Digital Commons Network^™

Sensory Modulation Training To Reduce Restrictive Interventions On An Acute Inpatient Psychiatric Unit At A Secure Psychiatric State Hospital: A Clinical Nurse Leader Quality Improvement Project, Fionna Norman

Master's Theses and Capstones

Abstract

Background: Symptoms of severe mental illnesses can result in Personal Safety Emergencies (PSE’s) in the acute in-patient psychiatric setting. As part of treatment of PSE’s, restrictive interventions such as seclusion are utilized in current practice to maintain the safety of the patient, peers, staff, and the environment. Evidence-based research has shown restrictive interventions can cause physical and psychological harm to both patients and staff. Reducing restrictive interventions continues to be a priority to create the most therapeutic environment possible. Evidence-based research has shown that sensory modulation is a non-restrictive intervention that can reduce the use of restrictive interventions, decrease …

Using The Stop5 Debriefing Model To Increase Utilization Of Debriefing Practice In The Emergency Department: A Quality Improvement Project, Hallie Chancey

Master's Theses and Capstones

Abstract Background: The practice of debriefing has been an important process in critical care settings to promote team unity as well as best care practices. Literature has shown that debriefing can not only influence quality care and improved operations, but the process can also influence the emotional support staff receive. These implications are particularly important for nurses that work in critical care settings as the job can often be stressful and lead to moral distress as well as the need for evidence-based care practices is crucial when a patient’s life is on the line. Literature supports that any form of …

Using Education To Improve Glycemic Management Within An Emergency Department, Rebecca Olson

Master's Theses and Capstones

Background: Patients with diabetes mellitus (DM) frequently visit acute care facilities for a variety of reasons. Proper management of this comorbidity increases patient safety, satisfaction, and quality care. Patients with persistent dysglycemic events in acute care facilities have an increased risk of complications and death during their stay. Lack of education can contribute to gaps in proper management within this population and therefore must be improved for better patient outcomes.

Methods: The Plan-Do-Check-Act design from the A3 Problem Solving model was used to guide a quality improvement project which focused on improving staff education and confidence surrounding glycemic management. The …

The Benefits Of Prenatal Education Via Virtual And Mobile Applications Before, During, And After Pregnancy: A Quality Improvement Project, Lindsay Farland

Master's Theses and Capstones

Background: The advancements of technology has led to a substantial increase in the use of pregnancy applications among expecting parents. Studies indicate that a majority of pregnant individuals utilize virtual education platforms for various purposes, including accessing information on nutrition, exercise, baby development, and pregnancy symptoms. Despite the potential benefits, participation in these platforms remains low, emphasizing a need for enhanced resources and engagement strategies. Research shows that engagement with antenatal education through mobile applications can lead to improved maternal and fetal outcomes, such as reduced rates of caesarean births and fewer complications related to hypertension or preeclampsia.

Methods: …

Acuity-Based Models Of Care: Improving Wait Times And Efficiency In An Outpatient Infusion Center, Jordan Lavallee

Master's Theses and Capstones

Background: Timeliness is a crucial aspect of high-quality care, yet remains a common issue faced by many outpatient infusion settings leading to patient dissatisfaction and potential negative outcomes.

Local Problem: At a 28-chair community infusion center, results from patient satisfaction surveys as well as chart audits highlighted suboptimal wait times and efficiency. 32% of patients were dissatisfied with wait times ranging from 23 to 40 minutes based on the therapy received.

Methods: A quality improvement project was conducted aiming to decrease the average wait time of patients receiving short therapies while increasing patient satisfaction. After a thorough review of the …

Wellness In Motion: A Quality Improvement Initiative To Support Resident Mobility And Reduce Falls., San N. Pham

Master's Theses and Capstones

Background: Falls are a significant concern in community living centers for older adult veterans. Promoting physical activity and resident engagement is crucial for reducing fall risk among this population.

Local Problem: A specific microsystem within this setting has a fall rate of 3 falls per month. This discrepancy underscores the need for targeted interventions to effectively address this issue.

Methods: This study measured key metrics related to falls and resident engagement in mobility programs both before and after the implementation of an exercise program within the microsystem.

Intervention: The "GIMME 10" exercise program, grounded in evidence-based practices and emphasizing resident-centric …

Implementing Of An Informative Poster To Improve Nurse Job Satisfaction In A Medical Surgical Microsystem: A Quality Improvement Project, Stephanie E. Mahoney

Master's Theses and Capstones

Background: Nurse job satisfaction is important since the quality of patient care directly depends on the staff and their willingness to continue working. Traditional approaches used in yearly surveys may cover only some aspects that upset nurses, such as workload and training. This project was designed to overcome these limitations by presenting a more extensive and often-used procedure to assess and solve issues regarding the satisfaction level of registered nurses.

Method: In the quality improvement project, data on job satisfaction using the Acute Care Nurses Job Satisfaction Scale (ACNJSS) was collected on job interest, colleague support, recognition, workload, …

Educational Interventions To Improve Icu Nurses’ Knowledge And Confidence Related To Pressure Injuries: A Quality Improvement Initiative, Benjamin R. Maltais

Master's Theses and Capstones

Background: The prevalence of pressure injuries (PI) in critical care is highest amongst inpatient units, and are associated with significant complications, decreased quality of life, increased cost of hospitalization, and poor patient care (Agency for Healthcare Research and Quality, 2019; Cox et al., 2022; Gorecki et al., 2014; Mervis & Phillips, 2019). Similarly, many PI are considered to be avoidable (Pittman et al., 2019). Despite an increase in focus on PI awareness and prevention, there still remains a challenge for patients in critical care units. In addition, research has indicated that nurses’ lack of basic knowledge of PI (risk assessment, …

Tap Taps And Fist Bumps: Embodied Movements In Skateboarding Sessions, Paige O’Neil

Comm-entary

No abstract provided.

Artificial Intelligence And Human Creativity: A Delicate Balance, Grace Bell

Comm-entary

This essay discusses the ways that virtues, as well as their meanings and their applications, are changing as technology develops. It also describes the debate among creatives and artists regarding the use of artificial intelligence (AI) in creative work, and the nuances that come with defining something as broad as 'creativity'. Artificial intelligence is new and frightening to many, and artists are unsure if this technology will make creative projects more accessible, or if it will take over human-designed creative projects entirely. Using Chat GPT as a tool and a creative partner, this essay investigates the ways that AI can …

The Cause And Effect Of Contemporary Science Communication, Dina Rathke

Comm-entary

No abstract provided.

Adventure’S Role On First-Year Rotc Cadet's Sense Of Belonging And Trust, John Robert Henkelman

Master's Theses and Capstones

In recent years, the United States military has fallen short of recruitment and retention goals. Belonging and trust may be beneficial in developing stronger peer-to-peer bonds in first-year college outdoor orientation programs, but no known study has explored the use of adventure in developing belonging and trust in ROTC orientation programs. Researchers surveyed traditional and adventure-based ROTC orientation programs and compared belonging and trust scores. ROTC programs were then compared to non-military-based outdoor orientation programs from across the United States. Using quantitative analysis, this exploratory study found that both national outdoor orientation programs and adventure-based ROTC orientation programs increase a …

Nursing Education And Comfort Level In Caring For Patients With Eating Disorders, Jaylyn E. Jewell

Honors Theses and Capstones

Nurses are integral to providing care to patients with eating disorders, who often present to the generalized hospital setting related to physical complications from their disorder. Despite the vital role nurses play, a lack of education is cited. This project sought to assess knowledge on eating disorders of nurses at a local hospital through dissemination of a survey. A total of n=18 responses were gathered. Results supported the fact that many nurses have received inadequate education on eating disorders, and consequently have low knowledge and competency in the care of these patients. This project seeks to identify this lack of …

Understanding Hospital-Based Nurse End-Of-Life Care, Knowledge, And Comfort: A Quality Improvement Project, Emma Doran

Honors Theses and Capstones

Providing physical, emotional, and spiritual care to patients at the end of life (EOL) can relieve their suffering and the pain experienced by loved ones in their presence. As death approaches, patients’ symptoms may require increased comfort measures, and it is imperative that all nurses be properly trained and prepared to provide this care. In this quality improvement (QI) project, the End-of-Life Professional Caregiver Survey (EPCS) and demographic and experiential questions were administered in the form of a Qualtrics survey to nurses working on an acute care inpatient unit at a healthcare organization in New England. 18 survey responses were …

Prospective Associations Of Fish Consumption In Cognitive Function And Depressive Symptoms Among Puerto Rican Adults, Johanna Grace Koroma

Honors Theses and Capstones

Johanna Koroma, Anne Bodenrader, and Sherman Bigornia

Objectives

Fish intake has been linked to certain neural benefits, specifically in slowing cognitive decline and attenuating depressive symptoms. However, existing evidence is conflicting and insufficient. The present study aimed to investigate the association of fish consumption with depressive symptoms and cognitive function among Puerto Rican adults.

Methods

Data is acquired from the Boston Puerto Rican Health Study, comprised of 1517 adults residing in the Boston Metro Area. Dietary patterns were evaluated using a validated food frequency questionnaire (FFQ) with follow-up surveys conducted 2 years from baseline. Consumption was organized into quartiles based …

‘Routines’ And ‘Formulaic Language’ In Conversation Analysis (Author's Extended Data), Danielle M. Pillet-Shore

Faculty Publications

Though the field of conversation analysis (CA) was founded upon examinations of interactional “routines” such as conversation openings and closings, conceptualizing and categorizing communicative phenomena as “formulaic” is anathema to CA. This chapter details how, since its inception, CA work has empirically elucidated how participants to recorded episodes of naturally occurring social interaction actively and collaboratively accomplish conversational activities as ‘routine’ or not by selecting from available action alternatives, spontaneously coordinating their selections vis-à-vis one another. Taking a multimodal CA approach, this chapter reviews state-of-the art literature on how people open and close in-person and telephone conversations, showing the immense …

Peer Support To Enhance Safe Alcohol Use In University Students: A Quality Improvement Project, Kerri Reynolds

DNP Scholarly Projects

BACKGROUND: College is a period of transition to adulthood where many students experiment with alcohol consumption. Peer educators can bring access to evidence-based alcohol consumption education through student-centric strategies. This quality improvement project aimed to implement an evidence-based training program for college peer educators followed by the delivery of campus alcohol education in a six week period. Feasible ideas for sustainable college peer educator training were generated at this medium-sized public university. The impact of training on six peer educators’ self-reported professional leadership skills, knowledge, and confidence was measured.

METHODS: The Certified Peer Educator (CPE) training program (NASPA) was used …

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 …

Exploring Lexical Stress Perception: An Investigation Across Varied Listener Experience With Prosody, Olivia J. Pride

Honors Theses and Capstones

Prosody is a characteristic of speech that allows others to understand emotion, emphasis, and meaning of language more deeply. Perceptual accuracy by speech-language pathologists is critical to diagnosing speech disorders. This study examined perceptual abilities of three different groups in identifying lexical stress across groups. Four SLPs, 6 SLP graduate students, and 6 untrained listeners listened to 396 audio files elicited in a prior study using the lexical stress tasks from the Prosodic Profiling Elements of Prosody in Speech-Communication (PEPS-C) and the naturalistic lexical stress (NLS) tasks. Listeners were asked if syllable stress was on the first syllable, second syllable, …

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 …

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 …

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 …

Investigating The Relationship Between Politics And Education, Alaina M. Winrow

Honors Theses and Capstones

This paper looks into how politics plays a role in the public K-12 education system in the United States, specifically looking at the state of New Hampshire. Federal, state, and local governments provide important resources through funding to schools and create the laws that govern them. However, educational politics can be controversial at times. Within the past several years, there have been more tense school board meetings and divisive laws being passed or considered around the nation. Overall, the divisive political climate has influenced much of the discussion surrounding education and has created more stress for educators, administrators, school staff, …

A Review Of Executive Functioning And Social Communication Supports For Neurodiverse College Students, Reilly Morgan Gray

Honors Theses and Capstones

No abstract provided.

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 …

Developing A Gender Diverse Stimulus Set For Emotion Expressions, Amir Robertson

Honors Theses and Capstones

Much past research has demonstrated that gender plays an important role in emotion perception, such that gendered stereotypes about emotion seem to shape how we perceive and interpret the emotion expressions of men and women. However, the stimulus sets that are typically used in the vast majority of this research have been based on binary ideas of gender, and purposefully limit common elements of gender presentation, with models posing with limited accessories or personal aesthetic choices. In everyday life, however, individuals’ gender and gender presentation are not limited in these ways and likely contribute in important ways to how we …

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.

Responding To Aggression In Dementia-Related Diseases, Michele Kroll

UNH Cooperative Extension

No abstract provided.

Exploring The Associations Between Being Single, Romantic Importance, And Positive Well-Being In Young Adulthood, Nicole K. Watkins, Jonathon J. Beckmeyer, Tyler B. Jamison

Faculty Publications

Objective: The goal was to explore if perceived romantic relationship importance moderated associations between single status and young adults' positive well-being.

Background: Singlehood is often framed within a deficit framework, with the expectation that being single during young adulthood may be costly for well-being. That approach, however, does not account for young adults' romantic goals, which may shape how being single is connected to well-being.

Method: Participants were 909 American young adults, ages 18–35 (M = 26.6, 51% female, 81% heterosexual, 58% White, non-Hispanic), who completed an online survey in December 2019.

Results: Being single, compared to having a romantic …