Digital Commons Network^™

Recognizing And Responding To Moral Distress: Using Transformational Leadership To Increase Nurse Leader Thriving, Miriam Dowling-Schmitt

DNP Scholarly Projects

Background: Moral distress, burnout, and compassion fatigue in acute care nurses has increased significantly since the Covid-19 pandemic and has been associated with high levels of nursing turnover and increased costs to healthcare systems. Nurse leaders at the study organization had never received education on recognizing and responding to moral distress. Nursing engagement scores were low at the study organization in the areas of leadership support and well-being investment in nurses.

Problem Description: Between 2017 and 2021 job satisfaction for nurses with direct patient care responsibilities decreased in 20 of 21 categories according to the Bureau of Health Workforce. High …

A Care Expansion Initiative: Providing Awareness And Access To Resources For Patients With Celiac Disease: A Quality Improvement Project, Jennifer Kumin

DNP Scholarly Projects

Background: Celiac disease (CD) is projected to be the most common genetic autoimmune disease in the world with 1% or 3 million people effected in the United States. It is estimated that as many as 70% of those effected are not aware. Diagnosis routinely takes 10-12 years from the initial onset of symptoms, exposing patients and the healthcare system to significant cost and stress through excess testing and misdiagnosis. One area that is often referenced in barriers around celiac disease is the lack of awareness and education specifically with patients, healthcare providers, and the community at large.

Methods: In this …

Critical Incident Debriefing: Impact On Oncology Nurses And The Infusion-Related Reaction Care Bundle, Megan A. Corbett

DNP Scholarly Projects

Background: A critical incident is a sudden, unexpected, emotionally distressing event commonly experienced by oncology nurses. Debriefing is an evidence-based best practice that facilitates communication, reflection, and learning to identify quality improvement opportunities to enhance clinical practice, patient safety, and quality of care. However, debriefing within oncology care settings is inconsistent despite the demonstrated benefit and availability of frameworks. Infusion-related reaction management follows an algorithm that directs care delivery, aligning with a care bundle approach. Care bundles, when consistently and reliably applied, help identify connections between the critical incident (i.e., infusion-related reaction) and opportunities for improvement to ensure clinicians follow …

Design And Implementation Of A Nursing Peer Practice Case Review Program In An Academic Surgical/Trauma Icu, Natalie Tredway

DNP Scholarly Projects

Background: Peer review has been in use in healthcare for many years, primary by physicians. Recently, however, nursing has adopted a framework for peer review within the profession. According to the American Nurses Association (admin, 2011), organizations are required to maintain a systematic peer review process aimed at evaluating nursing care and nursing care providers to obtain/maintain Magnet designation. According to Foster (2015) nursing peer review (NPR) is “process by which practicing registered nurses systematically assess, monitor, and make judgments about the quality of nursing care provided by peers as measured against professional standards of practice”. The focus is on …

Implementation Of A Standardized Educational Training Series For Anaphylaxis Recognition And Epi-Pen Administration To Non-Licensed Personnel In A School Setting, Katherine T. Darak

DNP Scholarly Projects

Background: Anaphylaxis is a life-threatening allergic reaction that requires early recognition and administration of intramuscular epinephrine. In the elementary school setting, non-licensed personnel are often the first staff to identify this, making training and preparedness essential. This quality improvement project aims to enhance school personnel knowledge, confidence, and competence in recognizing and managing anaphylaxis through a standardized educational training series.

Purpose: The purpose of this quality improvement project aimed to increase the knowledge, confidence, and competence of non-licensed personnel in managing and responding to anaphylaxis in the school setting. Participants accessed the educational module and hands-on training interventions …

Promoting Rapid Identification Of Oncological Emergencies In The Emergency Department : A Quality Improvement Project, Christine Hart Brown

DNP Scholarly Projects

BACKGROUND: The American Cancer Society estimates 2,041.90 new cases of cancer in the U.S. (1 in 18 Americans) with a global projection of thirty-five million new cases annually by 2050. With this alarming increase, early recognition of oncological emergencies in the Emergency Departments is essential. Life-threatening conditions require rapid assessment, accurate diagnosis, and immediate interventions. Qualified emergency nurses must understand the effects that cancer and treatment have on the immune, metabolic, and hematologic systems. This quality improvement (QI) project focuses on assessing emergency nurses’ oncological knowledge of acute emergencies and providing a resource for rapid identification.

PROBLEM STATEMENT: …

The Fate Of Coffee: A Socioeconomic Analysis Of Peruvian Coffee Management In The Face Of Usaid Withdrawal And Climate Change, Sophia E. Elliott

Honors Theses and Capstones

Coffee is one of the most widely traded commodities globally, with the market valued at over USD 223 billion in 2023. The cultivation and management of this crop are largely carried out by small-scale farmers, who make up approximately 80% of producers and rely heavily on coffee farming for their livelihood. Despite the relevance of this crop for producers and consumers alike, these producers often live in conditions of extreme poverty. Variability within climatic conditions has increased the vulnerability of coffee plants to pests and pathogens, in particular Coffee Leaf Rust (CLR) (Hemileia vastatrix). This, in turn, has led to …

Noaa Or&R Remote Sensing /Uas Workshop Report, Coastal Response Research Center

Coastal Response Research Center

NOAA’s DPP partnered with CRRC to plan and facilitate a hybrid workshop over two days at UNH’s Memorial Union Building (MUB) in Durham, NH. This workshop titled “NOAA OR&R Remote Sensing/UAS Workshop” identified overarching concepts, knowledge gaps, challenges, and research regarding the current capabilities of oil spill remote sensing of NOAA and its partners, including government and state agencies, and the private sector (e.g., OSROs, contractors). The resulting conversations explored state of the art technologies that could be deployed during a spill event and complications introduced to response and recovery efforts by data delivery timelines, data products, and remote sensing …

2024 U.S. Globe Partner Yearbook, Globe U.S. Coordination Office

Partner Yearbooks

No abstract provided.

Town Of Dummer, Nh Annual Report Of The Town Officers For The Year Ended December 31, 2024, Dummer Town Representatives

Dummer, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Town Of Lempster, New Hampshire, Incorporated 1767, Annual Reports For The Year Ending December 31, 2024, Lempster Town Representatives

Lempster, NH Annual Reports

This is an annual report containing vital statistics for a town/city in the state of New Hampshire.

Waterville Estates Village District Annual Report 2024, Waterville Estates Village District Representatives

Waterville Estates Village District of Campton & Thornton, NH Annual Reports

This is an annual report containing vital statistics for a Village District in the state of New Hampshire.

Backyard Chimeric Microbiomes: K-12 Participatory Science, Abigail Saucier

Honors Theses and Capstones

The US education system has seen a recent push for more secondary school curriculum to include STEM (Science, Technology, Engineering, and Mathematics) materials and activities. Middle and high school is a pivotal time when academic and personal experiences affect the development of student attitudes towards STEM (Christensen et al., 2015; Moreno et al., 2016). Teachers often utilize hands-on activities to promote student engagement with science curriculum (Brooks & Poles, 2021; Christensen et al., 2015). Hands-on activities improve student learning, but impacts vary by type of activity. When students work towards a known outcome they can feel disconnected from the work …

Brooches And Identity In Early Medieval Burials In Britain, Elizabeth Christopher

Spectrum

No abstract provided.

Cheshire 4-H Presents 2025 Action Exhibit Info, Extension

UNH Cooperative Extension

No abstract provided.

Introducing Education On Modified Bedside Nursing Handoff To Reinforce Patient Safety Across High-Risk Populations: A Quality Improvement Project., Sydney P. Hodgdon

Master's Theses and Capstones

BACKGROUND:

The Modified Bedside Nursing Handoff (mBNH) is a process where nurses exchange patient information and responsibility at shift change, ideally at the bedside. A PRISMA-based literature review showed that mBNH may help improve communication, protect patient privacy, and enhance safety when done thoughtfully—sometimes at the bedside, sometimes just outside the room. This quality improvement project was launched on a busy unit that cares for high-acuity patients from across northern New England, including those recovering from strokes, motor vehicle accidents, and serious falls. The goal was to increase both frequency and how standardization that nurses reported using mBNH by at …

Introducing A Paper Communication Alternative For Emergency Department Nurse-Technician Delegation To Promote Workflow Efficiency: A Quality Improvement Project, Grant Quinn

Master's Theses and Capstones

Background: Efficient and high quality communication is paramount in the emergency department setting, especially between registered nurses (RNs) and emergency department technicians. In a fluid and high-octane microsystem, poor communication can lead to missed or delayed delegated tasks, which harm teamwork and patient safety and outcomes.

Purpose: By introducing a low-cost, paper-based communication alternative to this microsystem into the workflow it is expected that perceived ease of use and communication quality will both increase when surveying department staff. This intervention offers an alternative means of communicating with the goal of improving communication overall in the microsystem.

Methods: Through use of …

A Quality Improvement Initiative: Enhancing Knowledge And Confidence In Effective Eclamptic Seizure Management Among Maternity Nurses, Emma C. Donigian

Master's Theses and Capstones

Background: Preeclampsia and eclampsia (PE/E) are leading contributors to maternal morbidity and mortality rates globally. Timely recognition and intervention are essential for improving maternal outcomes. However, evidence indicates that healthcare professionals often lack sufficient knowledge and confidence in managing these conditions, highlighting a critical need for ongoing education to ensure safe, effective care.

Local Problem: At a small maternity unit in Northern New England, nurses expressed concern about their preparedness to manage eclamptic seizures, a rare but high-risk obstetric emergency. Although preeclampsia is commonly encountered, eclampsia occurs infrequently, limiting staff exposure and hands-on experience. This combination of low frequency and …

Globe And Natural Inquirer Crosswalk Ms/Hs: Studying Air Quality And Aerosols, Alicia Carlson, Globe U.S. Coordination Office

Teacher Resources

No abstract provided.

2025 Virtual Student Research Symposium Elementary Peer Review Letter, Haley F. Wicklein, Globe U.S. Coordination Office

Resources

No abstract provided.

Local Student Research Symposium Quick Start Guide, Haley F. Wicklein, Globe U.S. Coordination Office

Resources

No abstract provided.

Globe Student Research Symposia: How-To Guide, Haley F. Wicklein, Globe U.S. Coordination Office

Resources

No abstract provided.

An Active Playful Learning Guidebook For New Hampshire Early Childhood Educators, Unh Early Childhood Education Coaching Initiative, Jennifer Berube, Sarah Bond, Karen Dubois-Garofalo, Kimberly Nesbitt

Play-Based Learning Coaching and Teaching

No abstract provided.

Strafford County 2024 Annual Report Of The Commissioners, Treasurer, Other County Officers, And The Strafford County Delegation For The Year Ending December 31, 2024, Strafford County Representatives

Strafford County, NH Annual Reports

This is an annual report containing vital statistics for 2024 for Strafford County in the state of New Hampshire.

Viscosity Stratified Turbulence: Insights From Direct Numerical Simulations, Quasilinear Reduction And Resolvent Analysis, Pulkit Kumar Dubey

Doctoral Dissertations

This dissertation focuses on wall-bounded shear-driven turbulence with temperature-dependentviscosity. Direct numerical simulations and quasilinear reduction have been used to establish the asymmetric variation of turbulent statistics in the wall-normal direction. A comparison of energy spectra in the cold and hot halves of the channel reveals that large scale motions are amplified in the more viscous half while small scale motions are amplified in the less viscous half. Interestingly, the threshold wavenumber distinguishing these scales remains independent of stratification. This observation has been verified via a low-order reconstruction of the turbulent kinetic energy profile using resolvent analysis. Fourier modes that selectively …

Seagrassnet Monitoring In The Great Bay Estuary, Nh/Me Field Season 2023, Kalle Matso, Lara Martin, Trevor Mattera, Thomas Gregory, David M. Burdick, Christopher Thomas Whitney

PREP Reports & Publications

No abstract provided.

Hit Me, Baby, One More Time: A Critical Discourse Analysis Of The Celebrity Gossip Magazine Shaming Of Britney Spears, Anna Drabik

Comm-entary

Britney Spears is an American pop star who rose to fame in the late 1990s at the age of 17 with her music, performances, and fashion. Spears was a prominent figure.

in celebrity gossip magazines, a genre which grew to prominence alongside and, in many ways, because of Spears. The distinct aesthetic and style of celebrity gossip magazines involved stories, blurbs, and images which wielded praise and shame—directly and indirectly—as tools to enforce norms and expectations for both female celebrities and female readers. Through a critical discourse analysis of 378 People and Us articles throughout the first ten years of …

Cheshire 4-H Presents 2025 Demonstrtion Info, Extension

UNH Cooperative Extension

No abstract provided.

Critical Analysis Of The “Mother, Daughter, And Doll” From Boushra Almutawakel’S, Samantha Dempsey

Comm-entary

No abstract provided.

Brewdog Case Study, Kate Daugherty-Miller

Comm-entary

No abstract provided.