Increasing Patient Feedback Survey Completions Through Patient-Centered Nursing Communication: A Quality Improvement Project, Lindsey E. Pawlowski

Master's Theses and Capstones

Background: Patient feedback is essential to providing the best possible nursing care. Positive patient experiences can impact overall patient satisfaction, loyalty, and trust.

Local Problem: On a pediatric unit at a New England hospital, an assessment of the microsystem revealed that there was a low number of monthly patient feedback survey completions, which limited insight into patient experiences.

Aim Statement: The primary aim of this project was to increase the number of monthly National Research Corporation (NRC) surveys to ten by June 30, 2026.

Methods: This quality improvement project was guided by the Plan-Do-Study-Act (PDSA) model. The first stage of …

Improving Telemetry Alarm Fatigue By Reducing Perception Of Noise Through Education: A Quality Improvement Project, Emma Bergeron

Master's Theses and Capstones

Background: The perception of excess telemetry noise has a negative impact on nursing staff workflow, emotional stress, physical stress, and alarm fatigue. This can create a distressing workplace, interrupt the ability to answer telemetry alarms in an appropriate amount of time, and further worsen alarm fatigue in nursing staff.

Local Problem: The local problem identified was the perception of telemetry noise and alarm fatigue. The purpose of this study was to assess the extent of alarm fatigue and perception of telemetry noise on the unit.

Methods: The study consisted of an assessment of the microsystem itself and the observed impact …

Promoting Safe And Effective Ciwa-Ar Protocol Adherence On An Inpatient Psychiatric Unit Through An Educational Reference Poster: A Quality Improvement Project, Kenan J. Gray

Master's Theses and Capstones

Abstract

Background: Alcohol withdrawal syndrome (AWS) can progress to seizures, delirium tremens, and autonomic instability. The Clinical Institute Withdrawal Assessment for Alcohol–Revised (CIWA-Ar) supports symptom-triggered AWS management, but safe use depends on timely nursing assessment, reassessment, and documentation.

Local Problem: On an adult inpatient psychiatric unit, chart audits identified CIWA-Ar protocol adherence gaps, including missed four-hour assessments and one-hour reassessments after lorazepam.

Methods: This quality improvement project used the Plan-Do-Study-Act model. Three educational reference posters were placed in high-visibility staff areas with QR-linked access to the facility’s AWS protocol and CIWA-Ar scoring guidelines. Outcomes were evaluated using pre- and post-intervention …

Improving Nurse Well-Being And Patient Safety Through A Structured Break Buddy System: A Quality Improvement Project, Elizabeth Harrington

Master's Theses and Capstones

Abstract

Background: Nursing burnout has become an increasing concern due to heavy workloads, staffing shortages, and the inability of nurses to consistently take uninterrupted rest breaks during their shifts. Missed breaks contribute to fatigue, emotional exhaustion, decreased job satisfaction, and an increased risk of patient safety events. Evidence suggests that structured break interventions may improve opportunities for recovery during the workday.

Methods: A quality improvement (QI) project was conducted on a respiratory care unit at a midsized hospital in central New Hampshire using the Plan-Do-Study-Act (PDSA) framework. A microsystem assessment identified inconsistent break-taking as a significant gap. A five-question anonymous …

Implementing A Standardized Patient Report Sheet To Improve Timeliness And Efficiency Of Patient Handoff Reports: A Quality Improvement Project, Brian F. Mclaughlin

Master's Theses and Capstones

Abstract

Background: A successful patient handoff report is a foundational element of nursing care, it encompasses the patient's medical history, current treatment plan, patient-centered goals, and notes of consideration. Blazin et. al. (2020) identified unsuccessful patient handoff reports as the root cause of many medical errors. Improving the patient handoff report process provides opportunities for increased registered nurse job satisfaction, reduced medical errors, and increased time efficiency.

Local Problem: Anecdotal discussions with nursing staff on an adult medical-surgical unit  revealed frustration with the patient handoff reporting process. Nursing staff cited interruptions, lengthy patient handoff report times, and the need to …

Eelgrass Distribution In The Great Bay Estuary And Piscataqua River For 2025: Final Project Report Submitted To The Piscataqua Region Estuaries Partnership, Michael Routhier, Raymond Grizzle, Taylor Goddard, Krystin Ward

PREP Reports & Publications

No abstract provided.

A Simple Guide For Researchers And Institutional Review Boards (Irbs) To Protect Data Integrity In Online Human Subjects Survey Research, Julie Simpson

Integrity in Research and Scholarship

Researchers have used the internet to collect data for over two decades. More recently, however, online research has become a target for fraudulent respondents, particularly when researchers offer monetary incentives for participation in a study. This guide will briefly outline the evolution of internet-based human subjects research, explore the current environment for online data collection from human participants, outline strategies for researchers and Institutional Review Boards (IRBs) to help minimize and identify fraudulent responses and protect data integrity in online surveys, and discuss the challenges of balancing data integrity with research participant welfare.

A Simple Guide To Responsible Authorship And Publication, Julie Simpson, Patricia B. Condon, Bonnie Brown, William C. Clyde, James J. Connell, Ramonda Kindle, Nathan A. Schwadron, John E. Sparrow, Xueting Sun, Engin Taze, May-Win Thein, Anita R. Tucker, Karen T. Van Gundy, James Wible

Integrity in Research and Scholarship

This guide examines the following aspects of responsible authorship and publication practices:

1. The significance and goals of publication
2. Publication mechanisms and responsible practices
3. The importance and guiding principles of authorship
4. The definition and responsibilities of an author
5. Responsible writing practices

Please note that throughout this document there are links to examples of concepts/issues within certain disciplines for illustrative purposes. The examples may not be relevant to all disciplines so check guidance specific to the applicable discipline before proceeding. This guide was adapted from an online training module that was part of the University of New …

Improving Continuity Of Care In A Psychiatric Outpatient Clinic: A Quality Improvement Initiative., Irene Maranga

DNP Scholarly Projects

Abstract

Missed appointments, also known as ‘no-shows,’ disrupt continuity of care in psychiatric outpatient settings, leading to treatment delays, symptom exacerbation, and increased risk of hospitalization. This project was implemented at an outpatient psychiatric clinic where approximately 4 of 14 patients missed scheduled appointments daily, with no systematic follow-up protocol. A quality improvement initiative designed to re-engage patients after missed appointments through follow-up phone calls was implemented using the Plan-Do-Study-Act (PDSA) framework over two cycles from August through September 2026. Patients who missed appointments received a follow-up phone call within 24 hours. Cycle 1 included one call attempt per …

The Cost Of Defense: Labor And Construction Of 10th Century Danish Fortifications, Noah James Eckert

Honors Theses and Capstones

No abstract provided.

The Influence Of Ai Tool Dependence On Students’ Perceived Preparedness And Confidence In Higher Education, Julia Fichera

Honors Theses and Capstones

As AI tools are becoming more integrated in higher education, how these tools may impact students’ perceptions of their own independent writing and communication skills has been questioned. This study seeks to understand how reliance on AI writing tools in higher education influences students’ perceived preparedness and confidence in their independent writing and communication skills. Survey data was collected from 102 university students; after removing incomplete entries, 99 responses were included in the final analysis. The data was analyzed using descriptive statistics, Spearman correlations, and Mann-Whitney U tests.

The tests reveal that greater AI reliance is associated with lower self-perception …

Exploring The Effects Of Voluntary Wheel Running On Inhibitory Control, Ava Prieto

Honors Theses and Capstones

Inhibitory control, a central component of executive function, is the ability to suppress unwanted actions in response to a stimulus (Verbruggen et al., 2014; Verbruggen et al., 2019) and is one of the best indicators of executive task management as well as the ability to prevent unwanted prepotent responses. This capacity is essential for goal specific behavior and for responding flexibly to challenges. The present study examined the effects of voluntary wheel running on inhibitory control in two cohorts of Long-Evans rats using a rodent variant of the canonical stop-signal task. We found that rats with access to an active …

A Wound Upon The Union: John Quincy Adams And The Treaty Of Indian Springs, Spencer Peacock

Honors Theses and Capstones

This thesis examines the crisis that developed after US president John Quincy Adams signed, then disavowed (allegedly over moral concerns), the fraudulent 1825 Treaty of Indian Springs with the Creek Indian Nation. The thesis probes Adams' motives during the Treaty of Indian Springs crisis, and seeks to connect the crisis to the evolution of US federal Indian policy in the 1820s, prior to the mass Indian removal of the 1830s.

A Frog, A Toad, And A Salamander Walk Into A Forest: How Timber Harvest And Environmental Conditions Impact Amphibian Species Abundance In The White Mountain National Forest, William T. Brandenburg

Honors Theses and Capstones

Balancing the needs of humans and wildlife is one of the primary goals of conservation. Understanding how species respond to resource extraction is essential to achieve long-term population stability. This is especially relevant for amphibians, which are particularly sensitive to environmental disturbances due to habitat loss and degradation. As such they are often used as indicator species. This study leverages 20-years of amphibian abundance data from surveys in different silvicultural treatments to understand how American toads (Anaxyrus americanus), wood frogs (Lithobates sylvaticus), and red-backed salamanders (Plethodon cinereus) respond to changes in forest structure, weather, …

When Does Sexual Image Exposure Constitute Child Sexual Abuse?: Definitional Inconsistencies, Paige B. Kenny

Honors Theses and Capstones

The following review examines how youth exposure to sexual images online is conceptualized and measured as abusive within epidemiological research on online child sexual abuse (OCSA). As digital environments reshape sexual socialization, scholars debate whether and when exposure to sexual content constitutes abuse. To address this issue, this study conducts a qualitative content analysis of 27 survey items drawn from 20 empirical studies of youth online experiences. Survey questions about sexual image exposure were coded across four dimensions: volition, personalization, image or text, and explicitness. Findings reveal significant definitional inconsistency. Many studies rely on ambiguous terms such as “sexual” or …

An Examination Of Firm-Level Differences In Form Ap Amendment Filings Across Big Four Audit Firms, Benjamin Black

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 …

Bias In Nursing Students: How Student Exposure Impacts Patient Interactions, Claire Roy

Honors Theses and Capstones

Bias is a pervasive issue in healthcare. It affects all aspects of the healthcare system and affects patients primarily through their interactions with healthcare providers. This study aimed to identify if exposure to various patient populations reduced bias among participants and increased their understanding of the way bias impacts patients. Two participants were recruited from a baccalaureate nursing program course titled “Living with Mental Illness” to participate in a series of two-semi structured interviews to identify bias, perceptions of community-based care, and the growth from the beginning to the end of their clinical experiences. Results showed skill development, increased understanding …

Mindfulness Matters: Reducing Anxiety In Prelicensure Undergraduate Nursing Students Using Virtual Reality Meditation Prior To High Fidelity Simulation., Lindsey K. Hildreth

Honors Theses and Capstones

Abstract:

The aim of this study was to evaluate the effectiveness of a 5-minute virtual reality (VR) meditation intervention in reducing self-reported anxiety among prelicensure nursing students immediately prior to their participation in a high-fidelity clinical simulation. Anxiety levels were measured using a Visual Analog Scale (VAS) and compared between students who participated in the VR meditation intervention and those in a control group receiving standard prebrief, and no VR meditation. It was hypothesized that students who engage in VR meditation would demonstrate a reduction in anxiety compared to students in the control group.

Effects Of Perching Behavior In Broilers On Welfare And Production Benefits, Natalie G. Bunn

Honors Theses and Capstones

Broiler chickens are bred for feed efficiency, rapid growth rate, and muscle development. Conventional broiler farms utilize fast-growing breeds that reach market weight rapidly and present welfare concerns. Primarily raised indoors with little enrichment, the genetics and husbandry practices of broilers encourage inactivity and perpetuate health problems such as skeletal deformities, lameness, and pododermatitis. Despite the commonness of these issues, there is little research on the reduction of such health complications through production management. This study investigated methods to promote perching behavior and the effects of riser perch and platform perch utilization in broilers. A mixed flock of slow-growing Gray …

Political Media Hesitancy And Avoidance In College Students, Taylor Mandile

Honors Theses and Capstones

No abstract provided.

Hey, Siri: How Companionate Ai Usage Affects Social Satisfaction And Personal Intelligence, Ryan E. Moran, Marley Ireland

Honors Theses and Capstones

Artificial intelligence is a field that is growing and changing faster than humanity can keep up. While part of the population is benefiting from its unmatched diagnostic power, increased productivity in school and in work, and even its surgical and therapeutic contributions, others are filing lawsuits based on claims that an AI chatbot was a key factor in the mental health crisis of someone they loved. Research has found that reliance on these AI-generated conversational agents can lead to social withdrawal, unrealistic relationship expectations, addictive tendencies, and, in the worst cases, increased or encouraged suicidal ideations, especially in vulnerable populations. …

Improving Low Fresh Gas Flow Adherence To Lower Co2e Emissions, Luke Charles Ricci

Honors Theses and Capstones

Volatile anesthetic gases contribute significantly to healthcare-related greenhouse gas emissions. These greenhouse gas emissions can be increased due to higher fresh gas flows. At Dartmouth-Hitchcock Medical Center (DHMC), open and semi-open systems with fresh gas flow (FGF) rates above two liters per minute result in anesthetic gas waste. Literature suggests multifaceted quality improvement interventions are effective in improving low fresh gas flow adherence in anesthesia provider practices. The purpose of this study was to evaluate the potential reduction in anesthetic gas waste and carbon dioxide equivalent (CO₂e) emissions at Dartmouth-Hitchcock Medical Center through improved adherence to low fresh gas flow …

Fgf Signaling Is Necessary For Newt Lens Regeneration, Leo Alexander Napoleon

Honors Theses and Capstones

The Iberian ribbed newt Pleurodeles waltl can regenerate the lens by transdifferentiating iris pigmented epithelial (IPE) cells into lens epithelial cells (LECs), but the mechanism by which this occurs remains largely uncharacterized. We aim to mechanistically show an early and critical role for FGF signaling by using small molecules to inhibit FGF receptors and observe the histological and intracellular effects. Two inhibitors were found to completely stall lens regeneration. Cell cycle analysis revealed decreased DNA synthesis and uniformly low but unchanged entry to mitosis under signaling inhibition by staining for EdU incorporation and phospho-histone H3 (pH3), respectively. Western blot revealed …

Tmem116 Crispr-Mediated Knockout Prevents Proper Lens Regeneration In Iberian-Ribbed Newts, Damien T. Mann

Honors Theses and Capstones

Eye diseases like cataracts, age-related macular degeneration (AMD), and glaucoma are widespread and detrimental conditions affecting many people across the globe. While there are reliable and successful treatments for those with cataracts that can reverse vision impediments, others like glaucoma and AMD have limited treatment options. Additionally, eye damage resulting from these conditions is commonly irreversible, establishing a need for new treatment options. The Iberian-ribbed newt, Pleurodeles waltl, is a salamander species primarily studied for their amazing regenerative capabilities. Particularly, these newts are capable of de novo lens regeneration after a complete resection, providing a unique opportunity to study regeneration …

Examining The Effectiveness Of Housing First Models On Transitional-Aged Youth Experiencing Homelessness: A Systematized Review, Cadyn Golisano

Honors Theses and Capstones

Abstract

Purpose: The purpose of this review is to examine the outcomes of Housing First (HF) programs or models for transitional-age youth (TAY) experiencing homelessness. Specifically, this review aims to synthesize existing evidence on how Housing First influences housing stability and over-all wellbeing for young adults ages 18-25. By evaluating the effectiveness of these programs within this specific population, the review seeks to identify key benefits, limitations, and gaps in the current literature to inform future practice, policy, and research. The following research question was utilized to guide this paper: How do Housing First principals and interventions impact housing stability …

Reading Between The Lines: Representations Of Dyslexia In Young Adult Literature, Carli B. Gauvin

Honors Theses and Capstones

While dyslexia affects upwards of 20% of the population, this learning disability is not commonly brought up in young adult literature. This lack of representation negatively impacts those with dyslexia, who often fail to find themselves in the books they read, and readers in general, who are given fewer opportunities to gain insight into the learning disability. Young adult books that do discuss dyslexia can be at risk of portraying the learning disability in an unfavorable light, which can make dyslexic readers feel undervalued in society and can introduce misconceptions about dyslexia to all readers. It is crucial to analyze …

Level Ii Fieldwork Students' Preparedness For Entry-Level Ot Practice Following Role-Emerging Campus-Based Education Center Placements, Julia Walkowiak, Amy Vancamp

Honors Theses and Capstones

Fieldwork is a critical component of the occupational therapy (OT) curriculum that provides students hands-on experience in various clinical settings. This allows students to practice evaluations/assessments, plan for sessions, implement interventions, write goals, and complete documentation with clients across the lifespan, integrating classroom knowledge while developing the skills needed to become entry-level practitioners. The purpose of this study was to explore occupational therapy students’ perspectives on Level II fieldwork placements in campus-based childhood centers at the University of New Hampshire and Colorado State University with a focus on their perceived preparedness for entry-level practice. Data was collected through surveys and …

Driving Monitoring Of People With Alzheimer’S Disease And Related Dementia Using Global Positioning System Technology, Julia A. Ferris

Honors Theses and Capstones

No abstract provided.

Embracing Anomalous Perceptions: Sensory Anomalies, Social Stigma, And Self-Acceptance, Ty R. Hetrick

Honors Theses and Capstones

Anomalous Perceptual Experiences (APEs), which include auditory and visual hallucinations, occur in the general population to varying degrees, but are often stigmatized in media and healthcare settings. However, there is an increasing focus on those who report APEs to be positive and meaningful. This study explored the lived experiences of individuals who report APEs that are interpreted meaningfully. Using a concurrent mixed methods approach, interviews and questionnaires were conducted with 3 adults who identify their APEs as meaningful. Participants described their experiences as sources of guidance, connection, and personal transformation that positively influenced their relationships, spirituality, and daily occupations. They …