Of Their Preschool Children’S Weight Status And Diet Quality: How Accurate It Is?, Taraneh Hazhin

Seton Hall University Dissertations and Theses (ETDs)

Childhood obesity is a major public health problem. Parents often have an inaccurate perception of their child’s weight status and diet quality. The purpose of this study was to assess the accuracy of parents’ perception of their 3-5 years old children’s weight status and diet quality; and to explore if there was a relationship between parental weight perception, parental diet perception, and children’s diet quality. A cross-sectional survey design was used to collect data from parents of healthy 3-5 years old preschool children (n=333) through convenient sampling method. Parents’ perception of their preschool children’s weight status was measured using a …

Exploring Saudi Emergency Room Nurses’ Perceptions About Their Disaster Preparedness, Fadiyah Alshahrani

Seton Hall University Dissertations and Theses (ETDs)

Background: Disasters can overwhelm the capacities of health care facilities quickly. In recent years, the world has been affected by an increasing number of significant disasters. These include natural disasters such as earthquakes, hurricanes, floods, tornados, storms, fires, and epidemic outbreaks. There are man-made disasters such as terrorist attacks, transportation accidents, and stampedes at mass gatherings. The resulting deaths and property damages have enormously affected countries’ economies, particularly on a health care system’s preparedness. In a major disaster, health care professionals must respond, manage, and prevent additional harm to victims. Nurses are the largest group of health care professionals …

Interprofessional Education Towards Interprofessional Practice: A Mixed-Methods Exploration Of Respiratory Care Students And Therapists’ Perceptions, Ziyad Al Nufaiei

Seton Hall University Dissertations and Theses (ETDs)

Context: Respiratory care (RC) is a health-care discipline that specializes in providing

treatment for patients with acute and chronic cardiopulmonary abnormalities. The actual practice of respiratory care has changed dramatically since its inception. Today, RCs possess a strong skill base and an expansive depth of knowledge, which enables them to provide safe,team-based, evidence-based effective care for patients. The Commission on Accreditation for Respiratory Care (CoARC) has recently required that RC programs nationwide include interprofessional education (IPE) as an accreditation standard to encourage the goal of promoting interprofessional practice (IPP).

Objective: To explore perceptions of RC students, faculty, and practicing professionals …

Understanding African Americans' Beliefs, Knowledge, Attitudes And Behaviors Regarding High Blood Pressure And Their Use Of Home Remedies As Treatment, Elisa Douglas

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

Understanding African Americans’ Beliefs, Knowledge, Attitudes and Behaviors Regarding High Blood Pressure and Their Use of Home Remedies as Treatment

Elisa E. Douglas

Seton Hall University, 2021

Dissertation Chair: Dr. Deborah DeLuca, J.D., MS

Background and Purpose of the Study: African Americans have the highest prevalence of high blood pressure (HBP) in the United States but the lowest blood pressure (BP) control rates of any major race/ ethnic group. Only about 45% of those who use drugs to treat the condition have been able to attain BP control. Over 40% of African Americans are affected by HBP. African Americans …