Medicine and Health Sciences Commons^™

Understanding The Experiences Of African American Caregivers Of Loved Ones With Dementia, Paula R. Madison

Seton Hall University Dissertations and Theses (ETDs)

Background: Dementia is a public health problem that is estimated to triple by 2050.Globally, dementia is the seventh leading cause of death among all diseases and one of the major causes of disability and dependency among older people. The direct medical costs and indirect social and economic costs of dementia are burdensome to society, and by 2030 it is projected to cost more than $2.8 TRILLION dollars worldwide. African Americans are two to four times more likely to be diagnosed with dementia than White Americans; and more likely to rely on informal care from family and friends. African …

Implementation Of Nurse Navigators For Behavioral Health, Theresa Papagna

Seton Hall University Dissertations and Theses (ETDs)

Mental health patients have been notoriously non-adherent with diligent medication conformity, office visit fidelity, candor about side effects, use of illegal substances for self-medication, and truthfulness about co-occurring conditions. This non-adherence makes treatment difficult for psychiatric providers, and all those who participate in the care of patients with mental illness. Patient non-adherence can cause frustration and can lead to provider burnout, which affects patients as well as providers. Also, there are concerning financial implications of excessive time and resources needed to adequately monitor mental health patients. Implications regarding 30- day re-admissions are tantamount to consideration of financial strains put on …

Connecting And Communicating To Support Youth Mental Health, Michele Davide

Seton Hall University Dissertations and Theses (ETDs)

The nation is experiencing a pediatric mental health crisis amid a shortage of pediatric mental health care providers. The Connecting and Communicating project explores a strategy pediatric primary care practitioners can employ to bridge this gap and maximize their impact on supporting youth mental health in a community.

For this project, a pediatric primary care nurse practitioner created a pilot educational video with the dual purpose of educating parents and school staff on the importance of connecting with adolescents using the proven evidence supported communication technique of validating strong emotions without judgement, and partnering with pediatric health stakeholders by requesting …

Telehealth, During Covid-19 Pandemic Did It Increase Access To Care?, Annette Allegra

Seton Hall University Dissertations and Theses (ETDs)

Abstract

The purpose of this project was to implement an Advance Practice Nurse-led Quality Improvement (QI) initiative to assess telehealth intervention during the Covid-19 pandemic and determine if it increased access to healthcare. This Doctor of Nursing Practice (DNP) project used interventions noted in the literature review to assess effectiveness and acceptance of telehealth use with psychiatric patients to increase access to healthcare in the setting of a medical center. Psychiatric patients often have poor compliance with healthcare visits and treatment due to the challenges of an inability to afford medications, transportation to appointments, poor community support and stigma to …

Toolkit For Screening Older Adults Desiring To Age In Place In Independent Living, Sister Raymond Marie Labonte

Seton Hall University Dissertations and Theses (ETDs)

The world is experiencing an increase in the aged population. This increase stimulated the popular theme of aging in place. Much time, effort and research have been channeled into exploring this model as an alternative to assisted living or skilled nursing settings for senior citizens worldwide. Elders desire to age in place. Current, recent, and decades old literature identifies this preferential option of the elderly and supports the need to develop plans and tools to assist elders to be able to successfully age in place. This quality assurance project is the venture to create both a congregate living community and …

Exploring Ghanaian Immigrants' Healthcare Access And Utilization Of The U.S. Health System, Kweku J. Agyeman

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

EXPLORING THE GHANAIAN IMMIGRANTS’ HEALTHCARE ACCESS AND

HEALTHCARE UTILIZATION OF U.S. HEALTHCARE SYSTEM

BY

Kweku J. Agyeman

Background and Purpose of the Study: Healthcare access and utilization in the U.S. continue to pose serious challenges to immigrants. Although the U.S. spends the most on healthcare ($3.8 trillion) among developed countries, accessing and utilizing the U.S. healthcare has become an illusion to most immigrants living in the U.S. including Ghanaians. To date, little is known specifically about Ghanaian immigrants’ access and utilization of the U.S. Healthcare system. For Ghanaians and other immigrants to fully understand the complex U.S. Healthcare …

Exploring The Impact Of Different Durations Of Foam Rolling As A Recovery Technique Following Intense Exercise In College-Aged Males, Connor M. Saker

Seton Hall University Dissertations and Theses (ETDs)

Background: Foam rolling (FR) for recovery from delayed onset muscle soreness (DOMS) and exercise induced muscle damage (EIMD) has received considerable attention because the technique is being a relatively inexpensive and is self-performed. However, there are currently no FR guidelines and the available literature assessing the impact of FR for recovery of muscle soreness is heterogeneous and offers conflicting results. Assessing different FR durations and their impact on recovery may help provide insight to the effectiveness of this technique for recovery from EIMD and DOMS. Purpose: To explore the impact of two different acute durations of FR for the recovery …

Physical Therapists Clinical Instructors Perceptions, Practices And Experience When Supervising An Underperforming Student In Clinical Education, Ruth Lyons Hansen

Seton Hall University Dissertations and Theses (ETDs)

Physical Therapist (PT) clinical instructors’ (CIs) perceptions, practices, and experiences when supervising an underperforming student.

Background: The experience of supervising an underperforming student (UPS) in clinical education and failure to fail (FTF) are described in health professions such as nursing and medicine but there is little description of it in Physical Therapist (PT) clinical education.

Purpose: To explore the PT clinical instructors’ (CIs) perceptions, practices and experience when supervising an under-performing student, and to determine if failure to fail exists in PT clinical education and if so, what organizational, personal, and demographic factors may be related to it.

Methods: …

Understanding Intelligent Non-Adherence By Measuring The Differences In Knowledge, Attitudes, Beliefs, And Behaviors Of Self-Care In Heart Failure Patients, Marco Mimbela

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: Research shows that six in ten U.S. adults have a chronic disease and four in ten have two or more (CDC, 2018). Of all chronic diseases, heart failure is the leading cause of hospitalization and mortality in the U.S. (Kilgore, Patel, Kielhorn, Maya, & Sharma, 2017). Luckily, this condition can be managed through various self-care practices. Although healthcare providers are educating their patients on these self-care practices, patients are making a conscious decision to non-adhere. This phenomenon is known as intelligent non-adherence and is mostly affected by an individual’s level of knowledge, attitudes, beliefs, …

Analyzing Factors Impacting Time To Full Approval Of Innovative Drugs Via An Accelerated Approval Pathway In The United States, Eleanor Panico

Seton Hall University Dissertations and Theses (ETDs)

Background and purpose of study: Pharmaceutical drugs are commonly used to treat various ailments and the pharmaceutical industry is increasingly leveraging expedited pathways to market, like the FDA’s accelerated approval pathway. Thus, these pathways are becoming more prevalent and thus more scrutinized for reliability. A consequence from this increased utilization is observed variability in time to reach full approval from the point accelerated approval was received. Variables that may impact time and ability to reach full approval should be further investigated. The purpose of this study was to explore, identify and predict variables that may influence time from accelerated approval …

Flippase Inhibitors As Antimicrobial Agents, Robert Tancer

Seton Hall University Dissertations and Theses (ETDs)

Drug resistant microbes are a considerable challenge for modern medicine to overcome. The research described in this dissertation involved development of lipid flippase inhibitors and investigating their potential as antimicrobial agents against various drug resistant microbes. The microbes primarily investigated were methicillin resistant Staphylococcus aureus (MRSA) & Cryptococcus neoformans. Chapter 1 reviews the historical perspective and summarizes the current state of the field of research. In Chapter 2, the design space of an antimicrobial peptide known as humimycin was explored and the effects of modifications on its structure were observed against MRSA. Several key observations resulted. Most notably, the …

Moral Distress And Ethical Climate In Pediatric Nurses In The Time Of Covid, Katherine Bliss Soriano

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

Moral Distress in an increasing problem in nurses and other healthcare professionals due to the many challenges nurses face in proving care to their patients and families. These challenges can be magnified when the nurse is conflicted and unable to successfully navigate the moral and ethical responsibilities of the profession leading to moral distress. The COVID-19 pandemic has had profound and global widespread consequences including the impact on pediatric nurses. This descriptive correlational study examined the relationship between moral distress and ethical climate among pediatric nurses who cared for patients during the COVID-19 pandemic. This study used Corely’s Theory …

The School Nurse's Experience Of Secondary Exposure To Trauma, Catherine A. Grano

Seton Hall University Dissertations and Theses (ETDs)

The school nurse (SN) is often the sole health care expert in the school setting, providing for the physical and socio-emotional needs of others. SN may be exposed to reports of trauma, a widespread and costly public health issue. This study sought to explore the experience of the SN when exposed to reports of trauma from those in their care. Seven N.J. certified school nurses participated in two online interviews via Microsoft Teams, spaced one to two weeks apart between June 2021 and September 2021. Interviews were recorded & transcribed verbatim and thematic analysis applied. This study found that SN …

Burnout And Psychological Capital In Baccalaureate Nursing Students Enrolled In Clinical Rotations, Kathleen Horan

Seton Hall University Dissertations and Theses (ETDs)

Nursing students who will successfully transition to practice as registered nurses are a crucial resource, especially now with the current nursing shortage. Using Meleis’ Transition Theory as a framework, the purpose of this descriptive correlational study was to examine specific intrapersonal factors in nursing students enrolled in clinical rotations. The convenience sample consisted of 129 BSN students with a mean age of 24. Their levels of burnout (exhaustion, cynicism and inefficacy) and psychological capital (hope, efficacy, resilience and optimism), also called PsyCap, were measured using the Maslach Burnout Inventory-General Survey and the Psychological Capital Questionnaire. Findings demonstrated moderate levels of …

Exploring Research Knowledge, Attitude, And Practice Of Mnri® Core Specialists, Jerzie-Ann Coppola

Seton Hall University Dissertations and Theses (ETDs)

Statement of the Problem: The Masgutova Method® is a research emergent area with a growing yet limited research base. In order to facilitate a widespread and robust acceptance and integration of The Masgutova Method® as evidence-based practice, a significant increase in research is warranted. MNRI® Core Specialists are well-positioned to be scholars in The Masgutova Method®. At this time, there is no literature exploring MNRI® Core Specialists’ foundational research knowledge, attitude toward research, and research practice.

Purpose of the Study: The purpose of this study is to establish a baseline understanding of MNRI® Core Specialists’ research knowledge, attitude, and practices. …

The Relationships Between And Among Parental Perceptions Of Family-Centered Care, Parental Beliefs, And Parental Stress In The Pediatric Intensive Care Unit, Kelly Keefe-Marcoux

Seton Hall University Dissertations and Theses (ETDs)

Children hospitalized for critical care require increasingly complex and technical care, which can be very stressful for parents. Awareness of the importance of parents’ role while their child is receiving critical care is vital to deliver care within a family-centered philosophy that is mutually beneficial to parents and nurses. This descriptive correlational study examined the relationships between and among parental perception of Family-Centered Care (FCC) nursing practices, parental beliefs regarding their role and their hospitalized child, and parental stress during their child’s admission to the Pediatric Intensive Care Unit (PICU). This study utilized the Family-Centered Care theoretical framework to examine …

Nurse Practitioner Role Perception, Job Satisfaction, And Anticipated Turnover In The Middle Atlantic States, Jenna R. Sabatino

Seton Hall University Dissertations and Theses (ETDs)

Background: The need for nurse practitioners (NPs) in the US has become very evident in recent years. However, the established significance of NPs in the healthcare system does not ensure that NPs are satisfied with their role. To date, no studies have examined NP job satisfaction in the Middle Atlantic States (MAS), which includes New York, New Jersey, and Pennsylvania. Only one study, thus far, has looked at NP role perception from the NPs own perspective, and was completed in the Midwest region of the US. Similarly, no studies have examined NP anticipated turnover the Mid-Atlantic region of the US. …

Interrater Reliability And Concurrent Validity Of Real-Time Observation Of The Single-Leg Squat, Single-Leg Step Down, And Single-Leg Drop Landing In Evaluating Lower Extremity Movement Quality, Chad Clements

Seton Hall University Dissertations and Theses (ETDs)

BACKGROUND: Patellofemoral pain is a commonly diagnosed health condition that can negatively impact short- and long-term health and wellness. Prevention strategies to screen for and mitigate the risk of developing patellofemoral pain are needed. Current screening tools evaluating lower extremity movement quality lack the specificity to identify at risk individuals.

PURPOSE: The purpose of this study is to explore the inter-rater reliability and concurrent validity of the real-time visual observation of the single-leg squat, single-leg step down, and single-leg drop landing by athletic trainers to evaluate lower extremity movement quality related to functional activities that may predispose to knee dysfunction. …