Digital Commons Network^™

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 …

A Quality Improvement Project: Increasing Nurse Satisfaction With Patient Educational Material Related To Pain Management Options During Labor, Madison Grant

Master's Theses and Capstones

BACKGROUND:

Pain management is a large portion of what nurses manage during the patient’s time on the labor and delivery unit. The primary forms of pain management that is available to women during this time includes epidurals, nitrous oxide, stadol/diphenhydramine, and nonpharmacological options such as breathing techniques. It is essential that patients are aware of all pain management options prior to entering the unit for delivery, however sometimes nurses have to help to close the educational gap.

LOCAL PROBLEM:

Within the microsystem, it was acknowledged that many patients lacked the education of their pain management options prior to delivery which …

Improving Nurse Knowledge And Attitudes Through Education On Integrative Pain Management In A Medical-Surgical Unit: A Quality Improvement Project, Samantha Hamilton

Master's Theses and Capstones

Abstract

Background: Pain management in medical-surgical microsystems is complex, with many patients experiencing acute and chronic pain that can be difficult to control. Nurses often receive limited continuing education on integrative and comprehensive pain management strategies, highlighting a need to improve their knowledge and attitudes toward evidence-based, multimodal approaches.

Local Problem: Nurses in this 38-bed medical-surgical microsystem identified a gap in education related to integrative pain management strategies. This may lead to a reliance on pharmacological interventions and missed opportunities for holistic, patient-centered care

Methods: A 25-day quality improvement project was conducted using an asynchronous educational PowerPoint on integrative …

A Quality Improvement Project: Increasing Pre-Term Infant Safety By Enhancing Skin-To-Skin Time In The Nicu, Maureen A. Cassidy

Master's Theses and Capstones

Background: Skin-to-skin (STS) contact, also known as kangaroo care, is a critical intervention for preterm infants, especially for those in the neonatal intensive care unit (NICU). It promotes neurodevelopmental outcomes, physiological stability, and parental bonding. However, STS often falls below recommended daily levels due to a variety of berries. Exploring aids like belly bands may help address these barriers and promote improved outcomes.

Local Problem: STS time in this NICU microsystem falls significantly below nationally recommended levels, with most preterm infants receiving less than one to two hours daily compared to the World Health Organization’s recommendation of 8-24 hours per …

Hit Me, Baby, One More Time: A Critical Discourse Analysis Of The Celebrity Gossip Magazine Shaming Of Britney Spears, Anna Drabik

Comm-entary

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 …

Roll The Film, Play The Music, Lauren Sutton

Comm-entary

No abstract provided.

Public Health: The Ethical Potential For Applied Neuromarketing, Olivia Buzzell

Comm-entary

No abstract provided.

A Biogeochemical Perspective On Acidification And Buffering Capacity In The Piscataqua Estuary, Sanjana Varanasi

Master's Theses and Capstones

Coastal acidification is influenced not only by rising atmospheric CO2 and river-ocean mixing, but also by metabolic processes that alter seawater carbonate chemistry and buffering capacity. This study examines how sedimentary biogeochemical processes contribute to carbonate system variability in the Piscataqua Estuary, a tidally dynamic channel connecting Great Bay to the Gulf of Maine. The biogeochemical processes considered include sedimentary aerobic respiration, denitrification, sulfate reduction, and carbonate dissolution or precipitation. Two incubation experiments were conducted in September and October of 2024 at the University of New Hampshire’s Coastal Marine Laboratory (CML) to quantify changes in pH, dissolved inorganic carbon (DIC), …

A Quality Improvement Project Reinforcing Nursing Education On Support Resources For Families In The Icu, Emily Siel

Master's Theses and Capstones

BACKGROUND: The Intensive Care Unit (ICU) is often a source of psychological, physical, social, financial, and spiritual distress for families of patients. Multidisciplinary support resources are available but are often underutilized. Nurses are uniquely positioned to assess needs and integrate resources into care. Therefore, enhancing nurses' ability to guide families to appropriate support resources may alleviate distress and promote holistic well-being for patients and their families.

METHODS: The Plan-Do-Study-Act (PDSA) model was used to guide this project. A pre-intervention survey assessed awareness, utilization, and perception of ownership. Following dissemination of the intervention, a post-survey evaluated improvements in knowledge and integration. …

A Comparison Of Pacing Strategies Between Males And Females Running In Carbon-Fiber Plated Shoes, Amanda P. Ares, Allison A. Petry, Morgan M. Koskela, Owen R. Daigle, Summer B. Cook

Honors Theses and Capstones

Carbon-fiber plated (CFP) shoes have been shown to enhance performance in elite runners, with less research on recreational runners. It is also unknown how CFP shoes affect pacing strategy during races. Additionally, it is known that male and female recreational runners pace differently throughout running races. Purpose: This study aimed to compare pacing strategies between male and female recreational runners running in non-CFP and CFP shoes during a 5km time trial. Methods: Twenty-one male and female recreational runners (22±4 years, 1.7±0.07m, 65.2±7.0kgs) completed two 5km time trials in non-CFP and CFP shoes in a randomized order. Participants were blinded to …

From Civil War To Cold War: China, The Us, And The Korean Conflict, Ethan Paul Foss

Honors Theses and Capstones

This history honors thesis investigates US foreign policy in East Asia during the early Cold War, specifically from 1945 to 1953, focusing on the Chinese Civil War and the Korean War. This thesis argues that American policymakers misjudged Chinese communism, Korean nationalism, and regional dynamics due to ideological assumptions and Cold War anxieties. The research examines missed diplomatic opportunities with Mao’s China, the flawed occupation of South Korea, and the escalation of the Korean Conflict, revealing how rigid anti-communist policies contributed to the Korean War's outbreak and strengthened communist alliances. Ultimately, it argues that the Korean War was less an …

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?

Implementing Gallup 12+ Employee Engagement Survey In A Critical Access Hospital, Catherine R. Hardwick

Honors Theses and Capstones

Objective: To utilize the Gallup Q12+ survey to assess baseline staff engagement among nurses and nursing assistants at a critical access hospital, implement direct education intervention, and evaluate its impact on staff engagement rates, with the goal of identifying micro and macro-problems.

Methods: This quality improved project was conducted at Littleton Regional Hospital, a level Ⅲ trauma center and critical access hospital. The PDSA cycle started on March 1 and ended May 10. The Gallup Q12+ survey was sent to Registered Nurses, Licensed Nursing Assistants, and Nursing Technicians to establish baseline staff engagement levels and areas that need improvement. Directed …

You’Ll Be Back: Sensory Cognition’S Influence On Audience Retention, Tia Dimicelli

Honors Theses and Capstones

This study explores the impact of sensory elements – specifically ambient scent and music – in theatrical lobbies on audience satisfaction and likelihood of returning. Two general surveys were distributed to gauge what audiences expect from lobby spaces, and what they describe as memorable experiences. Then, two experiments were conducted using a test/control group design during live performances in New Hampshire. Participants completed surveys assessing their perception of the lobby environment, satisfaction with the performance, and likelihood to return to or recommend the venue. While the initial general surveys indicated that participants believed sensory elements would enhance their experience, no …

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.

Production & Perception Of /S/ And Pitch Of Transgender Speakers, Connor J. Ryan

Honors Theses and Capstones

Linguistic research on how transgender speakers use speech traits commonly associated with gender, such as f0 and /s/, is still limited in scope. Past research has focused primarily on singular gender groups within the transgender community, particularly transmasculine speakers, leaving gaps in how speech differs among transgender speakers. Additionally, there has been little research on how transgender identity influences perception of gender in speech. Here, I use data from reading passages by fifteen university-age transgender speakers in New England to analyze variation in /s/ and f0 among transmasculine, transfeminine, nonbinary, and multigender speakers. I then performed a perception study using …

Design And Implementation Of A Nursing Peer Practice Case Review Program In An Academic Surgical/Trauma Icu, Natalie Tredway

DNP Scholarly Projects

Background: Peer review has been in use in healthcare for many years, primary by physicians. Recently, however, nursing has adopted a framework for peer review within the profession. According to the American Nurses Association (admin, 2011), organizations are required to maintain a systematic peer review process aimed at evaluating nursing care and nursing care providers to obtain/maintain Magnet designation. According to Foster (2015) nursing peer review (NPR) is “process by which practicing registered nurses systematically assess, monitor, and make judgments about the quality of nursing care provided by peers as measured against professional standards of practice”. The focus is on …

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 …

A Quality Improvement Project To Enhance Chronic-Condition And Self-Care Knowledge In Adolescents With Spina Bifida, Ann Paris

DNP Scholarly Projects

Background: Spina Bifida is the most common central nervous system disorder in the United States (CDC, 2024). Even with early surgical repair, patients may have chronic, disabling, multisystem needs (Phillips et al., 2017). Adequate care of Spina Bifida requires a multidisciplinary approach. As such, patients with spina bifida require multiple specialty providers, clinic appointments, care-tasks, and interventions (CDC, 2024, Phillips, et al., 2017). Synthesizing information from multiple care providers can be daunting, especially for adolescents as they grow more autonomous in their care, and especially as they enter the age of pediatric-to-adult transition (Psihogios et al., 2015).

Purpose: …

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 …

Nightmare, Phoebe E. Bowen

Honors Theses and Capstones

No abstract provided.

Noise In The Acute Care Patient Setting, Taylor A. Cota, Brynn Roberts

Honors Theses and Capstones

Noise levels in hospital environments can negatively impact patient satisfaction and recovery, particularly in high-acuity units such as Progressive Care Units (PCUs) (Choiniere, D. B., 2010). Patient satisfaction surveys at the PCU at Exeter Hospital have consistently identified noise as a concern, highlighting the need for rigorous quality improvement (QI) planning phase to determine whether a structured intervention, such as white noise implementation, is indicated.

This project focuses on the initial planning phase of the Plan-Do-Study-Act (PDSA) cycle (Institute for Healthcare Improvement, n.d.) to assess the feasibility and necessity of introducing white noise machines to enhance patient experience on the …

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.

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 …

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 …

Role Of Emotional Intelligence In Leadership, Sabrena Craft

M.S. in Leadership

No abstract provided.

Community, Service, And Growth: A Winant Fellow's Summer Of Impact, Bailey Schott

UNH Today Archive

No abstract provided.

The Impact Of Transformational Leadership On Employee Motivation Across Non-Profit And For-Profit Organizations, Kayla L. Lent

M.S. in Leadership

This project examines the impact of transformational leadership on employee motivation within both nonprofit and for-profit organizations. Using a case study approach, the research was inspired by the author’s observations of transformational leadership in practice and its effects on employee engagement, morale, and alignment with organizational goals. A qualitative methodology was employed, featuring a semi-structured interview with a nonprofit leader to explore key components of transformational leadership: idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration. Findings reveal that transformational leadership fosters intrinsic motivation and strengthens organizational culture across sectors. The study concludes with practical recommendations for adopting transformational practices …

Joseph Joachim And Bach's Chaconne, Robert Whitehouse Eshbach

Faculty Publications

And they will long to have heard Joachim's violin-playing as we long to have heard Bach at his organ: not from curiosity to verify an old record of technical prowess, but from the desire to recover the unrecorded manifestations of a creative mind.

How Should Scientists Act? Assessing Public Perceptions Of Scientists And Scientific Practices And Their Implications For Science Communication, Thomas G. Safford, Emily H. Whitmore

Faculty Publications

Is how science is conducted legitimate? Are scientists trustworthy? Whether the public answers “yes” to these questions is critical for science communicators. We explore how social factors affect public perceptions of the practice of science, and then test how those beliefs relate to views about how scientists engage with the public and policy making. Our results show that political ideology and religiosity affect these views. However, more importantly, respondents’ concerns about the integrity of the scientific process are the strongest predictor of views about scientists’ behavior, providing a focus area for future communication efforts in support of science-based decision making.