Digital Commons Network^™

Heredity Vs Environment: Anthropology In Relation To Eugenics, Keelan Coronati

Spectrum

No abstract provided.

Ethnography Review: Fresh Fruit, Broken Bodies By Seth M. Holmes, Caroline Savage

Spectrum

No abstract provided.

The Human Brain’S Reward System’S Susceptibility To Substance-Related Addiction, Nicholas Castrucci

Spectrum

No abstract provided.

Town Of Plainfield, New Hampshire Annual Report 2024, Annual Reports Of The Officers And Selectmen And The School District, Plainfield Town Representatives

Plainfield, NH Annual Reports

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

You’Ll Be Back: Sensory Cognition’S Influence On Audience Retention, Tia Dimicelli

Honors Theses and Capstones

This study explores the impact of sensory elements – specifically ambient scent and music – in theatrical lobbies on audience satisfaction and likelihood of returning. Two general surveys were distributed to gauge what audiences expect from lobby spaces, and what they describe as memorable experiences. Then, two experiments were conducted using a test/control group design during live performances in New Hampshire. Participants completed surveys assessing their perception of the lobby environment, satisfaction with the performance, and likelihood to return to or recommend the venue. While the initial general surveys indicated that participants believed sensory elements would enhance their experience, no …

Implementing Gallup 12+ Employee Engagement Survey In A Critical Access Hospital, Catherine R. Hardwick

Honors Theses and Capstones

Objective: To utilize the Gallup Q12+ survey to assess baseline staff engagement among nurses and nursing assistants at a critical access hospital, implement direct education intervention, and evaluate its impact on staff engagement rates, with the goal of identifying micro and macro-problems.

Methods: This quality improved project was conducted at Littleton Regional Hospital, a level Ⅲ trauma center and critical access hospital. The PDSA cycle started on March 1 and ended May 10. The Gallup Q12+ survey was sent to Registered Nurses, Licensed Nursing Assistants, and Nursing Technicians to establish baseline staff engagement levels and areas that need improvement. Directed …

Noise In The Acute Care Patient Setting, Taylor A. Cota, Brynn Roberts

Honors Theses and Capstones

Noise levels in hospital environments can negatively impact patient satisfaction and recovery, particularly in high-acuity units such as Progressive Care Units (PCUs) (Choiniere, D. B., 2010). Patient satisfaction surveys at the PCU at Exeter Hospital have consistently identified noise as a concern, highlighting the need for rigorous quality improvement (QI) planning phase to determine whether a structured intervention, such as white noise implementation, is indicated.

This project focuses on the initial planning phase of the Plan-Do-Study-Act (PDSA) cycle (Institute for Healthcare Improvement, n.d.) to assess the feasibility and necessity of introducing white noise machines to enhance patient experience on the …

Mental Health Outcomes And Client Perception Of Religious/Spiritual Integration In Psychotherapy, Cole R. Bouchard-Liporto

Honors Theses and Capstones

Religion and spirituality have been shown to have positive effects on physical and mental health in recent years. Despite this, research suggests religion and spirituality as characteristics of clients to be overlooked in modern secular psychotherapy treatments. This study investigated mental health outcomes from psychotherapy related to the perceived integration of religious and spiritual beliefs. A survey was administered to and taken by 178 University of New Hampshire students on the web-platform Qualtrics to investigate client psychotherapy experiences and their perception of how their religious and spiritual beliefs and values were integrated. The research conducted for this study points to …

Production & Perception Of /S/ And Pitch Of Transgender Speakers, Connor J. Ryan

Honors Theses and Capstones

Linguistic research on how transgender speakers use speech traits commonly associated with gender, such as f0 and /s/, is still limited in scope. Past research has focused primarily on singular gender groups within the transgender community, particularly transmasculine speakers, leaving gaps in how speech differs among transgender speakers. Additionally, there has been little research on how transgender identity influences perception of gender in speech. Here, I use data from reading passages by fifteen university-age transgender speakers in New England to analyze variation in /s/ and f0 among transmasculine, transfeminine, nonbinary, and multigender speakers. I then performed a perception study using …

Leadership In 21st Century Policing, Joseph L. Keating

M.S. in Leadership

No abstract provided.

Positive Reinforcement In Leadership, Jen Lee Williams

M.S. in Leadership

This project examined whether leaders’ use of positive reinforcement
improves team retention, satisfaction, and performance across Generation
X, Millennials, and Generation Z. Jen Williams selected this topic due to the
rising turnover challenges and lack of consistent reinforcement training in
leadership practice. Using mixed-methods design, the study combined a
quantitative survey of 13 working professionals with a qualitative interview
from a Generation X leader participant. Results showed that over 92% of
the participants felt motivated by recognition, and 72% linked
reinforcement to increased satisfaction and desire to stay with their
organization. Generational differences appeared in frequency, authenticity,
and emotional sensitivity …

Improving Perinatal Outcomes With The Mood Disorder Questionnaire: A Quality Improvement Project To Increase Identification And Referral, Elizabeth R. Bargardo

Master's Theses and Capstones

Abstract

Background: Perinatal mental health is a growing concern, with under identification and lack of access to mental health as contributing factors. Screening tools such as the Mood Disorder Questionnaire are one way to increase identification of patients at risk for bipolar-spectrum disorders and subsequent postpartum psychosis and initiate referrals to appropriate mental health services.

Local Problem: One outpatient women’s health center has a 94% screening rate for the Edinburgh Postnatal Depression Score (EPDS) for anxiety and depression but has not implemented a screening for bipolar disorder. In addition, while approximately one in five perinatal patients struggles with a mental …

Nightmare, Phoebe E. Bowen

Honors Theses and Capstones

No abstract provided.

A Comparison Of Pacing Strategies Between Males And Females Running In Carbon-Fiber Plated Shoes, Amanda P. Ares, Allison A. Petry, Morgan M. Koskela, Owen R. Daigle, Summer B. Cook

Honors Theses and Capstones

Carbon-fiber plated (CFP) shoes have been shown to enhance performance in elite runners, with less research on recreational runners. It is also unknown how CFP shoes affect pacing strategy during races. Additionally, it is known that male and female recreational runners pace differently throughout running races. Purpose: This study aimed to compare pacing strategies between male and female recreational runners running in non-CFP and CFP shoes during a 5km time trial. Methods: Twenty-one male and female recreational runners (22±4 years, 1.7±0.07m, 65.2±7.0kgs) completed two 5km time trials in non-CFP and CFP shoes in a randomized order. Participants were blinded to …

Sensory Need Or Treatable Behavior? Self-Stimulatory Behavior In Autism Spectrum Disorder: A Systematized Review, Anne Grace, Kathryne Brewer

Honors Theses and Capstones

This study examined the current dialogue about Autism Spectrum Disorder (ASD) and

self-stimulatory behavior (stimming), based on a systematized literature review. Stimming is

often framed as a maladaptive or disruptive behavior that negatively impacts autistic individuals.

It is important to investigate whether these claims are supported by current research. The

following research question was used to guide this paper: How does current research on ASD

conceptualize stimming, as a form of sensory self-regulation or a treatable behavior?

Reconceptualizing Madness: Charlotte Perkins Gilman's Autobiography And The Cultural Landscape Of Insanity, Gender, And The Illness Experience, Claire Paley

Honors Theses and Capstones

No abstract provided.

Project Tackle 12 Years Of Cia And Taiwanese Joint Reconnaissance Overflights, Maximilian Digiovanni

Honors Theses and Capstones

Project TACKLE was a joint collaborative project between the CIA and the Taiwanese government to facilitate U-2 spy plane missions flown by Taiwanese pilots over China. These missions, conducted from 1962 to 1974, provide critical insights regarding the US and Taiwan’s fluctuating relationship during this period. TACKLE missions played a crucial role in informing policymakers on a variety of subjects, such as the progress of China’s rapidly evolving nuclear weapons program. This paper situates the TACKLE missions within the broader political context of their time to highlight the constant prioritization challenge that plagued the program.

Hit Me, Baby, One More Time: A Critical Discourse Analysis Of The Celebrity Gossip Magazine Shaming Of Britney Spears, Anna Rae Drabik

Honors Theses and Capstones

Britney Spears is an American pop star who rose to fame in the late 1990s at the age of 17 with her music, performances, and fashion. Spears was a prominent figure in celebrity gossip magazines, a genre which grew to prominence alongside and, in many ways, because of Spears. The distinct aesthetic and style of celebrity gossip magazines involved stories, blurbs, and images which wielded praise and shame—directly and indirectly—as tools to enforce norms and expectations for both female celebrities and female readers. Through a critical discourse analysis of 378 People and Us articles throughout the first ten years of …

Effective Measurement-Based Care For Depression Within Va Health Systems: A Quality Improvement Initiative, Amie L. Doyle

DNP Scholarly Projects

Background: Depression is highly common among U.S. veterans, surpassing civilian rates. Measurement-Based Care (MBC), including the Patient Health Questionnaire-9 (PHQ-9), facilitates systematic symptom monitoring and treatment enhancement. At Manchester VA Medical Center (VAMC), PHQ-9 completion in primary care was low (18.93% in May 2025) due to workflow inefficiencies, provider workload, and dependence on Mental Health Service Line (MHSL) referrals.

Local Problem: Underutilization of the PHQ-9 in primary care hampers early detection and effective treatment of depression among veterans.

Methods: Four primary care teams received training on using the Behavioral Health Laboratory (BHL) software, which facilitates pre-visit electronic completion of the …

The Impacts Of Social Media On Teacher Environment Perceptions, Victoria Puglia

Doctoral Dissertations

Social media significantly influences teachers’ perceptions of their professional environment, shaping job satisfaction, respect, autonomy, and professional support. This dissertation, split into three articles, investigates how exposure to positive, negative, or mixed social media posts impact these perceptions, addressing concerns surrounding teacher well-being and attrition in K-12 education. The study began with a literature review in Article 1 to establish a theoretical framework, followed by a series of validation steps to refine a survey instrument aligned with teaching perception constructs in Article 2. The final survey was administered to 406 K-12 teachers across the United States in Article 3, using …

A Quality Improvement Initiative To Improve Nurse Reassessment And Documentation Of Administered Prn Pain Medication, Stacy L. Brady

DNP Scholarly Projects

BACKGROUND: Effective pain management remains a critical challenge both globally and with the United States, where more than 51 million adults suffer from pain. Veterans are particularly vulnerable due to the lasting impact of service-related injuries. “Pro re nata” (PRN or “as needed”) pain medications are frequently used to manage pain, but timely reassessment and documentation following a PRN pain medication administered is often missed or delayed. Reassessing and documenting the results after the administration of the PRN pain medication is required by The Joint Commission and the Veterans Affairs Providence Healthcare System’s (VAPHS) standard operating procedure (SOP) states reassessment …

Skills Evaluation Of Adjunct Nursing Faculty: A Quality Improvement Project, Ada Dimino Luong

DNP Scholarly Projects

Abstract

BACKGROUND: With rising student enrollment, colleges and universities are relying more on adjunct clinical nursing faculty as Clinical Nurse Educators (CNEs). Recruiting and retaining qualified CNEs is essential to high-quality clinical education. Although clinically proficient, CNEs may face challenges with teaching methods, instructional strategies, and formative feedback. This quality improvement (QI) project evaluated CNE’s competencies and developed a sustainable multimedia educational tool to enhance feedback skills in clinical education.

METHODS: The Academic Clinical Nurse Educator Skill Acquisition Tool (ACNESAT), a validated 40-item Likert-scale instrument created by Shellenbarger and Sebach, was used to assess CNE competencies. Pre and post intervention …

Optimizing Electronic Health Record Capability To Provide Mindfulness Education To Oncology Patients Experiencing Anxiety, Cynthia Arcieri

DNP Scholarly Projects

Background: The impact of a cancer diagnosis is significant. In 2020, the Centers for Disease Control (CDC) reported over 1.6 million new cases of cancer (National Institutes of Health, 2023). Non-traditional approaches to supporting patients should be considered in providing high-quality cancer care. Mindfulness can help reduce stress reactions and may be beneficial for individuals with anxiety (Vinci et al., 2019). To best support patient care in the landscape of mobile health (mHeatlh) technology, it is essential to adopt best practices that promote patient engagement and empowerment.

Purpose: This quality improvement project aimed to provide oncology patients with a cognitive …

A Quality Improvement Project To Enhance Chronic-Condition And Self-Care Knowledge In Adolescents With Spina Bifida, Ann Paris

DNP Scholarly Projects

Background: Spina Bifida is the most common central nervous system disorder in the United States (CDC, 2024). Even with early surgical repair, patients may have chronic, disabling, multisystem needs (Phillips et al., 2017). Adequate care of Spina Bifida requires a multidisciplinary approach. As such, patients with spina bifida require multiple specialty providers, clinic appointments, care-tasks, and interventions (CDC, 2024, Phillips, et al., 2017). Synthesizing information from multiple care providers can be daunting, especially for adolescents as they grow more autonomous in their care, and especially as they enter the age of pediatric-to-adult transition (Psihogios et al., 2015).

Purpose: …

Enhancing Resilience In Oncology Nurses Through The Implementation Of A Peer Support Program, Denise M. Robinson-Smith

DNP Scholarly Projects

ABSTRACT

Background: Oncology nurses face high rates of burnout and compassion fatigue, contributing to significant turnover and threatening the stability of the oncology nursing workforce. The projected increase in cancer incidence and the resulting demand for oncology services underscore the urgent need for interventions that enhance nurse resilience. Local Problem: At a major hospital in Jacksonville, Florida, it was found that oncology nurses face a significant gap in emotional support, especially during critical incidents such as patient deaths or traumatic events. Existing resources were insufficient to address the unique stressors faced by this team. Methods: A quality …

Distribution Of Supplemental Educational On Pharmacology To Assist Mental Health Technicians On The Behavioral Health Unit In Leading Group Therapy Sessions: A Quality Improvement Project, Bree T. Mastromarino

Master's Theses and Capstones

Background

Staff within the microsystem strive to provide quality care to patients experiencing acute mental health crises in hopes of stabilizing their condition, allowing them to function safely and appropriately among others. This will hopefully lead to eventual rehabilitation back into society. The main technique used in this microsystem for the rehabilitation of patients is providing group therapy (GT) sessions. These sessions teach healthy coping mechanisms and encourage internal reflection on triggers that could be contributing to emotional instability.

Local Problem

Recently, the leadership team has made the decision that Mental Health Technicians (MHTs) and social workers will lead the …

Recognizing And Responding To Moral Distress: Using Transformational Leadership To Increase Nurse Leader Thriving, Miriam Dowling-Schmitt

DNP Scholarly Projects

Background: Moral distress, burnout, and compassion fatigue in acute care nurses has increased significantly since the Covid-19 pandemic and has been associated with high levels of nursing turnover and increased costs to healthcare systems. Nurse leaders at the study organization had never received education on recognizing and responding to moral distress. Nursing engagement scores were low at the study organization in the areas of leadership support and well-being investment in nurses.

Problem Description: Between 2017 and 2021 job satisfaction for nurses with direct patient care responsibilities decreased in 20 of 21 categories according to the Bureau of Health Workforce. High …

Critical Incident Debriefing: Impact On Oncology Nurses And The Infusion-Related Reaction Care Bundle, Megan A. Corbett

DNP Scholarly Projects

Background: A critical incident is a sudden, unexpected, emotionally distressing event commonly experienced by oncology nurses. Debriefing is an evidence-based best practice that facilitates communication, reflection, and learning to identify quality improvement opportunities to enhance clinical practice, patient safety, and quality of care. However, debriefing within oncology care settings is inconsistent despite the demonstrated benefit and availability of frameworks. Infusion-related reaction management follows an algorithm that directs care delivery, aligning with a care bundle approach. Care bundles, when consistently and reliably applied, help identify connections between the critical incident (i.e., infusion-related reaction) and opportunities for improvement to ensure clinicians follow …

Design And Implementation Of A Nursing Peer Practice Case Review Program In An Academic Surgical/Trauma Icu, Natalie Tredway

DNP Scholarly Projects

Background: Peer review has been in use in healthcare for many years, primary by physicians. Recently, however, nursing has adopted a framework for peer review within the profession. According to the American Nurses Association (admin, 2011), organizations are required to maintain a systematic peer review process aimed at evaluating nursing care and nursing care providers to obtain/maintain Magnet designation. According to Foster (2015) nursing peer review (NPR) is “process by which practicing registered nurses systematically assess, monitor, and make judgments about the quality of nursing care provided by peers as measured against professional standards of practice”. The focus is on …

A Study Of Trauma Linked To Contemporary Human Sacrifice Practices: A Pilot Study Exploring Machine Learning In Criminological Analysis, Julia Melanson, Riley Woolverton

Spectrum

No abstract provided.