Medicine and Health Sciences Commons^™

An Interdisciplinary Education And Service Bundle To Reduce Hospital Resource Utilization And Decrease Pediatric Asthma-Related Morbidity And Mortality, Emily Yates

Seton Hall University Dissertations and Theses (ETDs)

The purpose of this quality improvement project was to reduce hospital resource utilization and improve health outcomes for children with asthma by providing an evidence-based, interdisciplinary education and service bundle to patients and families admitted to a Children’s Hospital in Northern New Jersey with a primary diagnosis of asthma. The 2020 Asthma Management Guidelines published by the U.S. Department of Health and Human Services (2020), the Global Initiative for Asthma (GINA) and a modified systematic review identified common themes among children at risk for asthma-related morbidity and mortality and high hospital resource utilization. These themes included medication misuse, asthma trigger …

Emergency Department Patient Navigator Post Chest Pain Diagnosis Discharge, Nancy Simoes

Seton Hall University Dissertations and Theses (ETDs)

Abstract The most common complaint seen in the Emergency Department, along with abdominal pain, is nonspecific chest pain. Often, these complaints cause prolonged lengths of stay in the ED, followed by hospital admissions and subsequent readmissions for various reasons. When thinking about these various reasons, the question for prevention of readmission comes to mind. What could we do as a department to keep patients from continuously using the Emergency Department as a primary point of care instead of outpatient facilities when necessary? Project Aim: The purpose of this quality improvement project was to initiate the need for a patient navigator …

A Qualitative Study Exploring Us Graduate Medical Education Program Directors Decision-Making Practices Regarding The Selection Of Surgical Residency Applicants For Interview, Lashari Valentin

Seton Hall University Dissertations and Theses (ETDs)

Background: The goal of the General surgery residency selection process is to select residents who will transition easily from medical school to residency, complete the training program, pass their boards, practice surgery in a safe and effective manner, and contribute to the advancement of the specialty. Residency training programs receive thousands of applications annually from which they must choose a select few for an interview. The reality is, if medical students do not get into a residency training program, they can never practice as a physician. Pin-pointing match-worthy applicants from an increasingly deep and similar applicant pool is an …

Exploring Nursing Faculty Perceived Individual And Organizational Readiness To Use Online Simulation As A Teaching Strategy, Luz-Patricia Torres

Seton Hall University Dissertations and Theses (ETDs)

Problem: Academic institutions have employed online simulations in nursing education to meet the needs of the growing nursing student population and demands for distance learning. While some nursing educators have been trained to use simulation learning experiences, few have specific training in applying online simulation as a teaching strategy. With a dearth of evidence in the literature specific to the use of online simulation in nursing education, exploring nursing faculty's perceived individual and organizational readiness to do so is warranted to optimize the use of this innovation.

Purpose: This study explored the nursing faculty's perceived individual and organizational readiness …

Caregiver Perspectives On The Daily Function Of People Living With Hnrnph2-Related Neurodevelopmental Disorder: Developing A Conceptual Model, Rachel Salazar

Seton Hall University Dissertations and Theses (ETDs)

Introduction: Neurodevelopmental disorders are a group of conditions that start in childhood and lead to impairments in functioning. HNRNPH2-related neurodevelopmental disorder is an ultra-rare disorder in which individuals present with cognitive, behavioral, language and motor function impairments that often leads to reliance on their caregivers. Existing conceptual models of neurodevelopment are not specific to this ultra rare disorder and do not highlight the caregiver impact of living with HNRNPH2-related neurodevelopmental disorder.

Purpose: The purpose of this study is to understand the caregiver perspective on the everyday functioning of people living with HNRNPH2-related neurodevelopmental disorder to generate a …

Cardiac Arrest High-Fidelity Simulation: Improving Nursing Students’ Resuscitation Response In Preparation For Transition To Professional Practice, Phoebe Hanna

Seton Hall University Dissertations and Theses (ETDs)

New graduate nurses report critical hands-on skills are not taught in school and contribute to the increased stress they feel when managing a life-threatening patient condition (Bennett et al., 2017). In the United States, approximately 290,000 in-hospital cardiac arrests occur annually (Andersen et al., 2019). The current Bachelor of Science in Nursing (BSN) curriculum at a large university in northern New Jersey does not include the implementation of a high-fidelity cardiac arrest simulation. This project was designed to enhance classroom didactic education of nursing care during an emergency cardiac arrest by exposing traditional senior-level BSN students to a high-fidelity cardiac …

Impact Of Resiliency And Self-Care Training On Student Nurses, Johanna V. Grimaldi

Seton Hall University Dissertations and Theses (ETDs)

The nursing workforce is currently facing a predicted shortage which has been further exacerbated by the impact of the novel coronavirus pandemic. Factors such as increased patient load and acuity, poor staffing conditions, violence in the healthcare system, burnout, and poor mental health among nurses contribute to the complex situation. There is immense need to prepare the next generation to prevent high turnover and low retention rates within the nursing profession.

The purpose of this project was to create and implement a training program to improve the knowledge and application of resiliency and self-care tactics among nursing students at a …

Ovarian Cancer Survivorship Checklist, Emily Lott

Seton Hall University Dissertations and Theses (ETDs)

Background: The cancer survivorship population has been growing significantly in the last few years due to advancements in treatments such as immunotherapy, targeted medications and other types of chemotherapy. However, these survivors can have lifelong symptom burdens due to their diagnoses and adverse effects of their curative therapies. Symptoms are not always physical and can include emotional distress. Ovarian cancer patients in particular tend to have symptom complications because of their disease process. Symptoms include pain, constipation, neuropathy and fatigue. Ovarian cancer patients also experience a high level of cancer relapses. Early detection is key in cancer recurrences for patients …

A Phenomenological Study Of Faith In Catholic Persons Living With The Diagnosis Of Cancer, Macrina Reyes

Seton Hall University Dissertations and Theses (ETDs)

Background: There were an estimated 1.9 million new cases of cancer diagnosed the United States and over 600,000 deaths from cancer in 2022. Cancer is also known as the 2nd most common cause of death behind heart disease in the US. In 2019, there were an estimated 16.9 million cancer survivors in the US. Furthermore, the number of cancer survivors is expected to increase to 22.2 million by 2030. Unfortunately, the persons' spiritual needs are not being addressed or considered by healthcare practitioners as part of the plan of care, especially Catholics. In order to truly provide person-centered care, healthcare …

The African American Dream Deferred: Exploring The Relationship Between The “American Dream” And The Black American Millennial Reality, Simonleigh P. Miller

Seton Hall University Dissertations and Theses (ETDs)

The purpose of this qualitative study is to highlight and bring understanding to the lived experiences of Black American millennials. This study was conducted from the constructivist and critical research paradigms and utilized Reflexive Thematic Analysis methods to analyze qualitative data. The study places specific focus on Black or African American millennials’ associated thoughts and feelings regarding their current reality and positionality within the American context, and its relation to the idealized reality of the American Dream. The influence of the American Dream on the African American millennial reality was explored to gain a better understanding of how, or if …

Perspectives Of Home Care Nurses On Frailty And Resilience In Older Adults Living At Home, Lisa Foley

Seton Hall University Dissertations and Theses (ETDs)

The population of older adults is growing rapidly in the United States. As more people are living to an advanced age, they are often managing a multitude of chronic illnesses and disabilities while continuing to live at home. Frailty is a common condition that affects how one ages and the condition is associated with dependency and poor health outcomes. Resilience is considered to be a protective factor against health stressors that lead to frailty in older adults. Perspectives of home care nurses were obtained by semi-structured interviews which described how older adults live at home with frailty and demonstrate resilience. …

Photoisomerizable Membrane Active Peptides, Cristina Ventura

Seton Hall University Dissertations and Theses (ETDs)

Membrane active peptides (MAPs) bind and partition into the cell membrane thus causing permeabilization. Many α-helical membrane active peptides contain central proline residues that distinguish the hydrophobic and hydrophilic faces of the helix. The proline induces a bend that produces a helix-hinge-helix motif. Mutation of these proline residues has a significant effect on the activity of the MAP. Azobenzene is a photoisomerizable molecule that switches from its trans to cis isomer upon excitation with ultraviolet (UV) light and from its cis to trans isomer upon excitation with visible light (VL). In this work it is hypothesized that the hinge function …

Synthesis, Characterization And Biological Evaluation Of Polyarginine Derived Bone-Targeting Peptides, Gina L. Antuono

Seton Hall University Dissertations and Theses (ETDs)

Osteoblast-targeting peptides in the treatment of bone disease is a new and novel approach to offering effective treatment of various cancers and can be used in bio-medical, medicinal chemistry and biotechnology applications. By targeting adhesion proteins produced by osteoblast cells, certain cancers which migrate and metastasize to the bone may be more effectively treated. An osteoblast-targeting peptide composed of Ser-Asp-Ser-Ser-Asp (SDSSD) which selectively binds to osteoblast cells via periostin has recently been identified. This peptide was functionalized with polyurethane, generating nanomicelles which encapsulated RNA for the therapeutic treatment of osteoporosis. This study has served as the basis for the research …

Improving Patients' Perception Of Pain: An Evaluation Of A Nurse Practitioner-Led Chronic Pain Coaching Group, Suzanne A. Levy

Seton Hall University Dissertations and Theses (ETDs)

Background: The opioid crisis in the United States warrants an improved standard of practice for managing chronic pain. A large body of evidence highlights a positive correlation between health coaching focused on mindfulness-based interventions and its potential to improve the overall well-being of chronic pain patients. Currently, there are limited resources to address these patients' psychosocial needs, and the primary treatment plan consists of pharmacological management using long-term opioids. Project Aim: The 3M Chronic Pain Coaching Model is a 6-week coaching group focused on mindfulness, meditation, and motivation. This quality improvement project aimed to evaluate how a mindfulness-based chronic pain …

Creating And Validating A New Survey Instrument To Measure Behavioral Factors Impacting Healthcare Providers’ Assessment Of Binge Eating Disorder, Kathleen Lovey

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study. Binge eating disorder (BED) is the most prevalent eating disorder in adolescents and adults, both nationally and internationally. It is highly comorbid with other psychiatric conditions and obesity. Lifetime prevalence rates for the general population in the United States range between 0.4–2.0% for males and 1.3–3.5% for females, respectively. BED prevalence rates are higher in the obese population at 4.5% and up to 27% in obese adults seeking treatment. Despite its prevalence, only 11% of adolescents and 44% of adults with lifetime BED in the United States receive treatment. As general healthcare providers are …

Exploring The Relationship Between Nurse Supervisor’S Servant Leadership Behavior And Nursing Employee’S Self-Assessment Of Engagement And Burnout In Nigeria, Michael Otuwurunne

Seton Hall University Dissertations and Theses (ETDs)

Burnout is a problem among workers in Nigeria, especially among nurses (Ozumba, & Alabere, 2019). This study examined whether there was a significant relationship between the employee perception of the servant leadership behaviors of the nurse supervisor and the employee’s self-rating of burnout: exhaustion and disengagement, and servant leadership behaviors of the nurse supervisor, and engagement: vigor, dedication, and absorption. Exhaustion refers to an intensive physical, affective, and cognitive strain while disengagement refers to the distancing of oneself from one’s work, and experiencing negative attitudes toward the work object, work content, or one’s work in general (Demerouti et al., 2001). …

Exploring The Perceptions Of English-Speaking West African Born Registered Nurse Graduates From United States Entry Level Nursing Programs Regarding Academic Factors That Contribute To Retention And Success In United States Nursing Programs, Afua Ampiaw

Seton Hall University Dissertations and Theses (ETDs)

Background: The United States (U. S.) population is becoming more racially and ethnically diverse. To ensure equity in healthcare access and outcomes between majority and majority populations, there is need for minority representation in the health professions including nursing to reflect their representation in the general population. Nevertheless, ethnic minorities are underrepresented in the nursing profession. One of the many issues identified to compound this problem is the lack of retention and success of ethnic minority people in U.S. nursing programs. While the English-Speaking West African (ESWA) population in the U.S. forms about 5% of the 45 million immigrant population …

Standardized Patient Education For Patients' Initial Chemotherapy Through An Integrated Telemedicine Platform, Karen D. Dougherty

Seton Hall University Dissertations and Theses (ETDs)

Telemedicine has demonstrated a high level of satisfaction in a variety of health settings as a safe and efficient method of delivering healthcare. The purpose of this project was to implement an Advanced Practice-led Quality Improvement (QI) initiative pilot to evaluate the standardization of chemotherapy education through an integrated telemedicine platform. This Doctor of Nursing Practice (DNP) project used interventions noted in the literature review to assess and evaluate core concepts of knowledge, satisfaction, utilization, and program acceptance. This project aimed to utilize evidence-based processes to increase knowledge about the chemotherapy treatment routine, to raise awareness and develop skills to …

How Pediatric Emergency Department Nurses Initiate And Provide Care To Children And Families With Limited English-Proficiency, Caroline Meza

Seton Hall University Dissertations and Theses (ETDs)

Effective pediatric emergency care requires ongoing communication between the pediatric patient and their family. There may be additional challenges for pediatric emergency nurses (PENs) to consider in their efforts to provide safe quality nursing care to pediatric patients and families with limited English proficiency. The purpose of this study was to explore and describe the experience of PENs who are engaged in providing care to pediatric patients and families with limited-English proficiency (LEP) in a pediatric emergency department. Using an interpretive description method, semi-structured interviews conducted with 15 PENs and five certified professional medical interpreters (CPMIs) were analyzed. The study …

Exploring Balance Assessment Practices And Utilization Of Academy Of Geriatric Physical Therapy Clinical Guidance Statement In Fall Management By U.S.-Practicing Physical Therapists: A Mixed-Methods Approach, Franceah Palencia-Quijano

Seton Hall University Dissertations and Theses (ETDs)

Background: Falls and balance impairments in older adults are major public health concerns. Physical therapists (PTs) play a major role in preventing and managing falls in the U.S. healthcare system. PTs are doctoral healthcare professionals who evaluate and treat balance impairments that impact prevalence of falls. As autonomous practitioners, PTs should incorporate evidence-based tools in balance assessment and management of falls. The American Physical Therapy Association (APTA) recommends PTs utilize evidence-based tools such as the (a) Academy of Geriatric Physical Therapy (AGPT) Clinical Guidance Statement (CGS) in Community-Dwelling Older Adults (CDOA and (b) the APTA balance tests and measures in …

Exploring Community College Health Science Adjunct Faculty's Perception Of Culturally Responsive Teaching Practices And Implementation Readiness, Catherine Sirangelo

Seton Hall University Dissertations and Theses (ETDs)

Introduction. Millions of students enroll in public community colleges in the United States. They are often first-generation or first in their family to go to college. They are often culturally and linguistically diverse, with English not being their first language. They often choose a community college because of its high-quality, lower cost, and successful implementation of programs to assist and acclimate them to post-secondary education. Students look to community college as a first step into a professional healthcare career. Health Science faculty teaching at community colleges are either full-time or part-time (adjunct) contingency faculty. Adjunct faculty are often content experts …

Exploring And Identifying Healthcare Leaders Competencies Required For Effective Decision Making In A High Velocity Environment To Achieve Sustainability Under The Regulatory Compliance Tenets Of The Patient Protection Affordable Care Act, Sylvester Foote

Seton Hall University Dissertations and Theses (ETDs)

Background and Purpose of the Study: Healthcare organizations face challenges in efficiently accommodating increased participant demands with limited resources and capacity. The modern reimbursement environment prioritized the maximization of operational efficiency and the reduction of unnecessary cost (i.e., waste) while maintaining or improving quality. As healthcare organizations adapt, significant pressures are placed on leaders to make difficult operational and budgetary decisions (Hamrock, Eric, et al., 2013).

As healthcare goes through this transformation within its high velocity environment defined as environments in which there is rapid and discontinuous change in demand, competitors, technology and /or regulations, such that information is often …

Evaluating Equity: Examining Inclusionary Practices From Educational Organizations To Improve The Education Experience Of Lgbtqia+ Students, Jillian G. Torrento

Seton Hall University Dissertations and Theses (ETDs)

This qualitative study explored the ways in which education policy and practices within public schools are addressing the needs of minoritized populations with a particular focus on LGBTQIA+ students. This study first employed a document analysis to investigate the federal, state, and district-level equity practices that are mandated or elective in addressing the needs of marginalized populations and LGBTQIA+ students. Secondly, a critical discourse analysis was conducted to examine the specific language, word choices, and symbols found within the public documents that signify equitable practices pertaining to minoritized student populations and the LGBTQIA+ community. Ultimately, the goal of this study …

Onboarding Advanced Practice Nurses To Pre-Anesthesia Care, Megan P. Abate

Seton Hall University Dissertations and Theses (ETDs)

Onboarding advanced practice nurses to the pre-anesthesia clinic (OBPAC) is a complex process that involves the integration and familiarization of new employees with the workplace. It is considered essential for safe and efficient clinical practice and the achievement of organizational goals. Fostering independence and competency are the overall aims of the onboarding process. The preceptor ensures that new advanced practice nurses (APNs) receive the support and guidance needed when learning new skills (Simone et al., 2016). There is evidence to show that dedicating time to a well-organized onboarding plan, laying clear job expectations with precepting, and continuous mentoring increases precepting, …

Medication Adherence Via A Smartphone Application, Robert B. Marsh

Seton Hall University Dissertations and Theses (ETDs)

Medication adherence among the mentally ill is critical.

Relationships Among Health Promotion Behaviors, Patient Engagement, And The Nurse Practitioner-Patient Partnership, Irene Decelie

Seton Hall University Dissertations and Theses (ETDs)

Individuals adopting health promotion behaviors benefit from improved health and reduced risk of chronic diseases. Trends in health care include promoting patient engagement and the development of a partnership between clinicians and patients to improve health and
health outcomes. The purpose of this descriptive, correlational study was to examine the relationships between patient engagement, the nurse practitioner-patient partnership and health promotion behaviors among adults in the primary care setting. Pender’s health promotion model and the recently created interactive care model provided the theoretical framework for this study.
Convenience sampling was used to recruit 85 participants from a nurse practitioner primary …

Visiting Nurses' Knowledge, Attitudes And Beliefs Regarding Telehealth To Promote Medication Compliance In The Elderly Population, Diane Renee Logan

Seton Hall University Dissertations and Theses (ETDs)

Introduction: Medication noncompliance in the elderly home dwelling adult is a persistent problem resulting in decreased quality of life, hospital readmission within a 30-day period and increased morbidity. Visiting nurses are in a key position to assist the elderly population to employ medication compliance strategies that are tailor-made to fit their individual needs and abilities. The introduction of telehealth technology, while meant to aid elderly home dwelling individuals, may negatively impact the infusion of medication compliance strategies and thus increase medication noncompliance if visiting nurses are not effective in employing this technology.

Aim: The aim of this study is to …