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Improving Nurse Knowledge And Attitudes Through Education On Integrative Pain Management In A Medical-Surgical Unit: A Quality Improvement Project, Samantha Hamilton Jan 2025

Improving Nurse Knowledge And Attitudes Through Education On Integrative Pain Management In A Medical-Surgical Unit: A Quality Improvement Project, Samantha Hamilton

Master's Theses and Capstones

Abstract

Background: Pain management in medical-surgical microsystems is complex, with many patients experiencing acute and chronic pain that can be difficult to control. Nurses often receive limited continuing education on integrative and comprehensive pain management strategies, highlighting a need to improve their knowledge and attitudes toward evidence-based, multimodal approaches.

Local Problem: Nurses in this 38-bed medical-surgical microsystem identified a gap in education related to integrative pain management strategies. This may lead to a reliance on pharmacological interventions and missed opportunities for holistic, patient-centered care

Methods: A 25-day quality improvement project was conducted using an asynchronous educational PowerPoint on integrative …


Improving The Effectiveness Of Post-Anesthesia Care Unit Transitions: A Quality Improvement Initiative Using A Standardized Nurse Handoff Report Sheet, Myra Mcauley Jan 2025

Improving The Effectiveness Of Post-Anesthesia Care Unit Transitions: A Quality Improvement Initiative Using A Standardized Nurse Handoff Report Sheet, Myra Mcauley

Master's Theses and Capstones

Background: Effective communication during patient handoff in the post-anesthesia care unit (PACU) is essential to ensuring patient safety and continuity of care. Unstructured or inconsistent handoff processes can lead to information omissions and care delays.

Methods: This quality improvement project implemented a structured nurse-to-nurse handoff report tool in the PACU. A pre- and post-intervention survey design was used to assess nurses’ perceptions of handoff clarity, completeness, and satisfaction. Educational sessions supported implementation.

Results: Pre-intervention survey data revealed dissatisfaction with the current handoff process, citing frequent information gaps. Following implementation of the structured tool, post-survey results showed improved communication clarity, increased …


Enhancing Patient Safety And Nursing Satisfaction In The Operating Room By Implementing Standardized Handoff Communication Sheets: A Quality Improvement Project, Hayleigh Mcneil Jan 2025

Enhancing Patient Safety And Nursing Satisfaction In The Operating Room By Implementing Standardized Handoff Communication Sheets: A Quality Improvement Project, Hayleigh Mcneil

Master's Theses and Capstones

Background: Communication is essential to workflow in the operating room. In this microsystem, circulating nurses required relief nurses when necessary breaks were needed. Written communication allows for nurses to quickly access information when they are giving handoff reports.

Local Problem: An operating room in a trauma level two hospital in New England had a verbal handoff that was inconsistent and left relief nurses with incomplete reports. This issue caused a decrease in nursing satisfaction with a potential decrease in patient safety.

Methods: Using the Plan-Do-Study-Act model, a written standardized communication sheet was created and implemented. Data was …


Advances In Ocean Mapping And Nautical Cartography, Giuseppe Masetti, Ian Church, Anand Hiroji, Ove Andersen Jan 2025

Advances In Ocean Mapping And Nautical Cartography, Giuseppe Masetti, Ian Church, Anand Hiroji, Ove Andersen

Center for Coastal and Ocean Mapping

The Special Issue of Geomatics on "Advances in Ocean Mapping and Nautical Cartography" addresses emerging methodologies, technologies, and applications in ocean mapping. This collection includes studies on the development of high-resolution seabed mapping techniques, innovative data processing for marine cartography, and advancements in hydrographic surveying. It highlights the importance of integrating geospatial data from sources such as remote sensing, autonomous underwater vehicles, and satellite-based observations. Additionally, articles discuss challenges and strategies for ensuring data accuracy and accessibility, reflecting a growing interest in sustainable marine resource management and navigation safety enhancements.


Unh/Noaa Joint Hydrographic Center 2025 Performance And Progress Report Executive Summary, Larry A. Mayer Jan 2025

Unh/Noaa Joint Hydrographic Center 2025 Performance And Progress Report Executive Summary, Larry A. Mayer

Center for Coastal and Ocean Mapping

No abstract provided.


Unh/Noaa Joint Hydrographic Center 2025 Performance And Progress Report Executive Summary, Larry A. Mayer Jan 2025

Unh/Noaa Joint Hydrographic Center 2025 Performance And Progress Report Executive Summary, Larry A. Mayer

Center for Coastal and Ocean Mapping

Reporting Period: 01/01/2025–12/31/2025


Signal-Based Error Handling: Case Study Using The Bathymetric Attributed Grid Library, Anthony R. Papetti Jan 2025

Signal-Based Error Handling: Case Study Using The Bathymetric Attributed Grid Library, Anthony R. Papetti

Honors Theses and Capstones

No abstract provided.


Evaluating The Causes Of Land Subsidence On The U.S. Mid-Atlantic Coast Measured With Insar, Jordan Leigh Diprima Jan 2025

Evaluating The Causes Of Land Subsidence On The U.S. Mid-Atlantic Coast Measured With Insar, Jordan Leigh Diprima

Honors Theses and Capstones

Land subsidence is a frequently overlooked geologic hazard that is caused by natural processes and anthropogenic stressors. The goal of this study is to quantify vertical land motion (VLM) on Long Island, New York and Virginia’s Eastern Shore and evaluate the potential causes of subsidence. The causes considered in this work are glacial isostatic adjustment, groundwater extraction, infrastructure loading, and land cover. This study utilizes interferometric synthetic aperture radar (InSAR) satellite data from Sentinel-1 to calculate linear VLM trends from 2017 to 2023. Datasets for each hypothesis were qualitatively compared to VLM data. Subsidence rates in both regions were found …


Favorite Foods Participant Packet, Caitlin Wollack Jan 2025

Favorite Foods Participant Packet, Caitlin Wollack

UNH Cooperative Extension

No abstract provided.


Hemp Pests In New Hampshire, Amber Vinchesi-Vahl, William Hastings Jan 2025

Hemp Pests In New Hampshire, Amber Vinchesi-Vahl, William Hastings

UNH Cooperative Extension

No abstract provided.


Website Checklist, Jesse Wright Jan 2025

Website Checklist, Jesse Wright

UNH Cooperative Extension

No abstract provided.


Good Forestry In The Granite State: Forest Products, Cooperative Extension Jan 2025

Good Forestry In The Granite State: Forest Products, Cooperative Extension

UNH Cooperative Extension

No abstract provided.


Smart Cents Playbook, Kristen Lyons Jan 2025

Smart Cents Playbook, Kristen Lyons

UNH Cooperative Extension

No abstract provided.


Nh 4-H Dairy Quiz Bowl Packet, Unh Cooperative Extension Jan 2025

Nh 4-H Dairy Quiz Bowl Packet, Unh Cooperative Extension

UNH Cooperative Extension

No abstract provided.


The Forms Of Representation: How To Be A Kantian Realist, Willem A. Devries Jan 2025

The Forms Of Representation: How To Be A Kantian Realist, Willem A. Devries

Faculty Publications

Sellars argued that Kant did not make certain distinctions concerning space and time, and because of this adopted his transcendental idealism. Once these distinctions are made, the path to realism remains open. Sellars' argument is not entirely clear. This essay attempts to clarify the argument, showing why Sellars believed he could remain a scientific realist while also adopting a Kantian style epistemology.


The Impact Staphylococcus Aureus Has On Conventional And Organic Dairy Herds In New Hampshire And New York, Jacqueline Rose Holmes Jan 2025

The Impact Staphylococcus Aureus Has On Conventional And Organic Dairy Herds In New Hampshire And New York, Jacqueline Rose Holmes

Honors Theses and Capstones

Staphylococcus aureus is a potentially virulent bacterium that causes mastitis in dairy cattle. The toxins produced from S. aureus impact host immunity, damage the mammary gland, and can adapt to cause antimicrobial resistance. It is important to manage both organic and conventional farms correctly by practicing proper hygiene while milking and providing a clean environment. There is a significant increase of S. aureus cases on organic farms compared to conventional, so there may be ways in which organic management and treatment options could be altered to reduce economic loss and animal suffering. The thesis focuses on the involvement S. aureus …


An Investigation Into Artificial Intelligence And Intellectual Property From An Economic Perspective, Jackson Benjamin Bram Girard Lasalle Jan 2025

An Investigation Into Artificial Intelligence And Intellectual Property From An Economic Perspective, Jackson Benjamin Bram Girard Lasalle

Honors Theses and Capstones

This paper investigates the debate around recent developments in Artificial Intelligence and its impact on intellectual property laws from an economic perspective.


Data Literacy Competencies In Context: Employee Perspectives From The Workplace, Patricia Condon, Wendy G. Pothier Jan 2025

Data Literacy Competencies In Context: Employee Perspectives From The Workplace, Patricia Condon, Wendy G. Pothier

Faculty Publications

Data literacy is essential in today’s workplace, and professionals across roles and experience levels recognize its value. This article reports on findings from interviews with 16 supply chain and logistics professionals. The study examines how seven proposed data literacy competencies align with workplace needs, how employees address the data literacy gap, and how librarians can support workforce readiness. Findings highlight opportunities for libraries to bridge the data literacy gap through instruction and resources development that integrate technical and non-technical data skills with information literacy.


Barry Conservation Camp Health Form, Andy Schafermeyer Dec 2024

Barry Conservation Camp Health Form, Andy Schafermeyer

UNH Cooperative Extension

No abstract provided.


Organic Alkalinity Distributions, Characteristics, And Application To Carbonate System Calculations In Estuarine And Coastal Systems, Christopher W. Hunt, Joseph Salisbury, Xuewu Liu, Robert H. Byrne Dec 2024

Organic Alkalinity Distributions, Characteristics, And Application To Carbonate System Calculations In Estuarine And Coastal Systems, Christopher W. Hunt, Joseph Salisbury, Xuewu Liu, Robert H. Byrne

Faculty Publications

The capacity of aquatic systems to buffer acidification depends on the sum contributions of various chemical species to total alkalinity (TA). Major TA contributors are inorganic, with carbonate and bicarbonate considered the most important. However, growing evidence shows that many rivers, estuaries, and coastal waters contain dissolved organic molecules with charge sites that create organic alkalinity (OrgAlk). This study describes the first comparison of (1) OrgAlk distributions and (2) acid–base properties in contrasting estuary-plume systems: the Pleasant (Maine, USA) and the St. John (New Brunswick, CA). The substantial concentrations of OrgAlk in each estuary were sometimes not conservative with salinity …


Denmark’S Depth Model Version 2.0 – Improved Compilation Of Bathymetric Data Within The Danish Waters, Giuseppe Masetti, Philip Sigaard Granding, Kasper Langdahl, Lasse M. Schwenger, Kristian V. Kristmar Dec 2024

Denmark’S Depth Model Version 2.0 – Improved Compilation Of Bathymetric Data Within The Danish Waters, Giuseppe Masetti, Philip Sigaard Granding, Kasper Langdahl, Lasse M. Schwenger, Kristian V. Kristmar

Center for Coastal and Ocean Mapping

Denmark’s Depth Model version 2.0 (DDM v2.0) is the latest iteration of a Digital Bathymetric Model (DBM) for Danish waters, offering a grid resolution of 50 meters. The compilation integrates hundreds of survey datasets, including both modern and historical sources, as well as satellite-derived and crowdsourced bathymetric data. The model is referenced to Mean Sea Level (MSL) datum and – due to the adopted compilation process – is not designed for safety of navigation. DDM v2.0 is accessible through the Danish Geodata Agency's website and constitutes a significant contribution to the European Marine Observation and Data Network (EMODnet) Bathymetry initiative.


Joseph Joachim And Bach's Chaconne, Robert Whitehouse Eshbach Dec 2024

Joseph Joachim And Bach's Chaconne, Robert Whitehouse Eshbach

Faculty Publications

And they will long to have heard Joachim's violin-playing as we long to have heard Bach at his organ: not from curiosity to verify an old record of technical prowess, but from the desire to recover the unrecorded manifestations of a creative mind.


How Should Scientists Act? Assessing Public Perceptions Of Scientists And Scientific Practices And Their Implications For Science Communication, Thomas G. Safford, Emily H. Whitmore Dec 2024

How Should Scientists Act? Assessing Public Perceptions Of Scientists And Scientific Practices And Their Implications For Science Communication, Thomas G. Safford, Emily H. Whitmore

Faculty Publications

Is how science is conducted legitimate? Are scientists trustworthy? Whether the public answers “yes” to these questions is critical for science communicators. We explore how social factors affect public perceptions of the practice of science, and then test how those beliefs relate to views about how scientists engage with the public and policy making. Our results show that political ideology and religiosity affect these views. However, more importantly, respondents’ concerns about the integrity of the scientific process are the strongest predictor of views about scientists’ behavior, providing a focus area for future communication efforts in support of science-based decision making.


Transforming Accounting With Artificial Intelligence, Aidan M. Morneault Dec 2024

Transforming Accounting With Artificial Intelligence, Aidan M. Morneault

Business Analytics Student Projects and Publications

The accounting field is evolving quickly with the integration of Artificial Intelligence (AI), and BNN is taking on this challenge. This report explores how BNN incorporates AI tools like Microsoft’s CoPilot and Caseware into its operations to streamline audits, enhance efficiency, and ensure compliance. This report will also cover how the industry handles this new technology, but still have a focus on BNN. While AI has brought significant benefits such as reducing costs, speeding up data processing, and moving towards real-time audits, it also presents challenges. These challenges include trust in AI outputs, high implementation costs, and workforce training. To …


Carroll County Advisory Council Minutes 2020, Mikayla Cerney Dec 2024

Carroll County Advisory Council Minutes 2020, Mikayla Cerney

UNH Cooperative Extension

No abstract provided.


The Nature Of Students' Justifications In Geometry: The Impact Of Using Dynamic Geometry Software, Anek Janjaroon Dec 2024

The Nature Of Students' Justifications In Geometry: The Impact Of Using Dynamic Geometry Software, Anek Janjaroon

Doctoral Dissertations

Mathematical justification is a process that reflects how students demonstrate and accept the truth of mathematical statements. The purpose of this study was to investigate the nature of students’ justifications when allowed to use dynamic geometry software in the justification process. The justifications of 18 preservice teachers in response to two geometric conjectures were analyzed to identify characteristics of justifications based on Harel and Sowder’s (1998) framework of proof schemes. The results inform us of the impact of the dynamic software in students’ justifications and the overall nature of students’ work when they use the software to learn geometric ideas. …


12-Year Full Solar Cycle Maps Of Interstellar Neutral Atoms By Ibex-Lo And The Observation Of Elastic Scattering Of Primary Helium By Solar Wind Particles, Hafijul Islam Dec 2024

12-Year Full Solar Cycle Maps Of Interstellar Neutral Atoms By Ibex-Lo And The Observation Of Elastic Scattering Of Primary Helium By Solar Wind Particles, Hafijul Islam

Doctoral Dissertations

The Interstellar Boundary Explorer (IBEX) mission is playing a pivotal role in advancing our understanding of the interaction between the very local interstellar medium (VLISM) and the heliosphere. By sampling interstellar neutral (ISN) atoms and energetic neutral atoms (ENA), IBEX has provided over 15 years of continuous data over a range of energy from 15 eV to 6 keV, offering an invaluable opportunity to study these interactions across various phases of solar activity. The IBEX-Lo instrument, which detects lower-energy ISNs, has been particularly useful in exploring the properties of hydrogen and helium in the interstellar medium, as well as their …


The Genomic Basis Of Adaptation In Salt-Marsh-Breeding Sparrows, Jonathan David Clark Dec 2024

The Genomic Basis Of Adaptation In Salt-Marsh-Breeding Sparrows, Jonathan David Clark

Doctoral Dissertations

Salt marshes are an ecotone between terrestrial and marine environments characterized byshort, graminoid vegetation and periodic tidal inundation with saline water. Despite the generally inhospitable conditions salt marshes present for terrestrial vertebrate life—principally, exposure to heat, salinity, and flooding—several terrestrial vertebrate species have adapted to, or are capable of inhabiting salt marshes. Notably, species of passerine birds that have adapted to salt marshes have repeatedly evolved a similar suite of adaptations, which has been named the “saltmarsh syndrome,” including larger bills, darker plumage, and an increased tolerance of salt.

The myriad species of New World sparrows (Passerellidae) that breed in …


A Physics-Based Material Model Incorporating Strain Gradient Plasticity Formulations In A Mean-Field Framework To Predict Spatial Fluctuation Of Material Properties, Zhangxi Feng Dec 2024

A Physics-Based Material Model Incorporating Strain Gradient Plasticity Formulations In A Mean-Field Framework To Predict Spatial Fluctuation Of Material Properties, Zhangxi Feng

Doctoral Dissertations

With the market expansions and increasing number of scientific explorations, the demands for manufacturing metallic parts to satisfy specific requirements continue to increase. A slight improvement in the manufacturing process can result in great cost savings in time and energy. The research and development time to identify these areas of improvements can be greatly reduced using numerical models. One such model is the mean-field elastoplastic self-consistent (EPSC) framework studied extensively and advanced in this dissertation. In the past two decades, many material behavior formulations were implemented in EPSC, and the model has shown versatility and accuracy in predicting a wide …


“Why You Understand The Why”: A Qualitative Characterization Of The Metacognitive Competence Of Introductory Stem Peer Coaches, Jonathan Kustina Dec 2024

“Why You Understand The Why”: A Qualitative Characterization Of The Metacognitive Competence Of Introductory Stem Peer Coaches, Jonathan Kustina

Doctoral Dissertations

The processes of metacognition are vital for students’ development of critical thinking skills and productive learning mindsets, yet many students never receive the direct instruction that would allow them to formally develop their metacognition. As instructors are typically not providing this instruction, there may be an alternate source to facilitate the learning of metacognition to students. This research study will investigate the viability of having peer coaches, undergraduate peer educators who help facilitate learning and problem solving in introductory STEM courses, facilitate metacognition to their students. Specifically, this research study aims to understand and characterize the metacognitive competence of the …