Medicine and Health Sciences Commons^™

Exploring Knowledge, Beliefs And Practices Of Radon Gas Exposure Among Public Health Workers, Paschal Nwako

Seton Hall University Dissertations and Theses (ETDs)

Radon gas exposure is the highest cause of lung cancer among people that never smoked in the United States. People exposed to elevated levels of radon had a higher risk of developing lung cancer. Achieving the long term goal of the Indoor Radon Abatement Act (IRAA) of 1988 require a combined efforts of government agencies. Public health workers are change agents and their role in protecting and improving the health of their communities are well documented. This study created and utilized a multi question survey, the Public Health Workers Radon Assessment Instrument (PHWRAI) to explore knowledge, beliefs, personal and professional …

Safety Culture And Fall Prevention: A Collaborative Effort, Cecilia Cortina

Seton Hall University DNP Final Projects

Patient falls in the United States (US) range from 700,000 to one million annually and one third of those falls can be prevented (Du Pree, Fritz-Campiz & Musbeno, 2014). Twenty to 30% of falls are moderate to severe (Schimke & Schimke, 2014). As of 2009, The Joint Commission’s (TJC) (2015) Sentinel Event databank held 465 reports of hospital falls with injury; deaths that resulted in those injuries were reported as 63 percent. Common denominators resulting in patient falls with injury are poor assessment, lack of communication, failure to follow protocols, insufficient training and supervision, staffing levels, unsafe environments and lack …

A Quality Improvement Initiative Aimed At Reducing Complications Related To Iv Fluid Administration In The Acute Care Setting, Katherine Connolly

Seton Hall University DNP Final Projects

Purpose: The purpose of this quality initiative is to bridge the gap between evidence and practice related to the management of intravenous (IV) fluids in the hospital setting and to increase awareness regarding important quality issues, highlighting the critical role of nurses in effecting change in the health delivery system.

Significance of Project: The administration of IV fluids is one of the most common interventions in the hospital setting. The associated complication rate is higher than previously believed. Adverse effects impact recovery time, length of stay, cost, patient safety and survival. Related complications are largely preventable and unmet educational needs …

A Resident-Centered Dementia Care Staff Education Project To Reduce Challenging Behaviors At A Long-Term Care Facility, Margaret Huryk

Seton Hall University DNP Final Projects

Frequent use of antipsychotic medication (APM) for behavioral and psychological symptoms of dementia (BPSD) persists at high levels in long- term care (LTC) facilities despite extensive evidence of modest clinical benefits, serious adverse effects, public health advisories and a national initiative to improve dementia care. There is a gap between best-practice evidence and actual clinical practice related to pharmacological and nonpharmacological care for persons with dementia (PWD) and BPSD and/or neuropsychiatric symptoms (NPS) of dementia. The literature shows that clinicians often ignore FDA (Food and Drug Administration) warnings, CMS (the Centers for Medicare and Medicaid Services) initiatives and expert opinion …

An Apn-Led Copd Discharge Education Program To Decrease 30-Day Readmission Rates, Moira Elizabeth Kendra

Seton Hall University DNP Final Projects

The purpose of this project was to implement an APN-led COPD discharge education program to decrease 30-day readmission rates. This Doctorate of Nursing (DNP) project combined strategies obtained in the literature search and blended these into a cutting-edge and state-of-the-art discharge education program at a major medical center. The significance of chronic obstructive pulmonary disease (COPD) readmission rates include financial implications, a large number of Medicare patients who return to the hospital within 30 days, poor quality of patient care, and poorly coordinated discharge processes. An APN-led transitional care COPD education discharge plan was implemented on the pulmonary floor at …

Assessing The Performance Differences Between Hospitals With And Without Meaningful Use Of Electronic Health Records On Care Outcomes, Joseph G. Conte

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: The U.S. healthcare system at $3 trillion, is the sixth largest economy in the world. The federal government is the largest purchaser of healthcare in the country. In the past decade it has been on a quest to refocus its purchasing from volume to value. While spending nearly double per capita than every other industrialized nation, U.S. healthcare outcomes are consistently in the lowest quartile for every major indicator from life expectancy to ambulatory sensitive conditions. The Crossing the Quality Chasm Report (IOM) focused a lens on the dearth of electronic health record (EHR) …

Population Health Management – Policy Map Project (Phm-Pmp), Anne Hewitt

Health and Medical Sciences (OER)

No abstract provided.

Exploring The Critical Thinking Skills Of Respiratory Care Students And Faculty, Bshayer Ramadan Alhamad

Seton Hall University Dissertations and Theses (ETDs)

Introduction: Today, with the increased demands in health care, working as a competentrespiratory therapist requires being a highly skilled, critically thinking professional. Although students are expected to learn how to think critically mostly in the academic environment from their faculty, only a paucity of studies has assessed the critical thinking of respiratory care students, with none, to our knowledge, assessing that of faculty. Therefore, the purpose of this mixed method study was to (1) assess the overall critical thinking skill levels of both respiratory care students and faculty, (2) investigate whether respiratory care faculty have stronger overall critical thinking skills …

The Relationship Between Utilization Of The Elsevier Online Remediation Tool And The Hesi Exit Exam For Student Nurses Preparing For The Nclex-Rn, Judith Egan

Seton Hall University Dissertations and Theses (ETDs)

Nursing schools are operating at full capacity in order to address an impending shortage of registered nurses that may exceed 500,000 by the year 2025. This pressure on scarce resources elevates the importance of NCLEX-RN preparedness for nursing faculty, nursing students, and the public at large. Additionally, the ability to successfully prepare students to sit for the NCLEX-RN exam can affect the reputation of nursing programs throughout the United States. Nursing schools frequently utilize commercially prepared standardized exams to assess student readiness and identify students in need of remediation. The HESI E2 Exit Exam distributed by Elsevier is one such …

The Effect Of Increased Sleep On The Circadian Rhythm Of Salivary Cortisol Concentrations, Mariah Jacqueline Scott

Seton Hall University Dissertations and Theses (ETDs)

Cortisol is a salivary marker for the hypothalamic-pituitary-adrenal axis (HPA) component of the stress response. The activity of the HPA demonstrates a circadian rhythm. It is well known that sleep deprivation increases cortisol concentrations. In this study, we looked at the effect of an increase of one-hour sleep for one month on the circadian rhythm of the HPA.

Eight college subjects (n=8) collected saliva during their normal sleep wake cycle every 4 hours for 24 hours. Saliva collections were repeated after a month of increase of sleep by 1-hour. The subjects also completed demographic forms that asked for age, sex, …

Exploring The Relationship Between And Among Registered Nurses' Spiritual Well-Being, Spiritual Care Perspectives, And Their Provision Of Spiritual Care In Acute Care Settings, Barbara J. Kitchener

Seton Hall University Dissertations and Theses (ETDs)

Abstract

Despite acknowledgment that spiritual care is an essential aspect of holistic nursing care, nurses often feel ill-prepared for, uncomfortable with, and uncertain about providing spiritual care. Studies have indicated that nurses who have a strong sense of their own spiritual well-being and/or a positive perspective [attitude, value, belief] about spiritual care are more inclined to provide spiritual care to their patients. However there is a scarcity of such studies among acute care nurses. This descriptive correlational study aimed to explore relationships between and among acute care nurses’ spiritual well-being (SWB), spiritual care perspectives (SCP), and their provision of spiritual …

The Relationships Between Health Literacy, Self-Efficacy And Readiness For Change To Health Promotion Behaviors In Urban Black Women, Millie Hepburn

Seton Hall University Dissertations and Theses (ETDs)

Problem: Black women have been shown to experience higher rates of morbidity and mortality as a result of stroke, cardiovascular disease, hypertension, diabetes and overweight or obesity than women of other races/ethnicities. The ability to avert certain health problems, such as cardiovascular disease, hypertension, diabetes, stroke and overweight or obesity is known to be directly related to active engagement in health promotion behaviors, yet Black women are consistently less likely to engage in these behaviors than are white women. Improved understanding of the various factors that impact individual health promotion behaviors to reduce risk, such as health literacy, self-efficacy and …

Rnai Nanotechnology: A Platform For Sirna Screening And Cancer Gene Therapy, Mayurbhai Ravikant Patel

Seton Hall University Dissertations and Theses (ETDs)

Over the past two decades, advances in RNA structural biology have improved our understanding of the structures and folding properties of naturally occurring RNAs. RNA sequences and structures participate in many specific biological functions, such as those performed by messenger RNA (mRNA), ribosomal RNA (rRNA), transfer RNA (tRNA), micro RNA (miRNA), short-interfering RNA (siRNA), small nuclear RNA (snRNA) and many others. The noncoding RNAs, such as siRNA, do not express proteins but have been utilized in a wide range of applications, including RNA interference (RNAi) and the regulation of mRNA expression. These important biological functions have been implemented in gene …

Competency Guide For Intrathecal Pump Nurses, Christine Tevlin

Seton Hall University DNP Final Projects

There is a strong need for healthcare providers to improve the quality of care, which benefits not only patients but the whole population. Due to the increasing cost of health insurance, society is forced to bear the cost of poor care for patients. The Institute of Medicine (IOM) stunned the nation in 1999 with, “To Err is Human: Building a Safer Health System” which reported that between 44,000 and 98,000 people die each year from preventable medical errors (IOM, 1999). Since then there has been a move in the direction of accountability and quality care for patients. This change has …

Increasing Compliance Of Bar Code Medication Administration In The Emergency Room, Clare Wisor

Seton Hall University DNP Final Projects

Purpose: To ensure quality healthcare, it is necessary to provide safe medication administration. The specific goal is the reduction of medication errors in the hospital setting with concentration in the emergency room (ER). Bar-code medication administration (BCMA) has proven to be effective on the in-patient units in the hospitals researched and visited as part of this project, but the issue still remains that the emergency rooms exhibit a decreased compliance rate. The purpose of this Doctor of Nursing Practice (DNP) project, is to reverse the situation in a local community hospital that has a 50 bed emergency room, promoting increased …

The Experience Of Adult Children Cargiving For Aging Parents, Kimberly Conway

Seton Hall University Dissertations and Theses (ETDs)

Background: An estimated 35 million Americans are age 65 or older, and this population is expected to double within 25 years. When the normal progression of life for an aging person is interrupted, adult children are often suddenly faced with assuming care of their parent(s). Currently adult child caregivers of aging parents, work up to 100 hours per month at caregiving. Problem Statement: A limited body of empirical studies exists on the caregiving of aging parents exclusively by their adult children. Despite the amount of time dedicated to parental caregiving little is known about the experience of this exclusive caregiver …

Exploring Barriers To The Adoption Of Pharmacogenomic Technology In The Clinical Setting By Clinical Healthcare Providers, Jason Sudia

Seton Hall University Dissertations and Theses (ETDs)

The changing landscape of healthcare in the US has created new questions about how to best provide cost-effective, individualized care. Personalized medicine and more specifically, pharmacogenomic technology have offered new tools for healthcare providers to use to increase the efficacy, safety, and cost-effectiveness of care. However, these tools are not being utilized to their predicted extent in the clinical setting. This study utilized Rogers’ Diffusion of Innovations theory to investigate some of the reasons why. A multi-question survey, the PI-created, Pharmacogenomic Adoption Instrument (PAI) ©, was developed to assess the knowledge, attitudes and experience concerning pharmacogenetic technology in a spectrum …

Antibiotic Resistance: Use Of Delayed Prescriptions For Viral Syndromes In Urgent Care, Patricia Hansen

Seton Hall University DNP Final Projects

Purpose: Widespread use of antibiotics leads to a development of antimicrobial resistance, an increasing global problem. The rise of antibiotic-resistant bacterial strains represents a serious threat to the public. The Centers for Disease Control and Prevention (CDC) estimates at least two million illnesses and 23,000 deaths are caused by antibiotic resistant bacteriain the United States (CDC, 2014). The strategy of delayed antibiotic prescribing, sometimes called “wait and see” prescriptions, may reduce antibiotic use for viral syndromes in primary care settings. The overall purpose of this scholarly project is to explore delayed prescriptions used by providers in two urgent care settings, …

Do Rats Consume Ethanol To Regulate A Negative Emotion Induced By A Successive Negative Contrast Procedure?, Andrew Dieterich

Seton Hall University Dissertations and Theses (ETDs)

According to the self-medication hypothesis, individuals may consume drugs or alcohol, or engage in other behaviors in order to reduce a negative emotional state (Khantzian, 1985; Gross, 2013; Crum et al., 2013). Rats experiencing a negative state induced by various stressors (Bertholomey et al., 2010), or a decrease or loss in reward value of a sucrose solution (Manzo et al., 2015; Manzo et al., 2014) demonstrate increased consumption of alcohol. I used successive (SNC) and anticipatory negative contrast (ANC) procedures to further examine this hypothesis and the previous findings (Manzo et al., 2015), that rats increase consumption and preference for …

Reflective Approach Of Lonergan’S Generalized Empirical Method (Gem) To Maternal Child Nursing., Josephine Devito

Praxis Presentations

No abstract provided.

Effects Of Isolated Core Stability Training On Standing Static Postural Control, Recovery Of Standing Postural Control And Kicking Velocity In Soccer Athletes, Ali El-Kerdi

Seton Hall University Dissertations and Theses (ETDs)

BACKGROUND: About 1/3 of injuries are non-contact in nature and half of these involve the LE’s. There are numerous anatomical and physiological mechanisms and systems involved in stabilizing the trunk for movement of the lower extremities. The ability of the trunk to maintain the position and motion of the trunk over the pelvis and LE’s is predominantly accomplished via quick postural responses to internal and external forces. These pre-programed postural responses are integrated within the neuromuscular system. It is theorized that poor core stability is a result of a failure in the neuromuscular system to support the trunk and pelvis …

Exploring Relationships Between School-Based Health Clinics And Academic Performance In Elementary School-Aged Children, Cynthia Elizabeth Sherwood-Samuel

Seton Hall University Dissertations and Theses (ETDs)

School based health clinics provide medical services and healthcare to students within the school setting. Research suggests that students who use school based health clinic services perform better academically in school by improving their attendance, health status, and addressing their medical needs. This retrospective study explored the relationship between school based health clinics and academic performance in elementary school-aged children. Academic performance was measured using students’ final grades, New Jersey Assessment of Skills and Knowledge (NJ ASK), and Language Arts Literacy (LAL) scores. Students were tracked longitudinally from grades 3-5 comparing students who used an onsite school based health clinic …

Exploring And Understanding The Factors That May Influence The Outlook Of Registered Nurses Regarding Potential Criminal Evidence Identification, Collection And Preservation On Patients Presented To Them, Joseph V. Cordoma

Seton Hall University Dissertations and Theses (ETDs)

Registered nurses are one of the many medical personnel who are located within a healthcare setting. Their presence in a healthcare setting provides them the high probability of encountering a victim or suspect of a crime who arrives for treatment as a result of the actions experienced during the commission of that crime. As a part of the medical personnel team within that healthcare setting treating that victim or suspect, the registered nurse will have the potential opportunity to encounter both physical evidence that may be present on that patient, or verbal evidence that may be disclosed by that patient …

Understanding Physicians’ And Non-Physician Practitioners’ Recommending Practices, Knowledge, Attitudes, Beliefs And Expectations Regarding Music As A Cost-Effective Complementary And Alternative Medicine Approach, Paul F. Franco

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: With the rise in healthcare costs, partly due to an aging demographic (of whom these care-receivers and their informal family member/friend caregivers are experiencing high stress and anxiety levels resulting in an increase in nursing home placement), a need exists for a cost-effective alternative to the traditional medical approach. Specifically, Music Therapy, a form of Complementary and Alternative Medicine (CAM) has been shown to decrease the severity of the problem by alleviating symptoms of an illness and improving overall well-being. The purpose of this study was to create a valid tool entitled “The Global …

Exploring The Prevalence Of Horizontal Violence In Nursing Between Magnet And Non-Magnet Hospitals, Cathleen Janzekovich

Seton Hall University Dissertations and Theses (ETDs)

Exploring the Prevalence of Horizontal Violence in Nursing Between Magnet and non-Magnet Hospitals

Cathleen Janzekovich

Seton Hall University

Dr. Genevieve Pinto-Zipp

Abstract

Statement of the Problem: The nurses work environment influences patient, nurse and organizations outcomes. The majority of the literature confirms that Magnet hospitals produce environments resulting in positive outcomes, however, the prevalence of horizontal violence (HV) within Magnet and non-Magnet hospitals is not clearly understood. To understand the frequency of HV within these two environments would provide nurse leaders insight into the bedside nurses work environment resulting in data that could improve the bedside RNs work environment and …

Effects Of Chemotherapy-Induced-Peripheral-Neuropathy On Spatiotemporal Gait Parameters And Fall Risk In Cancer Patients After The Completion Of Chemotherapy Drug Treatment, Timothy F. Marshall

Seton Hall University Dissertations and Theses (ETDs)

Background: Cancer patients undergoing chemotherapy often experience chemotherapy-induced-peripheral-neuropathy, which reportedly causes gait disturbances that may increase their risk for falls. Falls are a significant event because they have been linked to serious injuries and disabilities, loss of independence, and increased mortality rates. Purpose: The purpose of this study was to assess whether chemotherapy-induced peripheral neuropathy is associated with spatiotemporal gait adaptations in posttreatment adult cancer survivors when compared to healthy, disease-free, age and morphologically matched controls. Methods: In a quasi-experimental design, 16 subjects participated in the present study. There were 8 CIPN subjects between the ages of 50–70 years of …

The Population Health Management Policymap Project (Phm/Pmp), Anne M. Hewitt

Digital Humanities

The Population Health Management/ PolicyMap Project links together the academic focus on population health management and the adoption of the PolicyMap technology to develop essential analytical skills applicable to real-time health industry decision-making. This Project helps prepare students to identify populations at risk, develop risk segmentation characteristics and criteria and to complete risk stratification in order to complete integrated care plans and management. The map representation will help students further engage in determining risk factors and treatment options/availabilities that will be crucial in planning, preventing and managing any of the at-risk health conditions.

The PolicyMap learning assignment will be integrated …