Digital Commons Network^™

Evaluating The Impact Of Simulation On Perceived Knowledge And Confidence Of New Graduate Nurses (Ngns) In Maternal-Newborn Care, Disa Seymour

DNP Scholarly Projects

Abstract

Background: Nursing education worldwide varies in duration and training process, with nurses often facing rapid immersion into patient care complexities when entering the workforce. While new nurses contribute significantly to the nursing community with contemporary knowledge, their transition to practice can be daunting, necessitating support for both competence and retention. As specialty care settings integrate more new graduate nurses (NGNs) to address workforce shortages, collaboration between leaders and educators becomes crucial. Simulation emerges as a vital tool in building confidence while learning, offering a safe space for skill development and growth of confidence.

Purpose: This project’s objective was to …

Optimizing The Assisted Living Experience: Integration Of Value-Based Care To Foster Augmented Resident-Centered Quality, Jennette Pietrzak

DNP Scholarly Projects

Background: Fee-for-Service models are quantity-focused reactive approaches and have historically been at the forefront of healthcare. Value-based models focus on proactive, resident-centered care that is aimed at quality care over quantity. Implementation of ValueBased Care models can positively impact healthcare and fiscal outcomes

Purpose: The quality improvement project aimed to develop, integrate, and implement a valuebased model in Memory Care as an alternative to traditional Fee-for-Service models. The project aimed to improve key performance indicators by reducing hospitalizations, emergency room visits, and falls following the implementation of Value-Based Care (VBC) models.

Method: Data metrics for hospitalizations, emergency room visits, and …

Scares: A Clinician Guide To Spinal Cord Awareness, Response, And Emergency Support Creation And Implantation Of Scares Protocol Among Hospitalist Advanced Practice Providers, Brittany Biega

DNP Scholarly Projects

While they are more common in patients with oncological disease and trauma, SCE still exist among patients without these comorbidities. Less has been established regarding care protocols in this population. The absence of standardized procedures has been linked to preventable, adverse patient outcomes, including cases of permanent damage due to delayed treatment. This project employs Lean Six Sigma methodologies and Johns Hopkins Evidence- Based Practice to devise a robust SCE protocol, aimed at standardizing care and improving patient outcomes. A multidisciplinary team including general medicine, neurology, neurosurgery, and neuroradiology developed “Spinal Emergency Management Guidelines” protocol, which was implemented within the …

Impact Of Personal Continuous Glucose Monitor Use During Hospitalization On Rates Of Hypoglycemia And Provider Confidence, Rebecca Longo

DNP Scholarly Projects

Continuous Glucose Monitors (CGMs) are an essential tool for managing diabetes in the outpatient setting, helping individuals achieve glucose goals. However, CGMs are not currently FDA-approved for use in the hospital setting. Despite this limitation, many individuals continue using their personal CGM during hospitalization or begin using them prior to discharge if the care team believes the technology will support glucose management during and after leaving the hospital.

This project aimed to evaluate whether individuals using personal CGMs during hospitalization experienced less hypoglycemia and whether reviewing CGM data could improve provider confidence in insulin dosing. While initiating CGM use during …

Implementation Of An Electronic New Patient Intake Questionnaire (E-Npiq) In A Child Development Clinic: A Quality Improvement Project, Wilma Hyde

DNP Scholarly Projects

BACKGROUND: A rural academic medical center child development clinic in New Hampshire experienced high volumes and inefficient workflows, causing delays in care. With a referral rate at 5-fold capacity, the need to create an efficient intake process that allowed for triage and data collection was apparent.

PURPOSE: Institute an integrated electronic new patient intake questionnaire (e-NPIQ) to improve work efficiency.

METHODS: A literature review on barriers and enablers for patient uptake of electronic questionnaires guided best practices for workflow redesign. The project instituted an integrated e-NPIQ while simultaneously creating a standardized new patient intake process. A mixed methods approach analyzed …

Unsung Heroes In Conservation: Evaluating The Limitations Faced By New England Wildlife Rehabilitation Centers And Proposing Solutions For Their Support And Recognition, Shaylee M. Sarmiento

Honors Theses and Capstones

Wildlife rehabilitation is an often-unacknowledged practice within the overarching field of wildlife protection and conservation. This practice involves the treatment and hopeful release of wild animals affected by various ailments. With the continued expansion of and interest in the field, it could be assumed that wildlife rehabilitation is supported and funded by government bodies, but this is not the case. Because of the lack of funding and resources, many wildlife rehabilitation centers cannot achieve their full rehabilitative potential and expand their reach in the conservation world. Additionally, an absence of support leads critics to question the ethical standards of wildlife …

“Slaves Of The State:” The Exploitation Of Women Through Convict Leasing, Beth F. Newton

Honors Theses and Capstones

No abstract provided.

Understanding Neurodiversity And Executive Disfunction To Discover More Effective Accommodations And Create A More Inclusive Workforce For Neurodivergent Individuals, Carley Dahlstrom

Honors Theses and Capstones

The goal of this paper is twofold. One: understand executive disfunction to gain a broader understanding of neurodiversity and the challenges those with neurodiversity face in the workforce. And two: research different accommodations to combat executive disfunction and evaluate their effectiveness. To accomplish these goals, an extensive literature review was conducted to understand neurodiversity, executive disfunction, government requirements relating to accommodations, and an exploration of current accommodations available. Additionally, research was conducted in the form of interviews and a survey to expand and add to the overall understanding of this research area.

Results of the survey indicate an overall lack …

Comparing Calcium, Vitamin D, And Calorie Intakes Among Unh Army Rotc Cadets With Low And Normal Bone Mineral Status, Ava Gaudette

Honors Theses and Capstones

No abstract provided.

Land Analysis Of A 33 Acre Parcel In Deerfield, Nh, Chloe C. Gross

Honors Theses and Capstones

No abstract provided.

Investigation Of Charge Density Waves And Layer Stacking In Niobium Ditelluride, Gavin J. Smith

Honors Theses and Capstones

NbTe₂ is a layered transition metal dichalcogenide which exhibits charge density waves (CDWs) and superconductivity in the bulk. Previous scanning tunneling microscopy and spectroscopy experiments suggested that Fermi-surface nesting and reciprocal lattice reconstruction are important in the formation of CDWs in NbTe₂. These experiments focused on spectroscopy of pristine regions. We will present low temperature scanning tunneling spectroscopy experiments examining the 3x1 CDW in NbTe₂ at 10K. We found a crystalline step and multiple neighboring 60º and 120º CDW domain boundaries. We examined the electronic structure across these domain boundaries and in neighboring domains using scanning …

Alpaca Assisted Activities In The New England Alpaca Industry: A Possible Solution To Farm Profitability And Participant Mental Health, Ashley Michele Masse

Honors Theses and Capstones

The high operating costs of the New England alpaca industry were putting the majority of alpaca farmers in this region in a state of financial loss. On a separate note, American communities were experiencing a prevalence of anxiety and depression. What if a single solution could help improve the outcome of both these challenges that seem to have little to do with each other? Alpaca Animal Assisted Activities (alpaca AAAs) was a possible solution. This study explored New England alpaca farm profitability and alpaca AAAs in a way no other research study has done before. A Farmer Survey was mailed …

Alpaca Assisted Activities In The New England Alpaca Industry: A Possible Solution To Farm Profitability And Participant Mental Health, Ashley Michele Masse

Honors Theses and Capstones

The high operating costs of the New England alpaca industry were putting the majority of alpaca farmers in this region in a state of financial loss. On a separate note, American communities were experiencing a prevalence of anxiety and depression. What if a single solution could help improve the outcome of both these challenges that seem to have little to do with each other? Alpaca Animal Assisted Activities (alpaca AAAs) was a possible solution. This study explored New England alpaca farm profitability and alpaca AAAs in a way no other research study has done before. A Farmer Survey was mailed …

The Expansion Of Language Interpretation Services Post-Executive Order 13166: Effects On Maternal And Fetal Outcomes Of Non-English-Speaking Patients, Lilly Annabelle Smith

Honors Theses and Capstones

Over 69 million people older than the age of 5 in the U.S. speak a language other than English at home (U.S. Census, 2022). Of this population, around 38% report speaking English less than "very well" or limited English proficiency, “LEP”. Research has shown patient-provider communication quality in healthcare settings to be directly linked to the provider's ability to deliver safe and suitable care for LEP patients (Au et al., 2009). Executive Order (EO) 13166, signed into law in 2000, requires all federal agencies to implement and document language interpretation services in their establishments (Basu et al., 2017). LEP mothers …

Hohenschönhausen As A Tangible Representation Of The German Democratic Republic’S Development Of Operative Psychology, Zoe Werth

Honors Theses and Capstones

Located in Lichtenberg, Berlin (part of the former borough of Hohenschönhausen), Gedenkstätte Berlin-Hohenschönhausen stands today as a memorial for the thousands who were killed and imprisoned there, from its construction in 1939 until its closure in 1990. This paper will trace the evolution of Hohenschönhausen from a physical space of confinement, to a sophisticated psychological apparatus designed to exert control over its political prisoners through the development of “Operative Psychology” (OP). Through an architectural and historical analysis of the prison, alongside a review of prisoner testimonies, this paper works to reveal how the environment of Hohenschönhausen was methodically designed to …

Implementation Of The Dutch Biking System In The United States Subject: Portsmouth Nh, Linda K. Freeman

Honors Theses and Capstones

This thesis explores the feasibility of implementing the Dutch Biking System in the United States, focusing on Portsmouth NH as a potential candidate for such infrastructure development. By analyzing the history of bicycles, the Dutch biking system, and the American biking system, the study aims to establish the need for enhanced biking infrastructure in the U.S. The research outlines a comprehensive implementation plan based on cost considerations and project scope, with a long-term vision spanning several decades. Key stakeholders, including civil engineers, communications specialists, and data analysts, play crucial roles in designing, promoting, and evaluating the biking infrastructure. The study …

Global Analysis Of The Neutron Magnetic Form Factor, Joseph P. Jayne

Honors Theses and Capstones

Protons and neutrons, the nucleons, are made up of smaller particles called quarks. Nucleons have three valence quarks, which are the dominant contributors to its properties, as well as sea quarks (quark-antiquark pairs) and gluons. The distribution of the charge and magnetization of these particles is described by the electric and magnetic form factors. These form factors can be measured with scattering experiments since they directly affect the particle’s cross section. Neutron form factors are challenging to measure because a pure neutron target will decay very fast and is not viable for experiments. Instead, targets like 2H and 3H are …

The Continuation Of Thoroughbred Racing: A Dual Mission, Isabella V. Williams

Honors Theses and Capstones

Thoroughbred racing is the highest-profile segment of the equine industry in the United States and around the world, accounting for 50% of industry jobs and 25% of industry revenue. Public interest in the sport is rising thanks to social media and celebrity involvement at marquee events like the Kentucky Derby, leading to increased scrutiny of the sport, posing a high risk to human and equine participants alike. Public outcry at equine injuries in particular threatens the sport’s social license to operate (SLO), making it critical to protect the “whole-life welfare” of the animals involved in the sport to ensure its …

A New Industry For Student- Athletes: An Analysis Of Nil Implications On Well-Being And Team Dynamics, Jamison W. White

Honors Theses and Capstones

As of June 2021, college athletes are allowed to benefit from selling their name, image, and likeness (NIL) by engaging in contracts with sponsors and businesses. Even though this law was passed to allow athletes to earn a fair pay for their hard work though utilizing their popularity and engaging with fans, its potential effect on athletes remains uncertain. This research examines the effects of NIL agreements on student-athletes’ well-being and team perceptions. More specifically, does the adoption of NIL place additional stress on student- athletes or disrupt their team dynamics? If so, what support can be granted to allow …

The Lighthouse Keepers Daughter: The Life And Work Of Celia Laighton Thaxter, Haley J. Parker

Honors Theses and Capstones

Living on the edge of the American empire, Celia Thaxter explored the dimensions of her life in ways that transcended, yet never fully abandoned traditional gender boundaries by cultivating her lifelong relationship with nature through creative expression. The lighthouse keeper's daughter constructed her identity based on the experiences that shaped her on the very edge of civilization. Coming of age on the Isles of Shoals, Celia reveled in flexibility and unrestricted freedom of her natural environment isolated from the cultural spheres on the mainland that reinforced the ideology of domestic femininity. This ideology was dominant in the 19th century in …

Judging Our New Judges: Why We Must Remove Artificial Intelligence From Our Courtrooms Now, Kieran Duffy Newcomb

Honors Theses and Capstones

In this paper, I explore some of the ways in which artificial intelligence might enhance the sentencing process through recidivism prediction technology. Notably, this technology can increase the accuracy of risk predictions and the speed with which sentencing decisions are reached. I then show, however, that the recidivism prediction technology is likely to turn into what data scientist Cathy O’Neil calls a Weapon of Math Destruction. The potential harmfulness of this technology is due not to the inherent nature of the technology, but the symbiotic relationship it will have with our already harmful criminal justice system. I argue that the …

Artificial Intelligence And The Entertainment Industry, Caroline Rae Mccarthy

Honors Theses and Capstones

Artificial intelligence is a fast-growing technology that is quickly taking over many industries, such as the entertainment industry. Artificial intelligence has the capability to replicate voices, create fake videos and photos, called deepfakes, of just about anything, and can practically bring people back to life. This technology, as it stands now, is similar to the wild west because in the vast majority of places, it’s lawless. Artificial intelligence is growing so rapidly that lawmakers haven’t had a chance to keep up. This paper explains more of what AI does in everyday life, and how its abilities can impact the entertainment …

Implementation Of Stronger Community Resilience In The United States Before Natural Disasters Strike, Andrew J. Widdekind

Honors Theses and Capstones

Since 2000, the United States has not sustained viable mitigation and preparedness solutions to combat the frequent and intense onset of natural disasters; more must be done on how communities can adapt and withstand them. Instead, environmental and human-induced factors have exacerbated the likelihood of these threats, which has caused billion-dollar weather events to occur more often. This paper focuses on how congressional policymakers would have to incorporate new mitigation/preparedness approaches into current emergency management methodology by creating a new federal statute known as the National Resiliency Act (or similar). A policy like this would strengthen the overall resilience of …

Effects Of 0, 8, Or 16g/D Of Nicotinic Acid To Prepartum Jersey Cows: Effects On Glucose Concentration In Their Calves, Kaitlyn M. Zarrella

Honors Theses and Capstones

The primary objective of this research project is to further investigate the optimization of colostrum production in multiparous Jersey cows, focusing on the influence of diet and seasonal factors. Previous findings by Dr. Stahl in 2023 at the University of New Hampshire Burley-Demeritt Organic Dairy Research Farm indicated that an intake of 23 g/d of nicotinic acid (Niacin; NA) might have been excessive for prepartum Jersey cows, potentially affecting colostrum yield and quality. While an enhancement in intestinal development was noted in calves receiving colostrum from cows supplemented with nicotinic acid, the dosage may have been too high to positively …

Jury Decision-Making: Do Racial Attitudes And Victim And Offender Race Make A Difference?, Charlotte A. Kettyle, Ellen S. Cohn

Honors Theses and Capstones

No abstract provided.

Annual Reports Hart's Location, Nh School Year Ending June 30, 2023, Town Year Ending December 31, 2023., Hart's Location Town Representatives

Hart's Location, NH Annual Reports

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

2023 Health & Well-Being Team Highlights, Amy Hollar, Kendra Lewis, Michael C. Young

UNH Cooperative Extension

No abstract provided.

Responding To Aggression In Dementia-Related Diseases, Michele Kroll

UNH Cooperative Extension

No abstract provided.

2024 Directory Of Landscape Professionals Trained In Ecological Landscaping For Water Quality Protection, Julia Peterson

UNH Cooperative Extension

No abstract provided.

4-H Horse Knowledge Bowl Entry Packet, Extension

UNH Cooperative Extension

No abstract provided.