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 …

Workshop Outcomes Report: 2nd International Workshop On Seismic Resilience Of Arctic Infrastructure And Social Systems, Majid Ghayoomi, Daniela Morganti

Faculty Publications

The report provides an overview of the second international workshop on Seismic Resilience of Arctic Infrastructure and Social Systems. The report discusses agenda, workshop activities, interdisciplinary working groups, and results. It ends with several strategic questions and investigation plans that were developed as part of the workshop activities.

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 …

Your Wellness Wheel [Activity], Alyssa Lemmermann, Kendra Lewis

UNH Cooperative Extension

No abstract provided.

University Of New Hampshire Library Annual Report 2026: Better Together, Mairead Small Staid

Annual Reports and Statistics

No abstract provided.

Cybersecurity Mission Creep, Mailyn Fidler

Law Faculty Scholarship

Cybersecurity is experiencing mission creep. Policymakers are casting more and more problems as issues of cybersecurity. So refrained, wildly different policy issues, from misinformation, to child social media safety laws, to antitrust regulations, to alleged journalist misconduct, to anti-sex trafficking statutes become what this Article calls "cybersecuritized." Before this refraining, these issues present as important but not existential. But once cybersecuritization positions the issues as threats intensified by their technological nature, they gain access to the politics and law of urgency and exceptionalism and invite troubling governance responses. Positioned as security threats, cybersecuritized issues become endowed with the apparent normative …

Decreasing Hospital Acquired Pressure Injuries Through A Multi-Intervention Approach: A Quality Improvement Project, Kendra D. Crawford

DNP Scholarly Projects

BACKGROUND: Hospital acquired pressure injuries (HAPIs) continue to plague hospitals across the country. HAPIs are an indication of the quality of care delivered by the hospital’s nursing workforce. These injuries are costly to organizations and can lead to increased length of stay (LOS). The development of a HAPI, depending on severity, is a reportable injury and is classified as patient harm. Patients who suffer from HAPIs can experience significant pain and at times, permanent disfigurement. This project’s focus is a community hospital that has seen a steady increase in HAPIs over the last 2 years. During 2025, 28% of the …

Improving Confidence In Certified Registered Nurse Anesthetists In Providing Care For Patients Undergoing Transcatheter Aortic Valve Replacements, Justin Alley

DNP Scholarly Projects

Abstract

Title: Improving Confidence in Certified Registered Nurse Anesthetists in Providing Care for Patients Undergoing Transcatheter Aortic Valve Replacements (TAVR)

Background: Anesthesia staffing for complex, high-risk procedures like Transcatheter Aortic Valve Replacements (TAVR) is challenging due to a national shortage of anesthesia providers and the company's heavy reliance on non-permanent (locum tenens and 1099) Certified Registered Nurse Anesthetists (CRNAs). At this TAVR procedure location, 70% of the team is comprised of non-permanent staff. A lack of specialized training and experience in TAVR procedures led to a decrease in provider confidence and staffing shortages for these critical cases.

Purpose: The primary …

Succession Planning As A Tool For Nursing Recruitment, Retention, And Resilience, Natalie Kennett

DNP Scholarly Projects

Background: Healthcare is facing a significant nursing shortage. This shortage not only impacts bedside nurses but also nurse leaders. Succession planning is a method for recruiting, retaining, and building resilience among nurse leaders.

Purpose: This quality improvement project applied principles of succession planning, including leadership education, training, and assessment of leadership retention and resilience.

Methods: Two interventions were implemented in this quality improvement project. The first was an assessment of a modification in nursing leadership organizational structure that was made in 2024 with the purpose of improving succession planning. This evaluation was completed with the use of …

Reducing School Absenteeism In Children With Avoidance Behaviors, Kimberly Carey

DNP Scholarly Projects

Background: Chronic absenteeism and school avoidance are a problem facing schools across the nation following the COVID-19 pandemic. Chronic absenteeism is financially, emotionally, and academically expensive for society. Purpose: This quality improvement project aimed to decrease absences by 50% over a 6-week timeframe when compared to the same timeframe from the previous year. Methods: Utilizing a Plan-Do-Study-Act framework, an intervention based on tracking multi-day consecutive absences and reaching out to families to provide education and support was implemented. At three days of absence, the school nurse would either call the family for absence with unknown etiology or email with an …

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 …

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 …

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. …

Gendered Coverage In Sports Media: An Analysis Of Espn’S Representation Of Women’S Sports, Abigail C. Leonard

Honors Theses and Capstones

Despite growing participation in women’s sports, media coverage continues to reflect significant gender disparities. This thesis examines how ESPN, as a leading sports media network, contributes to the construction of gendered narratives through its coverage of women’s sports and female athletes. Drawing on framing theory, agenda-setting theory, and social identity theory, this study analyzes headlines, visuals, language, narratives, and broadcast patterns to explore how meaning is constructed in sports coverage.

The findings suggest that while coverage of women’s sports has increased, it often remains positioned as secondary to men’s sports. Female athletes are more frequently described using language that emphasizes …

"That She May Bear On My Knees:" An Adoption Ritual In The Hebrew Bible, Claire Ellen Hobbs

Honors Theses and Capstones

No abstract provided.

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.

Flood Damage And Social Vulnerability In Coastal New Hampshire, Mitchell S. Berry

Honors Theses and Capstones

This study investigates the relationship between flood-induced building damage and social vulnerability in coastal New Hampshire, with a focus on communities increasingly affected by sea-level rise, storm surge, and high tide events. Using a dataset of 2,528 single-family homes, the analysis integrates flood depth maps (coastal, pluvial, and fluvial), building-level damage estimates, and a housing-burden-based metric to assess how physical and social factors interact to shape flood impacts. Results show that flood depth is the primary driver of building damage, with the most severe impacts concentrated in coastal areas experiencing deeper inundation. However, when buildings are grouped by vulnerability, higher …

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 …

Novel Socially Assistive Robot For Alzheimer's And Dementia Home Care; Lived Experiences Of Families, Audrey V. Downs

Honors Theses and Capstones

Informal caregivers for individuals with Alzheimer’s disease and related dementias (ADRD) typically experience high levels of subjective caregiver burden due to strenuous role demands, notably the need to provide frequent reminders and 24/7 monitoring to address care recipient cognitive decline. The purpose of this study was to understand the lived experiences of informal caregivers using a novel Socially Assistive Robot (SAR) to care for individuals with ADRD in a home setting and evaluate SAR impact on caregiver subjective burden. SARs are autonomous, interactive devices that can provide timed reminders and monitor home environments, potentially alleviating some caregiver role demands and …

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.