Evaluating The Healthfulness Of The University Of New Hampshire’S Food Environment Using The Healthy Campus Environmental Audit (Hcea), Margo Kamis

UNH URC Open (2026 and after)

Evaluating the Healthfulness of the University of New Hampshire’s Food Environment Using the Healthy Campus Environmental Audit (HCEA)

Interactions Between Red Foxes And Coyotes Across Urban And Wild Habitats, Caroline E. Savage, Taylor S. Readyhough, Remington J. Moll, Jonathon D. Cepek

UNH URC Open (2026 and after)

Dens are critical to the life history of many mammal species, particularly when raising young. Excavating a den is energetically costly, so several species can use existing dens, and multiple species may inhabit the same den complex simultaneously. However, the extent of den sharing among urban mammals is understudied. Between March 2021, and June 2023, we used camera traps to monitor a multi-species den site in Cleveland, Ohio, USA. We documented den visitation and use by at least 11 mammal species, including red fox, coyote, raccoon, woodchuck, and Virginia opossum. Coyotes and red foxes both exhibited scent-marking at the den …

An Evidence-Based Approach To Standardizing Occupational Therapy Services For Functional Neurological Disorder: Protocol Development And Provider Education, Kimberly Yuen

OTD Capstones

Functional Neurological Disorder is a complex neurological condition that continues to be misinterpreted and stigmatized by healthcare practitioners. Occupational therapists play a vital role in the care team for an individual with FND, as their scope of practice helps to empower individuals with this condition to return to daily, meaningful occupations. However, there remains a lack of evidence-based protocols and resources for occupational therapists to utilize when treating functional neurological disorder (FND), resulting in minimized confidence and understanding of how to treat this population. This capstone project addressed these concerns through the creation of multiple deliverables to help improve clinician …

Preparing For Change: Supporting Dementia Transitions Through Occupational Therapy And Caregiver Education, Kelly Ann Mooney

OTD Capstones

This capstone project focused primarily on supporting caregivers of individuals living with dementia within a continuing care retirement community (CCRC). Caregivers of spouses with dementia often experience increased burden, stress, and difficulty navigating the transition from independent living to higher levels of care. Guided by principles of occupational therapy, this project aimed to enhance caregiver knowledge, confidence, and overall well-being through the development and implementation of targeted educational resources and support strategies. 

Interventions included the creation of evidence-based educational handouts addressing common challenges for caregivers such as activities of daily living (ADLs), sleep, mealtime, and behavioral changes. Additionally, a structured …

Influence Of Microbial Communities And Dilute Heavy Metals In Green Manure On Growth In Lactuca Sativa, Robert Lemay

Student Research Projects

This experiment investigated the effects of a green manure (Lemna minor, common duckweed) grown in varying levels of heavy metals and inoculated with local microbiomes on a crop (Lactuca sativa, volcana lettuce). The growth and health of the duckweeds were measured via root length and biomass, and the health of the lettuce crop was measured via head diameter and biomass.  Two levels of heavy metal concentrations were based on real-world stormwater runoff data to mimic an agricultural environment where accumulation of metals in local water bodies may be absorbed into green manure duckweeds. One microbial treatment and …

“Legendary Comebacks”:The Refiguring Of Iliad 2’S Thersites, Steven A. Heil

UNH URC Open (2026 and after)

“Legendary Comebacks”: the Refiguring of Iliad 2’s Thersites

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, …

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 …

The Garden Of The Machine: Simulated Wildness And Digital Domestication In American Literature 1970-2020, Cameron Netland

Doctoral Dissertations

Studying American literature produced during the Information Age, from 1970 to 2020, reveals an evolution of wild human resistance to the increasing powers of digital technology. These increasing powers include capturing attention, fostering dependence, and training behavior through a process I call digital domestication. Digital domestication distances people from wildness, and as William Cronon writes in “The Trouble with Wilderness”, “Learning to honor the wild—learning to remember and acknowledge the autonomy of the other—means striving for critical self-consciousness in all of our actions.” (20). Through this framework of wildness, one reads characters in fictional narratives resisting non-coercive new technologies as …

Increasing Colorectal Cancer Screening Rates At A Federally Qualified Health Center: A Quality Improvement Project, Kaeli H. Mcphee

DNP Scholarly Projects

Abstract 

Background: Colorectal cancer (CRC) is on the rise and is currently the second leading cause of cancer-related death in the United States (Wender, 2022). CRC screening rates are below national goals, particularly among underserved populations. At Lowell Community Health Center (LCHC), only 41.9% of eligible adults were up to date with CRC screening as of 2024.

Purpose: This quality improvement project aimed to increase CRC screening rates among average-risk adults aged 45 to 75 by implementing a multifaceted, low-burden intervention targeting both provider and patient behaviors.

Methods: Guided by the Plan-Do-Study-Act (PDSA) framework, the intervention included: (1) provider and …

Development Of An Educational Toolkit For Clinical Staff At Little Rivers Health Care To Guide Shared Decision Making For The Expanded Age Range Of The Hpv Vaccine, Maureen B. Boardman

DNP Scholarly Projects

BACKGROUND: The Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the United States (CDC, 2024). Unlike other common STI's, persistent infection with HPV increases the risk of cancer. A Human Papillomavirus (HPV) vaccination was approved in the United States in 2006 for girls and women aged 9 to 26 and in 2009 it was approved for boys and men in this same age range. Despite 20 years of data on the efficacy and safety of the HPV vaccine, rates of completed HPV vaccine series remain low. In 2019 the Advisory Committee on Immunization Practices (ACIP) expanded …

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 …

A Standardized Staff Education Protocol Bundle For Buprenorphine Transmucosal Products: A Quality Improvement Project, Orogbuo Junior Chuku

DNP Scholarly Projects

Abstract

Background: The escalating opioid epidemic in the United States demands the widespread implementation of Medication-Assisted Treatment (MAT) and buprenorphine serves as a primary pharmacological intervention. Despite its efficacy in reducing mortality, transmucosal formulations present inherent safety risks, including accidental pediatric exposure, medication diversion, and suboptimal therapeutic outcomes due to improper administration. At Kolmac Integrated Behavioral Health, a preliminary assessment identified a critical deficiency in standardized patient safety education. Prior to this intervention, educational delivery was fragmented and lacked a unified, evidence-based curriculum. This inconsistency resulted in significant gaps in patient knowledge and a lack of verifiable documentation within the …

Improving Depression And Anxiety Reassessment In Patients With Type 2 Diabetes In Telehealth Obesity Care, Alyshia M. Casella

DNP Scholarly Projects

Background. Depression and anxiety are common among adults with type 2 diabetes and obesity, yet one-time intake screening may not identify symptoms that emerge or change during treatment. Local Problem. Within a telehealth obesity care program, PHQ-9 and GAD-7 screening occurred at intake, but no standardized reassessment process existed. Methods. A single Plan-Do-Study-Act cycle evaluated electronic PHQ-9 and GAD-7 reassessment among adults with type 2 diabetes and obesity. The primary outcome was reassessment completion, with a prespecified feasibility target of at least 20%. Paired symptom changes, clinical and safety triggers, and follow-up were also evaluated. Intervention. A one-time electronic reassessment …

Pocus Implementation Via Multiprofessional Training Workshop With Mixed Didactic And Simulation Guided Intravenous Access In The Nicu For Quality Improvement, Kristen Carrierfenster, Eileen Hollis, Rehman Chowdhry

DNP Scholarly Projects

Background. Rapid evolving technology and the use of Point-of-Care (POCUS) for Intravenous (IV) access requires a foundational understanding of ultrasound imaging, gadgetry, along with a basic understanding of anatomy and physiology. Initially, there is a steep learning curve; this is reduced with standardized training and techniques that will improve overall procedural performance. Designing educational frameworks is necessary as technology innovation expands to improve the way we prevent, screen, diagnosis, and treat patients.

Problem Statement. The national standard of care and best practice in pediatrics allows two attempts per provider for IV access. Unsuccessful IV attempts lead to patient discomfort and …

Utilizing A Mobile App To Enhance Patient Engagement & Self-Efficacy Of Adults With Type 2 Diabetes In Primary Care: A Quality Improvement Project, Melissa Ann Donais

DNP Scholarly Projects

Abstract

Background: Diabetes is a common condition encountered in primary care and requires significant attention to lifestyle factors to be properly managed. The primary care provider may lack the time needed to assist the patient with self-management strategies to improve glycemic control. Mobile applications may be a tool that the primary care provider can use to help improve diabetes self-efficacy and patient engagement.

Theoretical Framework: The Mountain Model guided this quality improvement (QI) project by providing a framework to translate research into clinical practice. The Mountain Model bridged the gap between research and the standard of care in this practice. …

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 …

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 …

Enhancing Nursing Education To Improve Care For Women Experiencing A Substance Use Disorder During Pregnancy, Sadie Caddell

UNH URC Open (2026 and after)

Enhancing Nursing Education to Improve Care for Women Experiencing a Substance Use Disorder During Pregnancy

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 …

Covering The Care: Utilization Rate Trends Among Nh Older Adults Enrolled In Medicare Aged 65 And Over, Erica Plante ,Ms, Deborah Fournier ,Jd

All Materials

This data brief summarizes a retrospective analysis of New Hampshire Medicare Parts A and B claims, examining six-year (2018–2023) trends in utilization rates for selected medical services among adults aged 65 and older. It is the third and last of a three-part series of Covering the Care analytic reports exploring healthcare utilization trends in the state.

Implementing A Nurse Re-Education Program To Promote Timely Use Of The Jada® System In The Postpartum Hemorrhage Cascade: A Quality Improvement Project, Maegan E. Doody

Master's Theses and Capstones

Background: Postpartum hemorrhage (PPH), defined as blood loss greater than 1,000 mL after delivery, is a leading cause of maternal morbidity in the United States. Identification of risk factors and timely intervention are critical to improving maternal outcomes after delivery. First-line interventions include manual uterine massage, uterotonic medications, and antifibrinolytic medications; however, when bleeding is not well controlled, the Jada® System (Jada) is a newer vacuum-induced hemorrhage control device with a high efficacy and safety profile, particularly when implemented earlier in the hemorrhage cascade.

Local Problem: In 2025, the annual rate of PPH within the microsystem was 7.29%, …

Reducing Readmissions For Copd Through Improved Education: A Gap Analysis, Raphael Gaughan

Master's Theses and Capstones

No abstract provided.

Enhancing Patient Safety And Team Communication Via Standardized Unit Handoff Tools In Inpatient Rehabilitation, Julia Rae Before

Master's Theses and Capstones

Abstract

Background: Interdisciplinary safety huddles in healthcare are used to facilitate staff communication, voice patient safety concerns and identify high acuity patients, as well as identify current unit issues that need resolution. Using characteristics of safety huddles, revising patient report sheets to include pertinent safety information often shared during huddles may lead to an increase in staff perception of communication as well as awareness to patient safety concerns. Within an in-patient rehabilitation hospital, anonymous staff reports indicated dissatisfaction with interprofessional communication and microsystem data revealed increased events of adverse patient outcomes and safety concerns. Baseline data indicated inconsistent patient handoff …

A Patient-Centered Approach To Improving Patient And Family Education On Perioperative Processes To Reduce Anxiety: A Quality Improvement Initiative, Ashley Lauren Doherty

Master's Theses and Capstones

Background: Perioperative anxiety is common among surgical patients and their family members. Anxiety may be increased by uncertainty and limited understanding of the surgical experience. Improving perioperative education may enhance understanding, reduce anxiety, and support a more patient and family centered surgical experience.

Local Problem: A Post-Anesthesia Care Unit (PACU) identified knowledge gaps in patient and family education about the perioperative process. The existing waiting room bulletin board was outdated and provided limited information. PACU nurses observed anxiety-related behaviors and confusion among patients and family members about the perioperative process. Patient satisfaction surveys routinely collected by the hospital also demonstrated …

Enhancing Safety And Efficiency In Cardiac Admission Handoffs Through Implementation Of An I-Pass Checklist: A Quality Improvement Project, Soraia D. Barros

Master's Theses and Capstones

Abstract

Background: Effective care handoff is a necessary step for maintaining patient safety during hospitalizations. The goal of this quality improvement project was to improve the completeness of information, particularly cardiac-related, provided by the ED staff to the CSSU nurses. The implementation involved the creation of a cardiac checklist and applying it to the pre-existing I-PASS forms used during asynchronous handoff.

Local Problem: The macrosystem implemented an updated system for handoffs between the ED and CSSU by substituting an over-the-phone report with a faxed I-PASS sheet. The result, as identified by the CSSU staff, is that reports contain undetailed patient …

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, …

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 …