Medicine and Health Sciences Commons^™

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 …

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 …

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 …

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 …

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 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 …