Digital Commons Network^™

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 …

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

Partner Yearbooks

No abstract provided.

Hyena: An Observing System Simulation Experiment For Hypothetical Energetic Neutral Atom Imagers, Joel Tibbetts, Amy Keesee, Matina Gkioulidou, Robert Demajistre, Viacheslav Merkin

Faculty Publications

Mesoscale plasma sheet flows are widely understood to be a critical component of the overall picture of energy, particle, and magnetic flux transport during periods of geomagnetic activity. Without simultaneous measurements with true global coverage, the short lifetime (~10 min) and localized spatial extents (~1–3 R_E in azimuth) of these structures make obtaining a global picture of their contributions to stormtime magnetosphere dynamics difficult to characterize. Energetic neutral atom (ENA) imaging can enable remote mapping of plasma energization in the magnetosphere; however, its line-of-sight integrated nature, coupled with the challenging-to-characterize attributes of the target physical phenomena, means that numerous …

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 …

Unified Attack Modeling And Mitigation Framework For Multiple Physical Attacks In Sensor Networks For Advanced Manufacturing, Mohammad Mezanur Rahman Monjur

Doctoral Dissertations

The advanced manufacturing industry (AMI) faces unique challenges in security assurance. Security threats in AMI can originate from both software and hardware. Over the past decade, software security has been addressed extensively, but hardware security has not received enough attention. This work focuses on the security vulnerabilities of typical electronic devices deployed to AMI. Three attack models are proposed to characterize sensing nodes, local processing edge devices, and wired/wireless communication interfaces. Moreover, practical security attacks on hardware are demonstrated to inspire the development of feasible countermeasures against common physical attacks. To explore effective attack mitigation methods, we examine two attack …

Strengthening Workforce Stability And Operational Efficiency In The Transition To Practice: A Quality Improvement Project, Alana L. Lemoine

Master's Theses and Capstones

Abstract 

Background: The transition to professional practice is a challenging period for new graduate nurses, and inadequate support can contribute to high turnover and reduced job satisfaction. Structured mentorship programs have been proposed as an effective strategy to improve retention, support professional development, and enhanced perceived impact during the first year of practice for new graduate nurses.

Local problem: Within a single microsystem, new graduate nurses faced challenges related to access to formal mentorship and support throughout the transition to practice. Baseline data indicated that only 50% of nurses had access to active mentorship, and retention rates in 2024 were …

Promoting Equitable Access To Postpartum Hemorrhage Education: A Quality Improvement Project Using Educational Interventions For Night Shift Nurses, Michelle Stella

Master's Theses and Capstones

Abstract

Background: Postpartum hemorrhage (PPH) is a serious condition that can lead to maternal morbidity or mortality following the birth of their child. It is important for nurses to be properly educated to manage this condition quickly and efficiently. Night shift nurses often face barriers to accessing educational opportunities during their shift because most education is tailored to daytime hours.

Local Problem: At the project site facility, night shift nurses perceived inconsistent access to education compared to day shift nurses. This gap highlighted the need for more flexible educational modalities to meet the needs of night shift nurses.

Methods: This …

Improving Equipment Safety And Operational Efficiency In The Labor And Delivery Setting Using A Standardized Bedside Equipment Checklist: A Quality Improvement Project, Clara E. Lane

Master's Theses and Capstones

Background: Timely and effective neonatal resuscitation depends on the immediate availability and functionality of emergency equipment. Within labor and delivery settings, equipment failures or delays in obtaining necessary supplies and equipment can be detrimental to neonatal health outcomes. Standardized equipment verification processes have been recommended to improve equipment readiness and reduce preventable delays in care provision during neonatal emergencies.

Local Problem: Baseline observational data within the labor and delivery microsystem identified inconsistencies in equipment verification processes, resulting in variable equipment readiness across the microsystem. Staff reported variations in room preparation, safety checks, and concerns related to missing or malfunctioning equipment …

Introducing Education For Sensory Approaches In Mental Health-Related Emergency Department Visits: A Quality Improvement Project To Enhance Patient-Centered Care, Jesse O'Neill

Master's Theses and Capstones

Background: Barriers to specialty care access have resulted in emergency departments (ED) operating as temporary psychiatric hold facilities for their communities. Patients boarding in the ED are demonstrated to use a disproportionate percentage of facility resources with minimal benefit to the patient. The Institute for Healthcare Improvement identifies the impact of the healthcare environment on patient outcomes and suggests staff training to foster trauma-informed practice culture (Schall et al., 2020).

Local Problem: High-stress healthcare environments can escalate maladaptive patient behaviors and the use of restrictive interventions. Traditional use of restrictive interventions lacks supportive evidence and contradicts person-centered care goals (Molloy …

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 …

Cheshire Advisory Council Agenda & Minutes 2026, Carl Majewski

Advisory Council

No abstract provided.

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 …

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 …

The Long And Short Of It: Exploring The Essential Dynamics Of Select Geophysical Flows, Adhithiya Sivakumar

Doctoral Dissertations

Geophysical flows are central to important climatological processes, yet their strong turbulence and additional complexities -- density stratification, wave-current interaction, and phase change -- make analytical prediction and direct numerical simulation infeasible in many regimes. This dissertation adopts a reductionist approach in which simplified representations -- often inspired by observed scale disparities -- are utilized to isolate and investigate the organizing mechanisms of these complex flows. Within this framework, three distinct but thematically connected problems are studied.

We first study Langmuir turbulence in the open ocean, in which surface gravity waves interact with wind-driven currents to organize the mixed layer …

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 …

Elena Ferrante: A Borderless Identity, Alexander James Hankins

Honors Theses and Capstones

This thesis examines the concept of identity in the works of Elena Ferrante, arguing that her fiction presents identity not as an isolated, self-contained construct, but as something relational, fluid, and deeply shaped by environment. Focusing primarily on The Neapolitan Quartet, the project introduces “boundaries” as a central framework, drawing on relational-cultural theory to explore how identities are formed through connection as much as separation. In Ferrante’s Naples, the setting functions as a microcosm of broader social forces — class disparity, gender inequality, generational tension, and political ideologies — that collectively shape individual experience.

At the core of this analysis …

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.

New Hampshire Shellfish Under Pressure: Physiological Effects Of Climate Change And Toxic Algal Blooms, Olivia Boyan

UNH URC Open (2026 and after)

Climate change driven effects on the ocean, including warming water, acidification, and changes in the presence of harmful algal blooms (HABs) are causing metabolic pressures on marine organisms, particularly in the Gulf of Maine. Shellfish are susceptible to these pressures because their metabolic processes including growth and respiration are influenced by water temperature, pH, and consumption of algal toxins. This study investigates the effects of ocean warming, acidification, and diet toxicity level on the growth and respiration of Blue mussels (Mytilus edulis), Eastern oysters (Crassostrea virginica), and Sea scallops (Placopecten magellanicus). Selected individuals were subjected to water treatments simulating ambient …

Presence Of Road Salts In Vernal Pools And Effects On Amphibian Development, Grace I. Bemis, Ella Mack

UNH URC Open (2026 and after)

Presence of Road Salts in Vernal Pools and Effects on Amphibian Development

How Vermont’S Composting Laws Can Be Used To Inform Similar Policies In New Hampshire, Felix Prigge

UNH URC Open (2026 and after)

This presentation seeks to analyze how policy makers can use the success' and failures of another state's policies to inform their own measures in order to not repeat the same mistakes. It also discusses the importance of using public feedback as a baseline for improvement.

Covering The Care: Medical Debt: A Uniquely American Issue, Kimberly Persson

All Materials

Healthcare is one of the most prominent issues facing Americans due to issues of affordability, access, and potential for debt.¹ A July 2025 poll from Kaiser Family Foundation indicates that approximately half of U.S. adults say it is difficult to afford healthcare costs and about one third of adults say they have postponed care in the last year because of the cost.² According to a 2024 New Hampshire specific survey, 69% of adults have delayed or gone without healthcare due to cost, 71% of adults have experienced a healthcare affordability issue in the past year, and more than …

Covering The Care: Why Financial Resources Matter For Health, Mark Bonica, Phd,Mba,Ms

All Materials

Where people end up in the income and wealth distribution has a powerful and lasting influence on how healthy they are and how long they live. This is not just a story about poverty versus comfort. Across the entire population, health improves step by step as financial resources increase. Researchers call this pattern the health gradient.

This brief explains why that gradient exists. Drawing on decades of research from economics, public health, and social epidemiology, it shows how limited financial resources shape health through multiple pathways that unfold over different time horizons—from immediate consequences to cumulative effects that build …

Template For A Lab/Group/Team Manual, University Of New Hampshire (Unh) Responsible Conduct Of Research & Scholarly Activity (Rcr) Committee

Integrity in Research and Scholarship

Lab/group/team manuals or handbooks are becoming more common in academic research settings as the research environment grows in complexity. Explaining in writing expectations for how a research group operates as well as providing resources for group members can be invaluable.

The University of New Hampshire (UNH) Responsible Conduct of Research & Scholarly Activity (RCR) Committee developed these templates to help researchers convey important and useful information to their research groups in a consistent manner. Each Principal Investigator (PI) and research group can choose the preferred version template (abbreviated or long) and customize the information to address topics relevant for their …

Research Data Ownership And Access Agreement Template, Unh Responsible Conduct Of Research And Scholarly Activity Committee

Integrity in Research and Scholarship

This Research Data Ownership and Access Agreement establishes shared expectations among collaborators in compliance with the University of New Hampshire (UNH) Policy on Ownership, Management, and Sharing of Research Data (UNH VIII.C). It is intended for use in situations where no separate agreement governing data ownership is already in place, though it may also serve as a communication tool alongside existing agreements, such as those associated with government contracts or secondary data use agreements.

The UNH Responsible Conduct of Research (RCR) & Scholarly Activity Committee developed these templates to help researchers communicate important and useful information in a …