Digital Commons Network^™

Re-Educating Proper Blood Culture Collection With Emphasis On Initial Blood Waste To Decrease Contamination Rates: A Quality Improvement Project, Samantha A. Dickinson

Master's Theses and Capstones

Background: A critical access hospital in New England experienced an increase in blood culture contamination rates within the Emergency Department (ED). There was a disconnect between the current standardized collection protocol within the ED and the action of staff collecting which has led to an increase of blood contamination (BCC) rates.

Local Problem: The disconnect between the current collection standard and staff collecting caused the Emergency Department to rise above 3.0% in blood cultures contaminations. This rise in contamination rates contributes to longer patients stays and unnecessary treatments.

Methods: Using the Plan-Do-Study-Act model, an educational flyer was implemented to remind …

Using Education To Improve Glycemic Management Within An Emergency Department, Rebecca Olson

Master's Theses and Capstones

Background: Patients with diabetes mellitus (DM) frequently visit acute care facilities for a variety of reasons. Proper management of this comorbidity increases patient safety, satisfaction, and quality care. Patients with persistent dysglycemic events in acute care facilities have an increased risk of complications and death during their stay. Lack of education can contribute to gaps in proper management within this population and therefore must be improved for better patient outcomes.

Methods: The Plan-Do-Check-Act design from the A3 Problem Solving model was used to guide a quality improvement project which focused on improving staff education and confidence surrounding glycemic management. The …

The Benefits Of Prenatal Education Via Virtual And Mobile Applications Before, During, And After Pregnancy: A Quality Improvement Project, Lindsay Farland

Master's Theses and Capstones

Background: The advancements of technology has led to a substantial increase in the use of pregnancy applications among expecting parents. Studies indicate that a majority of pregnant individuals utilize virtual education platforms for various purposes, including accessing information on nutrition, exercise, baby development, and pregnancy symptoms. Despite the potential benefits, participation in these platforms remains low, emphasizing a need for enhanced resources and engagement strategies. Research shows that engagement with antenatal education through mobile applications can lead to improved maternal and fetal outcomes, such as reduced rates of caesarean births and fewer complications related to hypertension or preeclampsia.

Methods: …

Wellness In Motion: A Quality Improvement Initiative To Support Resident Mobility And Reduce Falls., San N. Pham

Master's Theses and Capstones

Background: Falls are a significant concern in community living centers for older adult veterans. Promoting physical activity and resident engagement is crucial for reducing fall risk among this population.

Local Problem: A specific microsystem within this setting has a fall rate of 3 falls per month. This discrepancy underscores the need for targeted interventions to effectively address this issue.

Methods: This study measured key metrics related to falls and resident engagement in mobility programs both before and after the implementation of an exercise program within the microsystem.

Intervention: The "GIMME 10" exercise program, grounded in evidence-based practices and emphasizing resident-centric …

Incorporating Educational Interventions To Improve Nursing Adoption Of Electronic Medical Record Technology: A Quality Improvement Project, Andrew Oratovsky

Master's Theses and Capstones

Background: Use of Electronic Medical Records (EMRs) has become the standard for medical information management and exchange amongst acute care hospitals in the United States. The Epic® electronic medical record has been identified as a popular EMR software for adoption by many healthcare organizations. Associated with the adoption of this technology is a large investment in training medical professionals on its specific processes.

Local Problem: In the outpatient, primary care setting of a hospital in New England, the adoption of Epic® has come with much fear and resistance regarding the ability of nursing staff to efficiently learn and …

Implementing A Nurse-Driven Protocol To Reduce Routine Gastric Residual Monitoring: A Quality Improvement Project, Alondra N. Abreu Carlo

Master's Theses and Capstones

The American Society for Enteral and Parenteral Nutrition (ASPEN) and the Society for Critical Care Medicine (SCCM) updated the Adult Patient Enteral Nutrition Guidelines in 2016. These updates included discontinuing routine gastric residual monitoring due to its contribution to poor patient outcomes and mentioning the lack of evidence proving its relevance to gastric motility. Per ASPEN and SCCM, best practice suggests monitoring patients for intolerance symptoms and then checking gastric residual volume (GRV) if symptoms are present. If the GRV is greater than 500ml and intolerance symptoms are present, the recommendation is to perform further assessment, potentially leading to stopping …

Adventure’S Role On First-Year Rotc Cadet's Sense Of Belonging And Trust, John Robert Henkelman

Master's Theses and Capstones

In recent years, the United States military has fallen short of recruitment and retention goals. Belonging and trust may be beneficial in developing stronger peer-to-peer bonds in first-year college outdoor orientation programs, but no known study has explored the use of adventure in developing belonging and trust in ROTC orientation programs. Researchers surveyed traditional and adventure-based ROTC orientation programs and compared belonging and trust scores. ROTC programs were then compared to non-military-based outdoor orientation programs from across the United States. Using quantitative analysis, this exploratory study found that both national outdoor orientation programs and adventure-based ROTC orientation programs increase a …

Implementing Of An Informative Poster To Improve Nurse Job Satisfaction In A Medical Surgical Microsystem: A Quality Improvement Project, Stephanie E. Mahoney

Master's Theses and Capstones

Background: Nurse job satisfaction is important since the quality of patient care directly depends on the staff and their willingness to continue working. Traditional approaches used in yearly surveys may cover only some aspects that upset nurses, such as workload and training. This project was designed to overcome these limitations by presenting a more extensive and often-used procedure to assess and solve issues regarding the satisfaction level of registered nurses.

Method: In the quality improvement project, data on job satisfaction using the Acute Care Nurses Job Satisfaction Scale (ACNJSS) was collected on job interest, colleague support, recognition, workload, …

Educational Interventions To Improve Icu Nurses’ Knowledge And Confidence Related To Pressure Injuries: A Quality Improvement Initiative, Benjamin R. Maltais

Master's Theses and Capstones

Background: The prevalence of pressure injuries (PI) in critical care is highest amongst inpatient units, and are associated with significant complications, decreased quality of life, increased cost of hospitalization, and poor patient care (Agency for Healthcare Research and Quality, 2019; Cox et al., 2022; Gorecki et al., 2014; Mervis & Phillips, 2019). Similarly, many PI are considered to be avoidable (Pittman et al., 2019). Despite an increase in focus on PI awareness and prevention, there still remains a challenge for patients in critical care units. In addition, research has indicated that nurses’ lack of basic knowledge of PI (risk assessment, …

Exploring The Associations Between Being Single, Romantic Importance, And Positive Well-Being In Young Adulthood, Nicole K. Watkins, Jonathon J. Beckmeyer, Tyler B. Jamison

Faculty Publications

Objective: The goal was to explore if perceived romantic relationship importance moderated associations between single status and young adults' positive well-being.

Background: Singlehood is often framed within a deficit framework, with the expectation that being single during young adulthood may be costly for well-being. That approach, however, does not account for young adults' romantic goals, which may shape how being single is connected to well-being.

Method: Participants were 909 American young adults, ages 18–35 (M = 26.6, 51% female, 81% heterosexual, 58% White, non-Hispanic), who completed an online survey in December 2019.

Results: Being single, compared to having a romantic …

Barriers To Hiring And Retaining Educators In New Hampshire, Melissa N. Fazlic

M.S. in Leadership

The COVID-19 pandemic brought to light the teacher shortage; however, school districts across the country have faced shortages for many years. While the state of New Hampshire is not alone in the shortage of teachers, New Hampshire faces additional barriers when it comes to recruiting and retaining a diverse group of certified educators. This project explores barriers to hiring educators that include: the demand for teachers, the COVID-19 pandemic, teaching reciprocity challenges, budget constraints and low wages, and local competition. The methodology used includes a combination of research using online tools such as Google Scholar, the UNH virtual library, and …

Unh Involved In National Report Outlining Carbon Dioxide Removal At Gigaton Scale, Robbin Ray

Media Relations

No abstract provided.

Expert Available To Offer Insight On 250th Anniversary Of The Boston Tea Party, Robbin Ray

Media Relations

No abstract provided.

More U.S. Women Of Childbearing Age, But Fewer Have Given Birth, Kenneth M. Johnson

Carsey Publications

In this brief, Senior Demographer Kenneth Johnson reports that, in 2022, there were 21.9 million women aged 20–39 who had not given birth in the United States. This is 4.7 million more childless women of prime child-bearing age than would have been expected given fertility patterns prior to the Great Recession. In 2022, there were 9 percent more women 20 to 39 than in 2006, but the share who had never had a child was up by 37 percent.

The cumulative result of fewer women having children and diminishing fertility levels was 9.6 million fewer U.S. births between 2008 and …

Contextualizing Singlehood Among Young Adults: Exploring The Meanings And Perceived Reasons For Being Single, Jonathon J. Beckmeyer, Tyler B. Jamison

Faculty Publications

Objective: We explored how young adults discussed their experiences with singlehood and their reasons for being single.

Background: Despite singlehood being normative during young adulthood, less research has focused on the diversity of singlehood compared to that of romantic involvement.

Method: In Study 1, 35 young adults participated in in-depth qualitative interviews about their romantic histories. We explored singlehood meanings and reasons in the context of their relationship histories. In Study 2 we used data from 155 single young adults to explore the factor structure, internal reliability, and initial validity of the Reasons for Being Single (RBS) scale, which we …

Three From Unh Honored As Leaders In Business Community, Jeremy Gasowski

UNH Today Archive

No abstract provided.

Youth Identity And Postsecondary Decision Making In A Rural State: Evidence Of A College For All Master Narrative, Jayson Seaman, Cindy L. Hartman, Andrew D. Coppens, Erin H. Sharp, Sarah Jusseaume, Molly Donovan

Faculty Publications

This study examined the normative messages that inform youth postsecondary decision making in a predominantly rural state in the northeastern U.S., focusing on the institutionalization and circulation of identity master narratives. Using a multilevel, ecological approach to sampling, the study interviewed 33 key informants in positions of influence in educational, workforce, and quality of life domains. Narrative analysis yielded evidence of a predominant master narrative – College for All – that participants described as a prescriptive expectation that youth and families orient their postsecondary planning toward four-year, residential baccalaureate degree programs. Both general and domain-specific aspects of this master narrative …

2023 Nh Social Venture Innovation Challenge Judges, Sustainability Institute

Sustainability Institute Blog

No abstract provided.

Advancing Discovery With Two New Mass Spectrometers, Beth Potier

UNH Today Archive

No abstract provided.

How Could Ocean Acidification Impact New England’S Fisheries?, Maeve Gifford

UNH Today Archive

No abstract provided.

Breaking The Sound Barrier: Pioneering Study Reveals Noise Inequity In Redlined Communities, Nicholas Gosling

UNH Today Archive

No abstract provided.

From New Hampshire To Maryland: A Kiwiberry Road Trip, Nicholas Gosling

UNH Today Archive

No abstract provided.

Tales Out Of School: Delineating Student Speech Protections For The Digital Age, Jason Zenor

The University of New Hampshire Law Review

The way students communicate has also changed greatly over the last generation, but in the first two decades of 21st Century, the U.S. Supreme Court had yet to answers questions about the extent of power for school administrators to control off-campus speech on digital technologies. Then in the case of Mahanoy Area School District v. B.L (2021) the U.S. Supreme Court finally answered this question by holding that administrators do have the ability to control off-campus speech. The Court did give some specific scenarios in which administrators had power to regulate off-campus, but it did not give a bright-line rule. …

Birth Right: Does A Lack Of Access To Health Coverage For Fertility Treatment For Single Individuals And Same-Sex Couples Constitute Discrimination?, Quinn Kobrin

The University of New Hampshire Law Review

There are often great costs associated with receiving fertility treatments such as IVF. Those who wish to overcome infertility and conceive may turn to their health insurance providers to find coverage for such treatments. Currently, many health insurance providers’ policies require that those seeking coverage show infertility either by (1) failing to conceive after six to twelve months of unprotected sexual intercourse; or (2) failing to conceive after six to twelve months of receiving fertility treatment. Advocates argue that such policies are discriminatory because classes of people such as same-sex couples and single individuals1 who wish to conceive cannot do …

Exploring The Mechanistic Effects Of Surface Characteristics On Uv254 And Bl405 Disinfection Efficacy, Castine Annastasia Bernardy

Doctoral Dissertations

The COVID-19 pandemic highlighted the need for more robust surface disinfection technologies. Photoinactivation efficacy for microbial pathogens and many surrogates has been well studied for water disinfection. However, there is a limited body of knowledge from research on surface disinfection applications of these technologies. The onset of the global pandemic resulted in a dramatic increase in surface disinfection devices being marketed to consumers, yet regulations for such devices have not been developed. This doctoral research studies the inactivation efficacy of two wavelengths, UV254 and BL405. The objective of this doctoral dissertation was to expand the body of knowledge required to …

Telehealth In The Wake Of Covid-19: The Impact Of Telehealth Expansion On Healthcare Access, Utilization, And Outcomes, Deirdre Ann Colburn

Doctoral Dissertations

The COVID-19 pandemic brought unprecedented change to the healthcare industry, including a large and rapid shift to providing care through telehealth technologies. Though the expansion of telehealth services was successful in continuing to provide patients with care while preventing the spread of disease, it is less clear how patient sociodemographic characteristics influenced telehealth use during this time. Similarly, less is known about how or if state-level parity laws influenced rates of individual-level telehealth utilization. To address these areas of research, this dissertation does three things. First, I conducted a systematic review of the literature on demographic disparities in telehealth access, …

Exploring Protein Function And Stability: Case Studies On Cryoprotection And Thermal Stability Of Antifreeze Proteins, Enzyme Inhibition Of Sars-Cov-2 Main Protease, And B. Subtilis Protein Stability, Katarina Jovic

Doctoral Dissertations

In this work, I have explored basic questions related to protein structure, function, and stability, which are critical for understanding the fundamental mechanisms of biology. The dissertation is divided into four chapters, which are different topics I have worked on. In Chapters 1 and 2, I will discuss my work on two different antifreeze proteins, in Chapter 3 my work on the main protease from SARS-CoV-2 is presented, while Chapter 4 details the characterization of protein stability of four B. subtilis proteins. While the projects are distinct from one another, they all contribute to deciphering the molecular basis of life …

Towards Improved Genomic Surveillance Of Organisms, Joseph L. Sevigny

Doctoral Dissertations

DNA and RNA sequencing is an indispensable tool for the surveillance and monitoring of organisms. Technological advances and research opportunities over the past several years have transformed and driven my research questions; from understanding the impacts of environmental perturbations on complex benthic communities, to tracking and understanding emerging pathogens like SARS-CoV-2. All of them revolve around the use of DNA sequencing to ask fundamental questions about our understanding genomes and their relationship to phenotype and the environment. The advent of sequencing-based characterization has revolutionized our approach to studying organismal communities on a large scale, offering the ability to analyze vast …

Investigating Posttranslational Modifications Of Hsp90 And The Epichaperome In Embryonic Stem Cells, Seth William Mcnutt

Doctoral Dissertations

Heat shock protein 90 (Hsp90) is a highly conserved and essential molecular chaperone in eukaryotes. Through interactions with various co-chaperones, Hsp90 is able to adapt to meet the specific needs of a structurally and functionally diverse, but specific set of clienteles. The diversity of its clients makes it a key regulator of nearly all cellular processes, and it serves as a central hub for many different signaling networks. One of the major functions of the Hsp90 chaperone machinery is in the modulation of protein homeostasis, a protective function often exploited in cancer cells in order to buffer oncogenic mutations and …

A Global Gene Expression Approach To Exploring Rock Colonization By Blastococcus Saxobsidens, Ryan Patrick Wilmot

Doctoral Dissertations

Introduction: Blastococcus saxobsidens is an endolithic bacterium associated with biodegradation of stone monuments across the Mediterranean basin. Recently, strains of the bacterium have been isolated from high altitude deserts in Chile, volcanic glass in Iceland, and from masonry of several cultural heritage sites across Europe and the Americas. Blastococcus saxobsidens global dispersion has been linked to patterns of wind distributed dust particles. The physiology that this bacterium uses to colonize a wide range of rock types in such distinct locations has not been previously explored however. This project has established that B. saxobsidens colonizes and respires a variety of chemically …