Digital Commons Network^™

Frozen Commons: Food Security And Food Sovereignty In Rural Alaskan Communities And Tribes, Catey Selby, Weiwei Mo

Honors Theses and Capstones

This project explored the challenges, needs, and potential solutions related to food security and food sovereignty in rural Alaskan communities. These communities have long relied on traditional subsistence practices like fishing, hunting, and foraging, but those practices have been increasingly affected by climate change, regulatory restrictions, and commercial overfishing. Key issues identified included shorter hunting seasons, changes in animal migration, unsafe ice conditions, habitat loss, complex land ownership, and permitting barriers. Large-scale commercial fisheries also put additional pressure on subsistence resources, reducing access to traditional food sources.

The project focused on identifying key stakeholders—such as government agencies, tribal organizations, and …

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 …

Floating Offshore Structures: A Literature Review Of Current Technologies, Dynamic Behavior, And Energy Applications Post-2021, Stephen Michael Nolin

Honors Theses and Capstones

No abstract provided.

18s Metabarcode Analyses Of Eukaryotic Species In The Respiratory Microbiomes Of Wild Canids From New Hampshire, Collin Sinclair Blake

Honors Theses and Capstones

This study is of an exploratory nature and focuses on characterizing the eukaryotic microbiota present in the respiratory tissues of six wild canids and one domestic canine. The contents of this document largely pertain to dry lab analyses of 18S barcodes in bioinformatics programs – primarily QIIME2 running in the GitBash command line, service for which was hosted by the UNH Ron Bioinformatics training server. All procedures listed within the section below were performed by second parties at the UNH Hubbard Center for Genomics Studies (HCGS), the New Hampshire Veterinary Diagnostics Lab (NHVDL), and the UNH Microbial Ecology and Emerging …

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 …

Lost, Courtney Rose Kostopoulos

Honors Theses and Capstones

No abstract provided.

The Financialization Of The American Dream: Private Equity’S Rise In The Single-Family Rental Market, Colby Sherwin

Honors Theses and Capstones

This thesis examines how private equity firms and other institutional investors are reshaping the single-family rental market in the United States, and what that shift means for homeownership, affordability, and community stability. What began as a short-term strategy to acquire foreclosed homes after the 2008 financial crisis has evolved into a long-term business model, with firms now owning hundreds of thousands of properties across the country. Leveraging their financial scale, these investors often outbid individual buyers, particularly in fast-growing cities. While proponents argue that institutional ownership brings professionalism and much-needed supply to tight housing markets, data shows that it has …

Skeletons At Sea: Unpacking The Oceanographic And Taphonomic Variables That Impact The Remains Of Decedents At Sea, Ella Tartsa

Honors Theses and Capstones

No abstract provided.

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.

Deportations And Debt: How The Trump Administration’S Immigration Policies Affect The United States’ National Debt Situation, James D. Webster

Honors Theses and Capstones

The value of the United States’ national debt measured as a share of its economic output, otherwise known as its debt-to-GDP ratio, is projected to reach an all-time high and continue to climb over the span of the next 30 years. This can be attributed to a combination of tax and spending policies which generate annual budget deficits as well as a projected slowdown of economic growth. A major factor contributing to this situation is the slowing growth of the labor force in the United States. As time goes on, the growth of the U.S. population slows, and immigration becomes …

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 …

An Integrated Approach To Patient Safety In The Medical Device Industry: A Quality Improvement Project, Kaylee Boisvert

DNP Scholarly Projects

Background: The currently established product surveillance process at Boston Scientific is a reactive one which presents compliance risks, patient safety risks, and quality risks. Evolution to a proactive process is necessary to protect public health, allow for commercialization of devices that have a robust safety, reliability, and efficacy profile, and to identify and react to risk before or at the early stages of a problem.

Methods: A pre-implementation survey of baseline opinions associated with decision-making, efficiency, effectivity, and safety of the current product surveillance system was performed. A baseline time study was performed associated with the process, which was separated …

A Study In The Student Experience Of Care – What It Looks, Sounds, And Feels Like For Students In A Rural Public High School, Steven Mark Chamberlin

Doctoral Dissertations

Students' voices are essential to understanding their perceptions, experiences, and viewson care. Many schools prioritize standardized test outcomes over individual care for each child, which leads to disengagement and a lack of agency. Students who feel cared for tend to achieve greater success in school.

This question guided the inquiry: How do students perceive, experience, and understandcare in their secondary school in New Hampshire? Twelve individual interviews were conducted with students who had varying degrees of academic success and special education identification.

The findings led to the development of a preliminary model of care that establishesschool culture as the foundation …

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 …

Developing A Rural Family Health Curriculum To Promote Retention Of New Graduate Nurse Practitioners, Molly G. Boudreau

DNP Scholarly Projects

Background: There is a critical shortage of primary care providers (PCPs) in rural areas of the United States. Nurse Practitioners (NPs) are essential for addressing the primary care shortage especially in rural communities. However, significant barriers exist to the retention of NPs in rural communities, especially new graduate NPs in the first year of practice. Evidence in the literature suggests bolstering the focus on transition-to-practice for new graduate NPs to improve retention and turnover rates.

Purpose: The aim of this quality improvement project was to develop a structured, postgraduate, on-boarding curriculum at a rural outpatient family medicine clinic with the …

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 …

Development Of An Educational Toolkit For Washington State Nursing Professionals Regarding Climate-Related Impacts On Health, Margaret "Maggie" Pinson

DNP Scholarly Projects

BACKGROUND: Most healthcare professionals (HCPs) know that climate change poses a serious threat to human health, but few physicians and nurses actually discuss climate-related impacts on health with their patients. This knowledge-practice gap poses a risk to patient safety.

PROBLEM: Patients who are unaware of environmental threats to health may develop new illnesses, experience unnecessary exacerbations of underlying health problems and may die.

METHODS: A quality improvement intervention that addressed the educational needs of HCPs as described in the literature was developed and hosted on an online survey platform.

INTERVENTION: Preintervention survey questions captured baseline attitudes, beliefs, and knowledge. The …

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 …

Microstructural Changes, Damage Evolution And Failure Of Hcp Metals Titanium And Magnesium, Nicholas Mark Pitkin

Master's Theses and Capstones

This work presents three experimental investigations analyzing the microstructural evolution, void nucleation and growth, and failure in titanium and magnesium. The first study compares the void nucleation and growth of Grade 2 and Grade 4 commercially pure titanium during monotonic tensile testing and cyclic-bending-under-tension. Voids were characterized by X-ray computed tomography (XCT). It was shown that CBT (cyclic bending under tension) did not suppress the growth in void volume but allowed for further plastic deformation despite it. The second study investigates the relationship between microstructural evolution and void accumulation in high-purity titanium during interrupted tensile testing. The initial microstructure of …

A Care Expansion Initiative: Providing Awareness And Access To Resources For Patients With Celiac Disease: A Quality Improvement Project, Jennifer Kumin

DNP Scholarly Projects

Background: Celiac disease (CD) is projected to be the most common genetic autoimmune disease in the world with 1% or 3 million people effected in the United States. It is estimated that as many as 70% of those effected are not aware. Diagnosis routinely takes 10-12 years from the initial onset of symptoms, exposing patients and the healthcare system to significant cost and stress through excess testing and misdiagnosis. One area that is often referenced in barriers around celiac disease is the lack of awareness and education specifically with patients, healthcare providers, and the community at large.

Methods: In this …

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 …

Implementation Of A Standardized Educational Training Series For Anaphylaxis Recognition And Epi-Pen Administration To Non-Licensed Personnel In A School Setting, Katherine T. Darak

DNP Scholarly Projects

Background: Anaphylaxis is a life-threatening allergic reaction that requires early recognition and administration of intramuscular epinephrine. In the elementary school setting, non-licensed personnel are often the first staff to identify this, making training and preparedness essential. This quality improvement project aims to enhance school personnel knowledge, confidence, and competence in recognizing and managing anaphylaxis through a standardized educational training series.

Purpose: The purpose of this quality improvement project aimed to increase the knowledge, confidence, and competence of non-licensed personnel in managing and responding to anaphylaxis in the school setting. Participants accessed the educational module and hands-on training interventions …

Promoting Rapid Identification Of Oncological Emergencies In The Emergency Department : A Quality Improvement Project, Christine Hart Brown

DNP Scholarly Projects

BACKGROUND: The American Cancer Society estimates 2,041.90 new cases of cancer in the U.S. (1 in 18 Americans) with a global projection of thirty-five million new cases annually by 2050. With this alarming increase, early recognition of oncological emergencies in the Emergency Departments is essential. Life-threatening conditions require rapid assessment, accurate diagnosis, and immediate interventions. Qualified emergency nurses must understand the effects that cancer and treatment have on the immune, metabolic, and hematologic systems. This quality improvement (QI) project focuses on assessing emergency nurses’ oncological knowledge of acute emergencies and providing a resource for rapid identification.

PROBLEM STATEMENT: …