Digital Commons Network^™

Great Bay Estuary Submerged Aquatic Vegetation (Sav) Monitoring Program For 2023-2027, Kalle Matso, Raymond Grizzle, Michael Routhier, Trevor Mattera

PREP Reports & Publications

No abstract provided.

Depersonalizing Troubles In Institutional Interaction: Routinizing In Parent-Teacher Conferences, Danielle M. Pillet-Shore

Faculty Publications

This article advances our understanding of institutional interaction by showing when and how it can be advantageous for professionals to treat addressed-recipients as non-unique. Examining how teachers talk about children-as-students during parent-teacher conferences, this investigation illuminates several specific interactional methods that teachers use to depersonalize the focal student’s trouble, delineating as among these the novel practice of “routinizing”—citing firsthand experience with other similar cases. Analysis demonstrates how teachers use routinizing to enact their expertise, both responsively as a vehicle for attenuating and credentialing their advice-giving to parents/caregivers, and proactively to preempt parent/caregiver resistance to their student-assessments/evaluations. This research …

Rebuilding The Structure At A Medium-Sized Research Library: A Case Study, Kimberly Sweetman

Faculty Publications

No abstract provided.

Ihpp 2023 Annual Report, Insituite For Health Policy And Practice

Faculty Publications

No abstract provided.

Mental Health Experiences In 2021 For Adults With Disabilities Who Are Lgbt, Debra Brucker, Chris Surfus, Megan Henly

Faculty Publications

Using data from the U.S. Census Bureau’s weekly Household Pulse Survey conducted during the COVID-19 pandemic (July 21, 2021 – October 11, 2021), this study examines the prevalence of anxiety, worry, loss of interest and depression, receipt of mental health treatment, and self-reported unmet need for mental health treatment among adults with and without disabilities by lesbian, gay, bisexual, or transgender (LGBT) status. Controlling for age, educational attainment, employment, health insurance coverage, and race/ethnicity, adults with disabilities, regardless of LGBT status, had statistically significantly increased odds of anxiety, worry, loss of interest and depression, receipt of mental health treatment, and …

2023 Cheshire County Ac Agendas & Minutes, Diane Dugray

Advisory Council

No abstract provided.

New Hampshire’S Family Centered Early Supports & Services Workforce: Overview, Sarah Boege, Jess Carson, Ellyn Schreiber

Preschool Development Grant

No abstract provided.

The Early Childhood Behavioral & Mental Health Workforce At New Hampshire’S Community Mental Health Centers: An Overview, Sarah Boege, Jess Carson, Ellyn Schreiber

Preschool Development Grant

No abstract provided.

New Hampshire’S Family Centered Early Supports & Services Workforce: Staff Vacancies, Sarah Boege, Jess Carson, Ellyn Schreiber

Preschool Development Grant

No abstract provided.

The Early Childhood Behavioral & Mental Health Workforce At New Hampshire’S Community Mental Health Centers: Staff Vacancies, Jess Carson, Sarah Boege, Ellyn Schreiber

Preschool Development Grant

No abstract provided.

The Early Childhood Behavioral & Mental Health Workforce At New Hampshire’S Community Mental Health Centers: Training Needs, Jess Carson, Sarah Boege, Ellyn Schreiber

Preschool Development Grant

No abstract provided.

Unh Employee Health And Hygiene Training Record (.Pdf), Wendy Johnecheck

UNH Cooperative Extension

No abstract provided.

Unh Extension Insect Id Submission Form, Shyloh Favreau

UNH Cooperative Extension

No abstract provided.

Sullivan County Highlights 2022, Amy Loader

UNH Cooperative Extension

No abstract provided.

Cheshire County Highlights 2022, Amy Loader

UNH Cooperative Extension

No abstract provided.

Utilization Of The Broset Violence Checklist For Early Identification Of Aggressive And Violent Behavior To Improve Unit Safety: A Quality Improvement Initiative, Emily Sharretts

Master's Theses and Capstones

BACKGROUND: There continues to be an increase in workplace violence nationally in the healthcare setting which jeopardizes patient and staff safety. Liu et al. (2019) found about 59% of health care workers experience workplace violence. Kafle et al. (2022) emphasizes the link between workplace violence and increased levels of nurse burnout and therefore decreased job satisfaction.

LOCAL PROBLEM: The microsystem assessment revealed that there was no risk assessment tool to identifying early aggressive or violent patient behavior.

METHODS: The Plan-Do-Study-Act (PDSA) framework was used for this quality improvement project to reduce workplace violence on this unit.

INTERVENTIONS:After completion …

Assessing And Improving Pediatric Nurses' Documentation Of Childhood Immunization Status Using The Electronic Health Record, Katherine Engalichev

Master's Theses and Capstones

BACKGROUND: Adherence to the standardized childhood immunization schedule put forth by the American Academy of Pediatrics is the gold standard for decreasing vaccine-preventable disease morbidity. The first step to improving adherence with the recommended immunization schedule is identifying children who are under-immunized. The inpatient setting offers an opportunity to screen pediatric patients for immunization status. A survey was administered to nurses working on an inpatient pediatric unit to gauge nurse self-report of Cerner™ Electronic Health Record (EHR) use for immunization documentation, their perceptions regarding EHR ease of use for documenting pediatric immunization status, attitudes towards documenting immunization status, and perceived …

Implementing Change: The Use Of Minocycline-Rifampin Impregnated Central Venous Catheters In Central Line Associated Blood Stream Infection Prevention In Critically Ill Patients, Shawn B. Murray

Master's Theses and Capstones

Introduction: At a large academic healthcare facility in the northeast a Gap Analysis was conducted finding quality improvement opportunities for central line associated blood stream (CLABSI) prevention in critically ill patients. Review of literature reveals the use of minocycline-rifampin impregnated (MNRI) central venous catheters (CVCs) as being an effective intervention in CLABSI prevention.

Methods: Several assessments were conducted regarding the implications of updating the facilities practice to reflect this evidence including AHRQ Gap Analysis Tool, a Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis, Stakeholder Feedback, and Resource Allocation.

Results: Facilitators and barriers were identified in implementing this …

Reducing Clabsi Rates Through Education On Maintaining Cvc Dressing Integrity: A Quality Improvement Initiative, Hanna I. Lentine

Master's Theses and Capstones

BACKGROUND: Central line-associated bloodstream infections (CLABSIs) are a type of hospital-acquired infection (HAI). They arise as a complication from patients having a central venous catheter (CVC) placed. CVCs can provide numerous benefits for patients who require long-term venous access or hemodynamic monitoring. Acquiring a CLABSI can place patients at higher risk for complications, increased length of stay, and mortality. Reducing the risk of infection is imperative for all patients, but especially those who are more vulnerable to opportunistic infections, such as those in critical care units.

LOCAL PROBLEM: This quality improvement project took place at a 234-bed, level II trauma …

Implementing Education For Maternity Nurses To Improve Nurses’ Knowledge, Attitudes, And Practices Regarding Postpartum Depression: A Quality Improvement Initiative, Haley Merrill

Master's Theses and Capstones

BACKGROUND: Postpartum depression (PPD) is the most common complication of childbirth, but often goes undiagnosed. Adequate patient education on PPD increases the patient’s knowledge and supports enhanced communication between patients and provider. Maternity nurses have continued interaction with new mothers and are in a vital position to educate patients regarding PPD. However, maternity nurses may lack confidence in delivering the appropriate education and resources for PPD to postpartum women.

LOCAL PROBLEM: Within the given microsystem, there was currently a gap that existed between PPD education for nurses and the delivery of PPD patient education.

METHODS: Utilizing the Plan-Do-Study-Act model, a …

Employing Chronic And Rare Disease Printed Drug Information Related To Health Literacy To Improve Patients Perceived Knowledge In An Outpatient Setting: A Quality Improvement Initiative, Mikaela Dowd

Master's Theses and Capstones

Abstract

Background: An infusion center in a critical access hospital provides education to patients and their families to address health literacy which supports shared decision-making and patient centered care. This education includes medication knowledge to support self-care. The goal of this project was to create printed drug education rack cards (DERC) for patients to review prior to their first treatment to increase their perceived confidence in drug knowledge. There are many different aspects to consider for each drug treatment given within the microsystem including side effects, administration schedules, and lab and diagnostic procedures. Many of these aspects are unknown to …

Improving Patient Safety Associated With Intramuscular Injections By Educating Nurses On Recommended Practice: A Quality Improvement Project, Alex Annutto

Master's Theses and Capstones

Background: Intramuscular (IM) injections are used to deliver medication quickly and efficiently. However, the Centers for Disease Control has changed their guidelines on how to administer medication using the IM injection route. A quality improvement was conducted at Wildcat Hospital that focused on increasing healthcare professionals’ IM injection knowledge.

Methods: A pre-intervention survey was administered to RNs, LPNs, and Paramedics to assess their knowledge and IM injection technique. After the initial survey, an educational PowerPoint was presented to staff and management. This was followed with pamphlets that reviewed the information covered in the presentation. A post-intervention survey was administered to …

Improving Communication Between The Emergency Department And Prehospital Emergency Medical Services Through The Use Of A Secure Messaging Application: A Quality Improvement Project, Jacob G. Petlon

Master's Theses and Capstones

Background: Communication between emergency medical services (EMS) and the emergency department (ED) is a key part of treating patients being transported by ambulance. This communication is moving away from traditional radio and cell phone calls to the use of secure text-based apps. These apps can generate metrics and provide real time location information that is not available using traditional methods. Increased use of these apps can improve communication between EMS and receiving EDs.

Local Problem: Wildcat hospital introduced the EMS communication app Twiage in May of 2023. There is low utilization of the app and some EMS and ED …

Improving Accuracy Of I&O Documentation For Patients On A Medical-Surgical Telemetry Unit, Corinna Moskal

Master's Theses and Capstones

Background

This paper explores suggested ways to increase intake and output (I&O) monitoring accuracy on a medical-surgical telemetry unit. I&O is a crucial marker for many patients to examine their hydration status and intervention efficacy. Various articles were explored to see best practices and varied in setting and outcomes.

Local Problem

A medical-surgical telemetry unit was analyzed and found to have miscommunication in their ability to monitor I&O for patients' ordered fluid restrictions accurately. Patients may be ordered fluid limits for various reasons; however, the most frequent indication on this unit is for heart failure patients.

Methods

A medical-surgical telemetry …

Establishing A Protocol To Address Workplace Violence And Increase The Perceptions Of Safety Among Emergency Department Nurses: A Quality Improvement Initiative, Devan M. Robidoux

Master's Theses and Capstones

Background: Violence against emergency department nurses has become a widespread phenomenon that can greatly impact a nurse's job satisfaction and performance. Research has been scarce in examining the relationship between workplace violence and its underlying consequences. There remains a disconnect between precursors of violence against nurses perpetrated by patients and the cultural expectation that violence is a part of the nurses job and, subsequently, what they signed up for when going into the field. Nurses learn that having a greater understanding of the value in the lived experience of their patients leads to better quality delivery of care. However, culturally …

Reducing Violence In The Workplace: A Quality Improvement Project, Molly Mcqueeney

Master's Theses and Capstones

Abstract

BACKGROUND: Violence in the United States has significant impacts on the healthcare system. On average, there are about 7.8 per 1,000 workers yearly that experience violent injuries (Grossman & Choucair, 2019). In 2016, it was estimated that approximately $429 million was added to treat and prevent injuries to healthcare workers (Grossman & Choucair, 2019). By implementing the Broset Violence Checklist (BVC) as a screening tool for early identification of risk for violence, there is a possibility for a reduction in the number of violent occurrences in the workplace.

LOCAL PROBLEM: Within the given microsystem, there is a lack of …

Support Their Sleep: Enhancing Nurses' Knowledge And Implementation Of Non-Pharmacological Sleep Protocols To Improve Patient Rest, Recovery, And Reduce Cognitive Impairment., David C. Barry

Master's Theses and Capstones

Background: Sleep and rest play an influential role in promoting recovery and healing in humans. Hospitalized patients are at risk for altered sleep from hospitalization, illness, and stimulation from a hospital environment. Non-pharmacologic interventions preformed by nurses can help to improve sleep and sleep environment for patients.

Local problem: There was no protocol or available information regarding patient sleep promotion for nurses to references when caring for patients.

Methods: Nurses in the microsystem (n=8) were administered a pre/post questionnaire containing Likert scales and a short quiz containing knowledge-based questions. Questionnaires were distributed to nurses prior to and after …

Registered Nurse Competencies And The Implementation Of Self-Care Interventions Among Surgical Patients With Type Two Diabetes: A Quality Improvement Project, Elizabeth Fossum

Master's Theses and Capstones

Background: Type 2 Diabetes is a chronic disease that requires a holistic approach, an in-depth understanding of self-care, education comprehension, and an effective relationship between healthcare professionals and the individual patient (Saeed et al., 2018). Due to a variety of factors such as increased nurse-to-patient ratios, inconsistent education methods, and limited confidence levels among registered nurses, important treatment measures and discussion of one’s T2DM diagnoses are often not addressed. Initiatives to improve education methods and nursing confidence levels will create more effective treatment measures and discharge education. Local Problem: Registered nurses spend minimal time educating patients on the severity of …

2023 Advisory Council Meeting Minutes And Agendas - Belknap County, Rachel Carow

UNH Cooperative Extension

No abstract provided.

Coos County Winter Recreation Challenge Logbook, Christine Whiting

UNH Cooperative Extension

No abstract provided.