A Comparison Of Perceptions Of Labor Support Before And During The Covid-19 Pandemic, Sarah Grace Krein

Honors Theses and Capstones

Satisfaction with the experience of birth has been shown to be affected by the quality of support received by the birthing individual and how closely the experience aligns with their expectations. This is important because the hospital and societal restrictions put in place during the COVID-19 pandemic may have altered individuals’ experiences of birth during this time. This is further concerning as there is a known correlation between a negative birth experience and the risk for postpartum depression. This study aimed to identify birthing parents’ perceptions of support during birth and how the COVID-19 pandemic impacted support practices. A survey …

Creating An Integration Framework For The European Union? Comparing The Role Of Language In Integration Policy Regarding Education And Labor Participation Rates In Germany And Sweden, Kate Elizabeth Persson

Honors Theses and Capstones

No abstract provided.

Nursing Student Self-Efficacy In Clinical Skills, Levels Of Anxiety, And Utilization Of Alternative Education Experiences During The Covid-19 Pandemic, David Hart

Honors Theses and Capstones

Background: Higher education students, especially those studying nursing, faced many challenges during the COVID-19 pandemic. Many higher education institutions decided to transition their clinical experiences into a virtual, e-learning format (Chandratre, 2020). As an area of study with high levels of stress and anxiety to begin with, these emotions may have been exacerbated during the pandemic for those studying nursing. Sudden changes in clinical format caused increased anxiety levels in senior nursing students (García-Gonzalez et al., 2021). Graduating students are entering a workforce of healthcare workers who have battled the COVID-19 illness and exposed themselves and their families to this …

The Newsworthiness Of Increasingly Expected Murder: Foreign Press Coverage Of The Parkland Shooting, Jasmine Skye Taudvin

Honors Theses and Capstones

No abstract provided.

Location And Calibration Of Lightning Pulses From Lofar Radiation Measurements, Nicholas R. Demers

Honors Theses and Capstones

Lightning has the power to shock and awe as an incredible force of nature, yet so many phenomena surrounding lightning are still not well-understood. In fact, the very physics regarding what actually sparks a lightning strike remain poorly defined. In an effort to understand how lightning initiation is achieved, data collected from the Low Frequency Array in the Netherlands were calibrated and interferometry performed to map the flash in 4D space. The calibration process itself is explored, from choosing lightning sources to calibrate, to the various stages of calibration leading to a fully calibrated flash ready for interferometric analysis. Using …

Substorm Onset Related Ultra Low Frequency Waves, Michelle Salzano

Doctoral Dissertations

Ultra Low Frequency (ULF) waves are geomagnetic perturbations in the mHz to Hz range that contribute both directly and indirectly to particle losses in the radiation belts. Pi1B waves are ULF broadband bursts in the Pi1 range that are well correlated with substorm onset. Intervals of Pulsations of Diminishing Periods (IPDPs) are a sub-type of ULF Electromagnetic Ion Cyclotron (EMIC) waves that are characterized by an increase in frequency over time. IPDPs are thought to be generated by particles injected at substorm onset. One of the main instruments used to identify ULF waves is the searchcoil magnetometer. In this dissertation, …

First-Year Students And Writing Support: Learning From Student Choices, Alicia Clark-Barnes

Doctoral Dissertations

In 2022, COVID-19 has disrupted the academic experience of students, including students access to writing support. The importance of the support universities offer and that students are able to access has greatly increased as offerings and circumstances shift and change. Students seeking support may turn to university-sponsored services but if those do not fit student needs, students may rely on informal supports, including friends and family. While investigating the gaps in university-sponsored writing support first-year students experience, I explore how first-year students understand what writing support is, how available/accessible it is to them, and why students return to a form …

Answering Topical Information Needs Using Neural Entity-Oriented Information Retrieval And Extraction, Shubham Chatterjee

Doctoral Dissertations

In the modern world, search engines are an integral part of human lives. The field of Information Retrieval (IR) is concerned with finding material (usually documents) of an unstructured nature (usually text) that satisfies an information need (query) from within large collections (usually stored on computers). The search engine then displays a ranked list of results relevant to our query. Traditional document retrieval algorithms match a query to a document using the overlap of words in both. However, the last decade has seen the focus shifting to leveraging the rich semantic information available in the form of entities. Entities are …

Narratives Of Becoming: Conceptualization Of Teacher Identity Through The Experiences Of Educators From Racially, Linguistically, And Culturally Minoritized Backgrounds, Sumeyra Gok Gulmezoglu

Doctoral Dissertations

Teacher education programs are predominantly White spaces with their faculty, teacher candidates, curriculum, and practices. In these spaces, the experiences of teacher candidates from minoritized backgrounds can be alienating and their voices can be overlooked or silenced. In three interrelated but distinct studies, this research aims to highlight the experiences and perspectives of educators from minoritized racial, ethnic, and linguistic backgrounds as they are conceptualizing their professional identities as educators. These three studies are narratives of becoming as they explore conceptualization of teacher identity through three different narrative methods namely autoethnography, counterstories, and narrative inquiry. Although each study has its …

Manual Culture, Women’S Medical Practice, And English Health In Spenser, Shakespeare, And Wroth, Melissa L. Kleinschmidt

Doctoral Dissertations

As England’s boundaries became increasingly permeable due to expanding intercultural interactions in the Sixteenth and Seventeenth centuries, defining what it meant to be “English” became increasingly vital. The English housewife was integral to shaping a national English identity. The creation of a distinctly English housewife, I argue, manifested itself most clearly in what I term “manual culture,” a phenomenon in which manuals were imbued with authority to dictate acceptable behaviors, beliefs, and knowledge for women to have and follow. These domestic and conduct manuals provided instruction on not only how to behave, but also how to maintain healthy minds, bodies, …

Workplace Violence Prevention For Nurses And Healthcare Workers In The State Of Maine A Health Policy Initiative, Gretchen Forsley

DNP Scholarly Projects

Abstract

Background: Health care workplace violence is a pervasive and persistent problem, underreported, and when reported it is tolerated, excused, or ignored. Prior to the pandemic, the “normal” demands of a stressful workplace for a resilient nurse might include short staffing, a lack of resources, violence, bullying, and disruptive behaviors from patients or families. Since the pandemic, the rates of increasing healthcare violence can be attributed to several factors such as delays in care and services, reducing admissions and procedures, consistent understaffing, a lack of adequate mental health services, increased violence against women, limited or no visitor policies, low-security coverage, …

Engaging Nurses In Public Policy, Carlene Ferrier

DNP Scholarly Projects

Background: Nurses have been engaged in public policy since the inception of the profession. Academicians and thought leaders recognize the importance of nurses engaging in public policy to improve health and healthcare. Nurses are also the largest healthcare group and the most trusted profession for twenty years, yet they are minimally represented in the state and federal legislature. Nurses possess a skill set that is directly transferable to the policy arena such as listening and communicating effectively, leading by inspiring a shared vision, applying evidence-based research, and collaborating and building relationships to achieve a common goal. Locally, the New Hampshire …

Implementing A Health-Related Quality Of Life Assessment Tool In An Outpatient Hematology/Oncology Clinic: A Pilot Quality Improvement Project, Jennifer Holl

DNP Scholarly Projects

BACKGROUND: Although overall and disease-free survival remain the goals of cancer care, health-related quality of life (HRQOL) during and after treatment is increasingly acknowledged as vital to the patient’s outcomes. The purpose of this project was to identify and implement a valid, reliable HRQOL assessment tool into daily clinical practice in an outpatient hematology/oncology clinic at a 25-bed critical access hospital in rural New Hampshire.

METHODS: This project used a methodological design. Descriptive and inferential statistics, plus qualitative analysis were used to determine results. Three nurses and seven patients participated in this quality improvement project.

INTERVENTIONS: The interventions …

Did The Political Climate Exacerbate The Pandemic In The U.S.?, Brittany T. Morin, Joanna Gyory, Anthony F. Morin

Master's Theses and Capstones

The global pandemic that began in the United States in early 2020 continues to be a topic of controversy. The added aspect of affect polarization in the country’s political realm may have exacerbated the effects of COVID-19. In their published article in Nature Human Behaviour, Gollwitzer et. al. found that it was possible to link voting partisanship, physical distancing, and COVID-19 outcomes showing that a county’s partisanship might be used to predict the degree to which that county would socially distance and then, therefore, the rate of cases and fatalities in that error on a lagged timescale. This researcher attempted …

Using Machine Learning Techniques On Real-World Data To Understand The Characteristics Of The Manchester, Nh Health Care For The Homeless Patient Population For Risk Factor Identification And Intervention Improvement, Kyle Partridge Rasku

Master's Theses and Capstones

This thesis aims to use health care domain knowledge, statistical techniques, and machine learning methods to conduct an exploratory real-world evidence study of the characteristics of the Health Care for the Homeless of Manchester, NH (HCHM) clinics’ patients in collaboration with academic and clinic partners and the public and community health stakeholders supporting their work. By constructing and analyzing a multivariate feature set created from a sample of anonymized patient data from January 1, 2018, through December 31, 2019, I hope to use machine learning methods to accurately represent 2,265 HCHM clinic patients experiencing homelessness or housing insecurity during the …

Addressing Barriers To Colorectal Cancer Screening In A Federally Qualified Health Center: A Quality Improvement Project, Tania Centra

DNP Scholarly Projects

Abstract

Background: Colorectal cancer (CRC) is a leading cause of death from cancer in the United States, despite the availability of several high-quality screening options. Multiple barriers to CRC screening have been identified, including cost (non-insured), younger age, racial or ethnic minority, recent immigration to the U.S. (non-English speaking), fear or distrust of the healthcare system and rural residence. Addressing health equity within underserved populations requires improved access to CRC screenings per evidence-based guidelines.

Local Problem: The mean CRC screening rate for the designated Federally Qualified Health Center (FQHC) was 33.7% for the 5 months preceding this quality improvement (QI) …

Exploring Educators’ Perceptions Of Legislation About Discrimination, Archer Brooke Miller

Honors Theses and Capstones

Across the nation, there have been efforts in “36 states to restrict education on racism, bias, the contributions of specific racial or ethnic groups to U.S. history, or related topics” (Stout). These laws essentially banned the teaching of critical race theory and systemic racism in all public K-12 classrooms. This study is pertinent because teaching about systemic racism is important. It was critical to shed light on this topic and show people why Sections 297 and 298 of House Bill 2 were salient and what impact it was having.

Literary Fiction And Sympathy: How Reading Makes You A Better Person, Emma Rose Wick

Honors Theses and Capstones

I argue in this thesis that literary fiction enhances our ability to sympathize with others as a result of observing—and thereby coming to feel for—the perspectives of the characters by engaging in mental perspective-taking. As a result, we become able to sympathize with an array of individuals whose experiences are unlike our own, and which we may never understand otherwise. I argue that the ability to sympathize with others is valuable for the sake of being a morally good person, and for having an overall good character. This has value in and of itself, particularly from an Aristotelian perspective. I …

Data Visualization Using External Data, Sarah H. Theimer

Faculty Publications

This presentation describes how OpenRefine properties (native language, country of citizenship, sex/gender and religion/worldview can be used to enhance MARC data and provide more information about a library collection. The most authors did match to a Wikidata record. Of the records that matched sex/gender was the most frequently populated property. Using Alma’s Data Visualization feature we linked Wikidata properties with alma information to get a clearer understanding of the authors in the philosophy collection.

A Guide To Trauma Informed Pediatric Primary Care, Felicity Bernard, Corina Chao, Holly Tutko

All Materials

No abstract provided.

Increasing Rn Attendance In Family-Centered Rounds: A Quality Improvement Project, Katherine Power

Master's Theses and Capstones

No abstract provided.

Documenting Body Mass Index And Lifestyle Counseling For Pediatric Patients: A Quality Improvement Project At A Federally Qualified Healthcare Facility, Taylor R. Graziano

Master's Theses and Capstones

Background: Screening and monitoring growth throughout childhood and adolescence, as well as providing the necessary education on positive lifestyle choices is vital in combating the childhood obesity epidemic. Counseling children on the importance of nutrition and physical activity also helps to prevent numerous comorbid conditions associated with obesity. The United States. Preventive Services Task Force recommends that healthcare workers screen for obesity at least annually in all patients 3-17 years of age, as well as offer lifestyle counseling regardless of Body Mass Index ranking.

Aim: The aim of this quality improvement project was to improve the current percentage of pediatric …

Building Awareness Around The New American Community In Concord N.H., Heather Mckinnon

M.S. in Leadership

The purpose of this Capstone is to create an opportunity to explore resettlement. The research seeks to understand the resettlement process in the context of exploring immigration in the United States Research will focus on Concord, N.H. This project was chosen as a result of my experiences working with the New American population as a home visitor and home-based manager for the Early Head Start program in Concord, N.H. Depending on demographic statistics, publications, and case studies, this data is both quantitative and qualitative in nature. The findings indicate that in order to advocate for new American populations, the community …

Timeliness Of Electrocardiograms Within The Emergency Department: A Quality Improvement Project, Spencer Burke

Honors Theses and Capstones

BACKGROUND: Timeliness in obtaining an electrocardiogram (ECG) is imperative for patients presenting to the emergency department (ED) with signs and symptoms of acute coronary syndrome (ACS). The American Heart Association (AHA) and American College of Cardiology (ACC) recommend performing an ECG within 10 minutes of patient arrival. Delays in door-to-electrocardiogram (DTE) times were evident in the walk-in (WI) patient population who presented to the ED waiting room (WR) where this quality improvement (QI) project took place. The aim of this QI project was to reduce the median DTE time to 10 minutes through improving the point of contact process upon …

Supporting The Oral Language Development Of Young Dual Language Learners: Perspectives Of El Teachers In Nh, Maria C. Chouinard

Honors Theses and Capstones

Demographic shifts in the US over the last two decades have increased the diversity gap between teachers and their students. The majority of multilingual children entering US public schools face the challenge of learning academic content in not just one, but two languages. Despite many of the positive effects of being bilingual, Dual Language Learners (DLLs) often face more challenges in education achievement and opportunities than their monolingual English-speaking peers. A key factor of this challenge is the fact that DLLs tend to have monolingual English-speaking peers, and teachers have been shown to play a critical role in student learning. …

Nurses’ Perceptions Of Their Role Utilizing Eat, Sleep, Console, In The Management Of Neonatal Abstinence Syndrome, Cerys Eldred

Honors Theses and Capstones

Background: There is a rising prominence of infants being born and diagnosed with Neonatal Abstinence Syndrome (NAS) in the United States. In recent years, a new non-pharmacological method of managing these infants called Eat, Sleep, Console (ESC) has emerged. While there is mounting evidence demonstrating the positive outcomes for infants treated with this method, there is limited research regarding nurses’ perceptions of this new intervention. This study seeks to understand the nurse’s experience and role during caring for infants with NAS utilizing the ESC method in comparison to the past practices.

Methods: This study used a qualitative descriptive design to …

Improving Colonoscopy Preparation Quality: A Quality Improvement Project, Caroline P. Hernon

Master's Theses and Capstones

Abstract

Background

High-quality bowel preparations are essential for colonoscopies. Helping patients enhance prep quality can help increase the early detection of colorectal cancer, improving patient outcomes. A quality improvement (QI) project was introduced to increase the bowel prep quality at a Veterans Health Administration ambulatory surgery center.

Methods

Bowel prep quality descriptors were collected from a chart audit collected for the year 2021 to establish a baseline. In addition, the patients were queried regarding their perceptions on how easy the instructions were to follow.

Interventions

New prep instructions were created with feedback from the clinic gastroenterology registered nurses. The new …

‘Big’ And ‘Little’ Quo Vadis? In The United States, 1913–1916: Using Gis To Map Rival Modes Of Feature Cinema During The Transitional Era, Jeffrey Klenotic

Faculty Publications

This article emanates from a geospatial database of over 600 premieres of the Cines company’s Quo Vadis? (1913), an eight-reel film distributed by George Kleine, and nearly 250 premieres of the Quo Vadis Film Company’s Quo Vadis? (1913), a three-reel film of ambiguous origins distributed by Paul De Outo. By mapping local premieres of both films across the United States from 1913 through 1916, the data show with spatiotemporal precision the spread of Quo Vadis? as one of cinema’s early blockbuster titles. Yet within this national phenomenon, the two films’ footprints reveal differing cultural geographies served by competing efforts to …

State-Level Policy Environments, Discrimination, And Victimization Among Sexual And Gender Minority People, Kristen D. Clark, Mitchell R. Lunn, Eliot M. Lev, Michael A. Trujillo, Micah E. Lubensky, Matthew R. Capriotti, Thomas J. Hoffmann, Juno Obedin-Maliver, Annesa Flentje

Faculty Publications

Legislation has been passed in some states to reduce discrimination and victimization toward sexual and gender minority people (SGM; people who are not solely heterosexual and/or whose gender identity is not equal to what is socially associated with sex assigned at birth). The purpose of these analyses is to test whether state-level policy environments are associated with past-year discrimination and victimization among SGM people. Cross-sectional data from The Population Research in Identity and Disparities for Equality (PRIDE) Study annual questionnaire (collected 2018–2019), a national study of the health of SGM adults in the USA, were used for these analyses. Measures …

2022 Nh Family Needs Assessment Survey Instrument, Jess Carson, Sarah Boege

Preschool Development Grant

No abstract provided.