Improving Feeding Outcomes: Occupation-Based Feeding Interventions From Nicu To Outpatient Pediatrics, Bailey Ciardelli

OTD Capstones

A researcher from an entry-level doctorate program examined gaps in feeding and sensory-based care for premature infants in the Neonatal Intensive Care Unit (NICU) and outpatient pediatric feeding setting. The Improving Feeding Outcomes project aimed to improve feeding readiness, sensory regulation, and caregiver confidence through the development of occupation-based, family-centered interventions. This report evaluates the implementation of evidence-based resources, including caregiver education handouts, a NICU staff training presentation, a caregiver tummy time group, and a standardized infant feeding assessment tool integrated into outpatient pediatric therapy practice. These interventions were designed to address gaps in OT-led infant feeding and sensory care, …

Town Of Merrimack, Nh Annual Report 2025, Merrimack Town Representatives

Merrimack, NH Annual Reports

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

Decreasing Hospital Acquired Pressure Injuries Through A Multi-Intervention Approach: A Quality Improvement Project, Kendra D. Crawford

DNP Scholarly Projects

BACKGROUND: Hospital acquired pressure injuries (HAPIs) continue to plague hospitals across the country. HAPIs are an indication of the quality of care delivered by the hospital’s nursing workforce. These injuries are costly to organizations and can lead to increased length of stay (LOS). The development of a HAPI, depending on severity, is a reportable injury and is classified as patient harm. Patients who suffer from HAPIs can experience significant pain and at times, permanent disfigurement. This project’s focus is a community hospital that has seen a steady increase in HAPIs over the last 2 years. During 2025, 28% of the …

Succession Planning As A Tool For Nursing Recruitment, Retention, And Resilience, Natalie Kennett

DNP Scholarly Projects

Background: Healthcare is facing a significant nursing shortage. This shortage not only impacts bedside nurses but also nurse leaders. Succession planning is a method for recruiting, retaining, and building resilience among nurse leaders.

Purpose: This quality improvement project applied principles of succession planning, including leadership education, training, and assessment of leadership retention and resilience.

Methods: Two interventions were implemented in this quality improvement project. The first was an assessment of a modification in nursing leadership organizational structure that was made in 2024 with the purpose of improving succession planning. This evaluation was completed with the use of …

Enhancing Psychiatric Education And Training For Family Nurse Practitioners In Rural Health Settings, Jared Sanders

DNP Scholarly Projects

Abstract

Title: Enhancing Psychiatric Education and Training for Family Nurse Practitioners in Rural Health Settings

Background: Mental health conditions represent a significant and growing proportion of primary care encounters, particularly in rural and underserved regions where psychiatric specialist access remains critically limited. In these settings, Family Nurse Practitioners (FNPs) frequently serve as the sole point of contact for patients presenting with mental health concerns, often without the benefit of embedded behavioral health support or readily available consultation. Despite carrying this clinical responsibility, many FNPs report gaps in formal psychiatric training, particularly in psychopharmacology and diagnostic differentiation, that contribute to variability …

Reducing School Absenteeism In Children With Avoidance Behaviors, Kimberly Carey

DNP Scholarly Projects

Background: Chronic absenteeism and school avoidance are a problem facing schools across the nation following the COVID-19 pandemic. Chronic absenteeism is financially, emotionally, and academically expensive for society. Purpose: This quality improvement project aimed to decrease absences by 50% over a 6-week timeframe when compared to the same timeframe from the previous year. Methods: Utilizing a Plan-Do-Study-Act framework, an intervention based on tracking multi-day consecutive absences and reaching out to families to provide education and support was implemented. At three days of absence, the school nurse would either call the family for absence with unknown etiology or email with an …

Improving Confidence In Certified Registered Nurse Anesthetists In Providing Care For Patients Undergoing Transcatheter Aortic Valve Replacements, Justin Alley

DNP Scholarly Projects

Abstract

Title: Improving Confidence in Certified Registered Nurse Anesthetists in Providing Care for Patients Undergoing Transcatheter Aortic Valve Replacements (TAVR)

Background: Anesthesia staffing for complex, high-risk procedures like Transcatheter Aortic Valve Replacements (TAVR) is challenging due to a national shortage of anesthesia providers and the company's heavy reliance on non-permanent (locum tenens and 1099) Certified Registered Nurse Anesthetists (CRNAs). At this TAVR procedure location, 70% of the team is comprised of non-permanent staff. A lack of specialized training and experience in TAVR procedures led to a decrease in provider confidence and staffing shortages for these critical cases.

Purpose: The primary …

Nurse Leader Burnout: Exploring Ways To Improve Wellness And Resilience, Kimberly Leger Kenney

DNP Scholarly Projects

BACKGROUND: Burnout among nurse leaders is a growing concern, driven by increasing workload, operational demands, and challenges with work-life balance. Addressing burnout is critical to maintaining stability within the leadership team and to delivering high-quality patient care.

LOCAL PROBLEM: Prior to the development of the QI proposal, engagement survey results showed scores 0.11 points below the benchmark in leadership responsiveness, and more than 50 nurse leader positions have turned over in the past 5 years. The specific aims of this project include: 1. 75% of nurse leaders report that they would implement an activity from the toolkit. 2. Fewer than …

Retention Time Of Microplastics In The Purple Sea Urchin (Arbacia Punctulata), Alexandra Shore

Honors Theses and Capstones

Marine ecosystems around the world are facing the problem of plastic pollution. Large pieces of plastic eventually degrade into smaller microplastics that are suspended in the water column and sink to the seabed. Sea urchins are exposed to microplastics as they graze on the sea floor and can accidentally consume these pollutants. Sea urchins are ecologically important animals because they physically alter their ecosystem via grazing and are integral part of marine food webs. To better understand how sea urchins interact with microplastics, purple sea urchins were exposed to microfibers and microspheres in a laboratory setting, and the retention time …

2025 U.S. Globe Partner Yearbook, Globe U.S. Coordination Office

Partner Yearbooks

No abstract provided.

Improving Staff Perceptions Of Effective Communication Through Frequent Micro-Team Huddles: A Quality Improvement Initiative, Sara Krslovic

Master's Theses and Capstones

Abstract 

Background: Effective communication among interdisciplinary team members is essential for safe, coordinated patient care. An outpatient primary care clinic identified inconsistent and non-inclusive communication within assigned micro-teams, particularly between nurses and providers, creating an opportunity to implement a structured communication strategy.

Local Problem: Communication within micro-teams lacked a standardized process, and nurses were often excluded from routine communication with providers. Prior to implementation, no formal micro-team huddles had occurred within the previous six months.

Methods: A four-week quality improvement initiative was conducted using the Plan-Do-Study-Act (PDSA) framework. Weekly, micro-team huddles were implemented between nurses, providers, and the medical assistant …

Improving Early Ambulation After Cardiac Surgery Using Nurse Education And Workflow Cues: A Quality Improvement Project, Nathan Seeley

Master's Theses and Capstones

Background: Early ambulation following cardiac surgery is an evidence-based practice that promotes postoperative recovery, reduces complications, and supports earlier discharge (Cook et al., 2024; Engelman et al., 2019; Kanejima et al., 2020). Despite its recognized benefits, consistent implementation remains challenging in busy inpatient settings due to workflow demands, competing priorities, and patient-related barriers.

Local Problem: Inconsistent early ambulation practices were identified on the Cardiac Surgical Step-Down Unit, creating an opportunity to improve adherence to evidence-based postoperative mobility practices.

Methods: This quality improvement project used the Plan-Do-Study-Act (PDSA) model to evaluate the impact of a brief nurse-focused educational intervention on early …

Improving Operating Room First-Case On-Time Starts And Reducing Turnover Times: A Quality Improvement Project, Ashley Cote

Master's Theses and Capstones

Abstract

Background: Delays in first case on-time starts (FCOTS) contribute to decreased operating room (OR) efficiency, increased healthcare costs, workflow disruptions, and reduced staff and patient satisfaction. Evidence suggests that standardized workflows, improved communication, and Lean Six Sigma methodologies can improve perioperative efficiency and reduce delays.

Local Problem: Baseline data from a local OR microsystem demonstrated an FCOTS rate of 77%, below the organizational benchmark of 80%. Root cause analysis identified inconsistent preoperative workflows, communication gaps, and variable staff adherence to standardized processes as primary contributors to delayed first-case starts.

Methods: A quality improvement project utilizing the Define, Measure, Analyze, …

A Quality Improvement Initiative: Implementing An Effective Massive Transfusion Protocol Cognitive Aid Tool Within An Operating Room & Post-Anesthesia Care Unit Setting, Jenna L. Farrell

Master's Theses and Capstones

Abstract

Background: Massive Transfusion Protocol (MTP) activations are low-frequency, high-acuity events in the post-anesthesia care unit (PACU) setting.  These events necessitate the rapid formation of codes teams, interdisciplinary communication amongst unfamiliar providers, critical decision-making, high-volume rapid blood transfusions, and critical laboratory marker monitoring.

Local Problem: Due to the infrequent nature of hemorrhagic events in the PACU, nurses may have limited experience participating in these protocols at their institutions, resulting in potential for documentation errors from retrospective back charting, decreased confidence regarding blood product sequencing and laboratory draw timing, and increased cognitive workload overall.  This quality improvement (QI) project implemented …

Amalie Joachim: Reminiscences Of Childhood, Robert W. Eshbach

Faculty Publications

This bilingual edition presents Reminiscences of Childhood, the autobiographical narrative of the Austrian operatic singer Amalie Joachim (née Schneeweiss), in Nina Joachim’s English translation together with the original German text. Written for her daughters, the memoir recounts Joachim’s family background in Carinthia and Styria; her early musical training and exposure to domestic chamber music; the political and personal upheavals of the revolutions of 1848; the death of her father and the family’s subsequent poverty; and her first theatrical engagements in Troppau and Hermannstadt. The narrative offers a vivid first-person account of musical life, female artistic formation, family survival, provincial theatre, …

Bridging Clinic To Home: The Development Of A Caregiver Education Program To Support Home Carryover Of Feeding Interventions, Rachel Adams

OTD Capstones

Abstract

Objective Caregivers of children with pediatric feeding disorders or difficulties face stressful emotions within the context of feeding. There is an identified gap in pediatric outpatient occupational therapy and the educational resources they provide to caregivers related to feeding. To address this, the capstone project aimed to develop and integrate an evidence-based caregiver education program into the capstone site’s feeding therapy model to make a more well-rounded and all-inclusive feeding therapy program. Methods Two caregiver surveys were sent out along with a staff survey to identify the needs of the site and the caregivers of the clients and to …

Town Of Lempster, New Hampshire, Incorporated 1767, Annual Reports For The Year Ending December 31, 2025, 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 2025, 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.

Improving Psychiatric Paraprofessional Preparedness Through Mental Health First Aid Training In An Outpatient Mental Health Clinic, Anisha Hampton

DNP Scholarly Projects

BACKGROUND: Paraprofessional staff in outpatient mental health clinics play a critical role in monitoring clients with serious mental illness (SMI) and supporting continuity of care in community-based settings. However, the absence of standardized training contributes to variability in staff knowledge, confidence, and ability to recognize early signs of mental health deterioration. Mental Health First Aid (MHFA) is an evidence-based training designed to improve mental health literacy and crisis response skills among frontline workers.

METHODS: This quality improvement project utilized a pre-post design within a Plan-DoStudy-Act (PDSA) framework at an outpatient mental health clinic. Paraprofessional staff completed the Mental Health Literacy …

Integrating Brief Cognitive Behavioral Therapy Into Telepsychiatry: A Professional Development Model For Pmhnps, Catherine A. Roberts

DNP Scholarly Projects

Background: Mental illnesses remain among the most prevalent health conditions in the United States, affecting approximately 23% or nearly one in five adults in 2025 (Centers for Disease Control and Prevention [CDC], 2025); National Institute of Mental Health [NIMH], 2024a). Despite this high prevalence, only 50.6% of adults living with mental health disorders receive treatment (NIMH, 2024a); although the expansion of telepsychiatry has improved access to mental healthcare, medication-management visits are frequently brief and primarily focused on pharmacotherapy thereby limiting opportunities for delivery of psychotherapeutic interventions. This limitation highlights the need for structured, evidence-based psychotherapeutic approaches that can be …

Reframing Coral Reef Monitoring With Machine Learning And Remote Sensing: Detection, Classification, And Change, Gabrielle Ann Trudeau

Doctoral Dissertations

Coral reefs are vital ecosystems facing rapid decline from climate-driven stressors, yet existing monitoring approaches lack the spatial coverage and temporal resolution needed to capture ecosystem dynamics at meaningful scales. This thesis develops a scalable, integrated remote sensing framework by combining ICESat-2 LiDAR, multispectral imagery, and machine learning to move beyond static habitat maps toward quantitative, multi-factor characterization of reef structure and change. First, machine learning models were applied to ICESat-2-derived rugosity, slope, and bathymetric metrics to detect and delineate coral reef habitats at large scales. Next, a novel nonlinear spectral unmixing approach integrating Planet imagery and ICESat-2 terrain metrics …

Ai-Enabled Urban Decision-Making: From Infrastructure To Policy Implementation, Amir Hosein Taherkhani

Doctoral Dissertations

Urban infrastructure systems face unprecedented compound threats from aging physical stock, climate-driven hazard escalation, and large-scale systemic shocks, yet the analytical tools available to decision-makers remain inadequate in both empirical scope and equity orientation. This dissertation advances urban resilience science along two complementary empirical frontiers.The first investigation develops a deep reinforcement learning framework for socially equitable, flood-aware bridge portfolio maintenance optimization. Using Proximal Policy Optimization, a portfolio of 19 flood-vulnerable bridges in Suffolk County, Massachusetts is optimized over a multi-year planning horizon integrating HAZUS-based flood hazard simulation across four return-period scenarios (10, 50, 100, and 500 years), HEC-18 hydraulic scour …

From Surfaces To Scaffolds: Tuning Hydrogel Microenvironments To Control Cell-Material Interaction, Tran Truong

Doctoral Dissertations

The last 40 years of in vitro cell and tissue biology have relied heavily on tissue culture plastic (TCPS), which offers high transparency and a simple, user-friendly method for growing adherent cells. Unfortunately, TCPS has limitations, such as its rigidity, which may alter cell shape, disrupt cell signaling, and ultimately affect cell fate. The poor control over the adsorption of proteins to TCPS and the fact that surface chemistry is fixed on this material are only two examples of the limitations that motivate the development of hydrogel-based culturing platforms, during which the mechanical properties, charge, hydrophobicity, and ligand presentation can …

Entrainment And Surfacing Dynamics Of Submerged, Buoyant Turbulent Jets, Zeeshan Saeed

Doctoral Dissertations

Turbulent entrainment (TE) in buoyant jets plays a key role in dispersing environmental contaminants, carrying significant socio-economic implications. For example, the transport of heat and solutes through submarine volcanoes and the discharge of subglacial meltwater crucially affect the marine ecosphere. This, in turn, impacts coastal communities, the supply chains they support, and the broader socio-economic landscape. Therefore, advancing our understanding of how submerged buoyant jets mix and developing remote sensing tools to help monitor their changing status is crucial for devising strategies to mitigate marine-related challenges quickly, economically, and effectively. Therefore, this dissertation has three primary objectives: (I) examine the …

Emotional Complexity In Context: Within-Person Variability In Emotional Granularity, Emotion Covariation, And Emodiversity, Kristen Diann Petagna

Doctoral Dissertations

Key features of emotional complexity include emotional granularity, the ability to identify feelings with precision; emodiversity, the number and evenness of different emotions experienced; and emotion covariation, the tendency to experience positive and negative emotions independently. Prior work has largely treated these features as trait-like. This dissertation examines whether these features are dynamic by investigating how they vary within individuals over time and across contexts. In Chapter 2, participants (N =123) reported their emotions multiple times a day for 6 weeks and completed biweekly assessments of mental health symptoms. Emotional granularity and covariation increased over time, whereas emodiversity decreased, and …

Detection And Management Of Attacks On Synchronized Networks, Michael T. Spearman

Honors Theses and Capstones

The Precision Time Protocol (IEEE 1588) provides sub-microsecond clock synchronization across packet-switched networks and has become foundational infrastructure in 5G fronthaul, industrial control systems, and financial exchanges. Despite its criticality, most deployed PTP networks operate without active security monitoring, and no standardized detection mechanism exists for the class of attacks that deliberately stay below conventional jitter thresholds. This thesis investigates whether hardware-level ptp4l offset logs alone are sufficient to reliably detect two such attacks, slowly wandering packet delay injection and rogue master spoofing, and whether detection can occur before severe synchronization failure.

A hardware-in-the-loop testbed was constructed using two hosts …

Evaluating The Use Of Precision Technology To Understand Differences Between Ketotic And Non-Ketotic Jersey Cows, Emily Kathryn Palermo

Honors Theses and Capstones

No abstract provided.

How Does Media Exposure Promote Nature Deprivation, Impacting Next Generational Social Interaction? Screen Time Vs. Green Time: A Cross-Sectional Survey Study, Mia N. Ryder

Honors Theses and Capstones

This study explores the impact social media can have on individuals' other qualities of life. This study particularly highlights its impact on in-person social engagement along with nature utilization and enjoyment, keeping in mind the corresponding benefits associated with those two variables. UNH undergraduate students were selected as participants. Participants completed surveys assessing their sense of regulation with social media consumption and reliance, their tendency to use and enjoy accessible natural resources, and their overall capacity to experience social comfort. Our survey was designed using 3 separate scales: A Green Space Enjoyment Scale, Social Comfortability Scale, and the third being …

Forage Legume Community Dynamics In Response To Stand Management, Nicholas Warren

Doctoral Dissertations

A primary challenge for perennial forage production systems is maintaining crop productivity and forage quality over time. Including legume species in these systems is an opportunity to reduce external inputs, to extend the seasonal productivity of a pasture, and to balance the nutritional characteristics of grass species. However, legume persistence in mixed stands is frequently poor. Identifying harvest practices, legume species, or species mixtures that improve legume persistence would help to maximize the ecosystem services of forages. I conducted a four-year field experiment (2019 to 2022) in southeastern New Hampshire to evaluate the productivity and persistence of four perennial legumes …

A Period And Cohort Analysis Of Sustained Fertility Decline In The United States, Tyrus Parker

Doctoral Dissertations

Fertility rates in the United States have declined by 21 percent since the most recent peak in 2007. Despite more childbearing-aged women in the United States, this fertility rate decline has resulted in fewer births. Tracking these shifts is not a purely demographic exercise. Rather, a declining number of births has wide-ranging effects on society, including school closures, loss of labor and delivery centers, and eventually labor force implications as the number of workers shrinks. To examine the causes of modern fertility decline, this dissertation contains three interrelated analyses. I first examine population-wide fertility trends using data from the Center …