Enhancing Nurses' Self-Efficacy In Smoking Cessation Counseling To Improve Patient- Centered Care At A Federally Funded Urgent Care Center: A Quality Improvement Initiative, Adam N. Waller Ii

Master's Theses and Capstones

Background: It is well documented that there is a high prevalence of Veteran tobacco use in the United States. Additionally, providing smoking cessation counseling in an emergency setting is beneficial. The broader Veteran Affairs (VA) macrosystem has a plethora of smoking cessation resources available for Veterans. Within a VA Urgent Care Center (UCC) a quality improvement initiative was conducted that focused on increasing registered nurses (RNs) self-efficacy in providing smoking cessation counseling. Prior to this quality improvement (QI) project, smoking cessation did not occur in this UCC. If RNs have higher self-efficacy more smoking cessation counseling will occur.

Methods …

Using Education To Improve Nurse Perceptions On Rounding To Increase Patient Safety And Efficiency Of Care On A Behavioral Health Unit: A Quality Improvement Project, Shannon Alty

Master's Theses and Capstones

Abstract

Background: Hourly rounding completed by nursing staff are routinely completed on most inpatient hospital units. Evidence suggests that hourly rounding can improve patient outcomes, patient satisfaction rates, communication, minimize patient requests and improve the nurse patient relationship (Halm, 2009). Additional evidence suggests that inpatient psychiatric patients often feel disconnected from their nurse and hourly rounding is recommended to build the nurse-patient relationship (DaSilva, 2017). However, for successful implementation, nurse perceptions of rounding must be obtained.

Local Problem: Hourly rounding is a standard of practice, however, was not being consistently completed. Assessing the nurse perceptions regarding rounding, was imperative understand …

Promoting Safety Of Medication Administration And Reducing Medication Errors Using Photographic Patient Identification In An Inpatient Psychiatric Setting: A Quality Improvement Initiative, Kyla Kelly

Master's Theses and Capstones

Abstract

Background: Medication errors pertaining to patient wristband workarounds in a behavioral and mental health inpatient unit can affect patient outcomes, safety and can even be fatal. The proper verification of the five rights of medication administration, patient acuity, diagnosis, and unit staffing can impact the need for patient wristband workarounds to occur. Improving staff and patient education and reducing the need for wristband workarounds through the utilization of patient photographic identification significantly reduces the number of medication errors relating to wristband workarounds during the medication administration process. Additionally, a significant reduction in the time it takes to administer medications …

Implementing Education For Maternity Nurses To Improve Nurses’ Knowledge, Attitudes, And Practices Regarding Postpartum Depression: A Quality Improvement Initiative, Haley Merrill

Master's Theses and Capstones

BACKGROUND: Postpartum depression (PPD) is the most common complication of childbirth, but often goes undiagnosed. Adequate patient education on PPD increases the patient’s knowledge and supports enhanced communication between patients and provider. Maternity nurses have continued interaction with new mothers and are in a vital position to educate patients regarding PPD. However, maternity nurses may lack confidence in delivering the appropriate education and resources for PPD to postpartum women.

LOCAL PROBLEM: Within the given microsystem, there was currently a gap that existed between PPD education for nurses and the delivery of PPD patient education.

METHODS: Utilizing the Plan-Do-Study-Act model, a …

Establishing A Protocol To Address Workplace Violence And Increase The Perceptions Of Safety Among Emergency Department Nurses: A Quality Improvement Initiative, Devan M. Robidoux

Master's Theses and Capstones

Background: Violence against emergency department nurses has become a widespread phenomenon that can greatly impact a nurse's job satisfaction and performance. Research has been scarce in examining the relationship between workplace violence and its underlying consequences. There remains a disconnect between precursors of violence against nurses perpetrated by patients and the cultural expectation that violence is a part of the nurses job and, subsequently, what they signed up for when going into the field. Nurses learn that having a greater understanding of the value in the lived experience of their patients leads to better quality delivery of care. However, culturally …

Giving Effective And Timely Hospice Education To Lessen Participant Stress (Get Helps), Caroline Rose Carter

Master's Theses and Capstones

In 2022, 1.72 million people chose to use hospice as their end-of life care. This is a 6.8% increase from 2019, and the number of patients who choose to use hospice is increasing (Summers, 2022). The aim of this quality improvement (QI) study was to decrease levels of stress reported by the patient and informal caretakers by combining the information from the hospice program’s admission packet and other approved handouts, while standardizing the verbiage through a Flesch-Kincaid readability scale to an eighth-grade reading level. Pre-survey perceived stress scores averaged 22.97 on a modified Perceived-Stress Scale, and the mean of the …

Neuronal Primary Cilia In Postnatal Brains & Alzheimer’S Disease Mice Eeg Patterns Under Fear Conditioning, Sierra Rose Mae Walsh

Honors Theses and Capstones

Alzheimer’s Disease (AD) is a neurodegenerative condition caused by the abnormal accumulation of amyloid β plaque. While small amounts of amyloid β plaque is to be expected with increased age, AD presents amyloid precursor protein (APP), a gene promoting inappropriate plaque formation, causing early neuronal death and tissue depreciation. APP23 transgenic mouse models contain the human mutation in the neocortical and hippocampal positions, areas revealing of plaque accumulation and memory loss. Within the hippocampal cortices, the primary cilia, which regulate higher cognition and neurodevelopment can be studied along with burst suppressions, or moments of high focal activity, to target potential …

Individual Behavioral And Neurobiological Markers Associated With Vulnerable To Ethanol Use Phenotype, Hannah Elizabeth Manning

Honors Theses and Capstones

Alcohol use disorder is a chronic, relapsing brain condition that affects 29.5 million Americans. The disease is characterized by loss of control over drinking, continued use of alcohol in the face of negative consequences, and the experience of withdrawal symptoms. While there are several forms of treatment available for alcohol use disorder, 95% of patients experience at least one relapse during recovery. Currently, the high tendency to relapse remains the major challenge standing in the way of successful treatment for alcohol use disorder. Research is continuing to be conducted into the behavioral and neural mechanisms underlying relapse into alcohol use, …

Behavioral Markers And Endophenotypes Underlying Individual Differences In Ethanol Use, Haily R. Knapp

Honors Theses and Capstones

The main concern of this study is to evaluate the neurobiology of ethanol self-administration and cue-induced reinstatement in rats and its implications for Alcohol Use Disorder (AUD) prevention and treatment. The purpose of this study is to use a pre-clinical model of ethanol use to understand the individual effects at the neurobiological level. The study utilized economic demand and negative consequence testing to evaluate the rats' motivation to consume ethanol and their ability to relapse after periods of abstinence. The results showed individual and sex differences in ethanol consumption, with rats who placed a higher value on ethanol being more …

Effect Of An Acute Bout Of Low-, Moderate, And High-Intensity Aerobic Exercise On Immediate And Delayed Fractionated Response Time, Danielle R. Martineau, Ronald V. Croce, Wayne Smith

Honors Theses and Capstones

In the present investigation, we investigated the role of three intensities of aerobic exercise (Low Intensity [LI], Moderate Intensity [MI], High Intensity [HI]) on IPC using a unique method to fractionate RPT into three components: (1) RT, which is the interval between the onset of the stimulus signal and the onset of muscle activity in the responding muscle (cognitive-decision making component), (2) movement time (MT), which is the time interval between the onset of muscle activation and completion of the required motor response, and (3) RPT, which encompasses both RT and MT. Movement time reflects more the muscular components of …

Assessing Parental Conversational Overlap In A Museum Setting And Its Correlation With Child Language Skills, Madison Gould

Honors Theses and Capstones

Research has identified the importance of quality interactions with parents, caregivers, and peers in the promotion of language acquisition. We question how certain aspects of parental language, primarily repetition, expansion, and extension, correlate with child language skills. There is limited research available regarding the impact of conversational overlap on a child’s language development at a singular time point, with most studies being longitudinal, especially when assessing conversations between children and their caregivers in different settings, such as a museum exhibit. Our findings suggest that children need less parental recasting as they age and as their language skills are bolstered.

Understanding Castration Anxiety Through Contemporary Art And Feminism, Ember J. Nevins

Honors Theses and Capstones

No abstract provided.

Where The Action Is: Positioning Matters In Interaction, Danielle M. Pillet-Shore

Faculty Publications

Position matters. As a conversation analyst examining any form of recorded synchronous human interaction – be it casual or institutional – I constantly monitor for, and organize my collections of target phenomena around structural position: Where on a transcript and when in an unfolding real-time encounter does a participant enact some form of conduct? Because conversation analysis (CA) is primarily focused upon action sequences, I use CA methods to examine the ways in which participants’ audible utterances and visible body-behaviors accomplish particular social actions due at least in part to their positioning within a sequence of interaction – …

Development Of An Evidence Based Surgical Site Infection Bundle In Patients Undergoing Colorectal Surgery: A Quality Improvement Initiative, Jessica Mcbee

DNP Scholarly Projects

BACKGROUND: Surgical site infections (SSI) are among the leading healthcare-acquired infections that negatively impact patient outcomes and increase total cost of healthcare and the patient’s length of stay. At a community hospital in West Virginia, trends in SSI rates and the standardized infection ratio (SIR) increased for patients undergoing colorectal surgery. The purpose of this quality improvement project was to identify and implement permanent evidence-based practice changes to reduce SSI rates in colon surgery patients.

METHODS: Baseline rates of SSI and the SIR for the facility was calculated from October 2021 to September 2022. Colon surgery SSI reduction …

A Quality Improvement Initiative: Addressing Workplace Violence Toward Nurses To Promote A Culture Of Safety In An Inpatient Psychiatric Facility, Ernestina Danso

DNP Scholarly Projects

This quality improvement initiative aimed to address workplace violence against nurses in inpatient psychiatric facilities and promote a culture of safety. The QI project involved 27 participants, including inpatient psychiatric nurses and mental health counselors from Cahill 4 and 7 West units at the Cambridge Campus. The primary objective was to identify challenges that hindered the effective utilization of the Broset Violence Checklist (BVC) tool for referring patients to sensory modulation rooms.

Pre- and post-intervention surveys were conducted to assess participants' self-reported knowledge and barriers to BVC and sensory room utilization. Educational sessions covering workplace violence, debriefing techniques, and the …

Improving Mental Health Psychiatric Nurse Practitioners’ Knowledge And Confidence To Assess Decision-Making Capacity In Geriatric Psychiatric Patients In Acute Settings, Lolita Brown

DNP Scholarly Projects

Abstract

In this quality improvement project, I aim to enhance the knowledge and confidence of psychiatric mental health nurse practitioners (PMHNPs) in completing Decisional Capacity Mental Assessments (DMCAs). I use qualitative and quantitative methods to measure the intervention’s success, emphasizing PMHNPs’ role in ensuring ethical DMCAs while maintaining patient autonomy. The education-based intervention significantly improves PMHNPs’ knowledge and confidence levels following the pre-education survey. These findings highlight the significance of DMCA training for health-care professionals, underscoring the necessity of standardized assessments alongside improved dialogue during capacity evaluations. Limitations include limited sample sizes and dependence on self-reported measures, which may introduce …

Exploring & Mitigating Workplace Incivility At A Rural Community Hospital, Jacquelyn Ethier

DNP Scholarly Projects

Workplace Incivility (WI) is a well-known challenge in healthcare, with decades of mounting evidence showing the effects on workplace culture, healthcare worker retention and patient safety. The nursing workforce has become increasingly vulnerable to all stressful elements of the work environment. Organizational leadership must develop and deploy mitigation strategies to minimize the negative consequences of these behaviors for nurses, and the entire healthcare team. The purpose of this quality improvement project is to assess the current state of nurse perceptions of WI at a rural community hospital and deploy evidence-based education on strategies to address and mitigate WI. The method …

An Exploration Of Self-Identity In Transracial Adoptees From China, Aliya Dejun Sarris

Honors Theses and Capstones

Sparked by the COVID-19 pandemic, the author began to notice that the newest wave of Asian-American Pacific Islander (AAPI) activism was not inclusive of transracial adoptees, or people adopted by parent(s) of a different race. This study explores the unique identity of transracial adoptees specifically from China. The author explores the topics of identity, family, friends, community and overall belonging through the lens of primary and secondary sources. The primary sources include seven, hour-long interviews that the author conducted herself. Overall, the study concludes that transracial adoptees have a qualitatively different experiences than non-adopted peers that – although an incredibly …

Mpacts Of Parental Incarceration On Child's Well-Being And Interventions To Support Them, Anna Stacey Roberge

Honors Theses and Capstones

This study reviews the effectiveness and impact of current interventions for children who have incarcerated parents in New Hampshire. The negative impacts of parental incarceration have led to the need for these intervention strategies. Recently psychologists and behavioral experts have conducted their studies which show that children who have incarcerated parents are more likely to display delinquent behaviors. Additionally, studies have shown that parental incarceration can lead to the experiencing of several more psychological difficulties, such as depression, anxiety, and learning disorders (Kremer et al., 2020). Several communities have worked to implement interventions that will help these children avoid falling …

The Impact Of Compensation Framing On Work Relationships, Jack Wixson

Honors Theses and Capstones

This paper attempts to understand the effects of compensation framing on performance, work relationships, and organizational citizenship behavior. 108 study participants worked under either a bonus or penalty framed contract to complete an effort-based task. The results of the study indicate that employees will exert more effort to get to know their supervisor and demonstrate more good behavior under a bonus frame versus a penalty frame. These findings are important for companies to recognize how different compensation structures impact their employees. Companies can be more successful if they put in more time and effort to better understand their employees.

Individual Behavioral And Neurobiological Markers Associated With A Vulnerable To Ethanol Use Phenotype, Kelsey M. Alimandi

Honors Theses and Capstones

Alcohol use disorder (AUD) is a chronic relapsing brain condition that is characterized by excessive alcohol consumption, continued use when faced with negative consequences, and a negative emotional state associated with withdrawals (anxiety, irritability, depression). The main challenge to treating AUD is preventing relapse. The purpose of this study was to use a prolonged-exposure model to allow rats to self-administer ethanol to determine the brain regions active during relapse events. The rats performed multiple behavioral tests such as economic demand, negative consequences, and an elevated plus maze. These tests determined how hard rats were willing to work for an ethanol …

Understanding The Personality Of A Coworker, Alyssa S. Hall

Honors Theses and Capstones

The concept of personal intelligence (PI) refers to an individual's capacity to accurately reason about personality and personality-related information in themselves and others (Mayer, 2008). Understanding personal intelligence has various practical applications, including the workplace, where it has been shown that individuals with higher PI exhibit lower levels of counterproductive work behavior and perceive their work environments as more supportive (Mayer et al., 2018). In a recent study by Peters and colleagues (2021), participants were asked to describe their interactions with difficult coworkers, and their sophistication in the narratives was evaluated by judges. The study found that there was a …

Nursing Students' And Recent Graduates' Observations Of Fatphobia In The Clinical Setting, Myah Kerbyson

Honors Theses and Capstones

Objectives: To investigate the incidence of fatphobic behaviors among the healthcare team and how nursing students’ and recent graduates’ observations of fatphobic behaviors impact the provision of affirming care.

Background: Weight stigma among healthcare providers can lead to fatphobia (e.g., hurtful or stigmatizing language, dismissal of symptoms). These experiences can negatively impact patients’ health and experiences with healthcare, leading some patients to avoid or delay seeking healthcare services. Fatphobia can also cause increased stress levels among patients, which places them at a higher risk of several diseases. The short-term and long-term effects of fatphobia lead overall worse health outcomes.

Methods: …

The Clinical Observations Of Nursing Students And Recent Graduates Caring For Lgbtq+ People, Emily E. Roy

Honors Theses and Capstones

Objective: The next generation of nurses have increased educational preparation to provide affirming care to lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people, but an evaluation of the effectiveness of this teaching has not been performed. The purpose of this study was to identify nursing student and recent nursing graduate observations of affirming and non-affirming care of LGBTQ+ people in healthcare settings during clinical experiences. We also sought to understand how those experiences affect their ability and willingness to provide affirming health care to LGBTQ+ people.

Methods: Participants filled out a mixed methods Qualtrics survey that was distributed through school …

Examining The Interest Of Business School Students And The Gender Gap In Careers Of Data Science And Analytics, Logan M. Lopus

Honors Theses and Capstones

Professionals in the data science and analytics field are in high demand. Recently, business schools have introduced various academic programs to train students in those fields. However, what makes business school students interested in these career fields is not entirely known. Research questions such as who the major influencers are for business school students' career choices or whether there are any differences between genders in terms of their awareness, readiness, and interest in data science and analytics careers remain to be answered. Therefore, this study examines the segmentation of business school students in how they prepare for careers, drivers of …

Anti-Queer Policy As It Translates To Violence Against The Lgbt Community, Kendall Bush

Honors Theses and Capstones

In recent years, the amount of anti-LGBT policy introduced is rapidly increasing (ACLU, 2023). Contemporary policy focuses mainly on queer youth and gender identity, attacking gender-affirming health care and limiting LGBT discussions in public schools. Although these policies are particularly insidious, they follow a trend of queer persecution in the United States. Within federal policy and across state legislation, the panopticon of anti-LGBT policy ensures that queer bodies are policed and monitored. This paper posits that the increase in anti-queer policy translates to an increase in experiences of external and indirect violence. Based on findings from the UCR and various …

Role Modeling As A Computing Educator In Higher Education: A Focus On Care, Emotions And Professional Competencies, Virginia Grande, Paivi Kinnunen, Anne Kahtrin Peters, Matthew Barr, Asa Cajander, Mats Daniels, Amari N. Lewis, Mihaela Sabin, Matilde Sanchez-Pena, Neena Thota

Applied Engineering and Sciences Scholarship

This paper provides insights into role modeling by educators in computing that is beyond the technical, theoretical and rational perspectives which have historically been described as dominant in computing. Surveying 199 educators in higher education, we have built on frameworks of role modeling, care, emotions, and professional competencies as a lens to see different ways of engaging in computing.

Our quantitative and qualitative findings show how educators model ways of caring (for oneself, other humans and living species, technology, and the planet), emotions, professional competencies and other types of role modeling. Examples of contexts within computing and reasons why an …

Measuring The Inventor's Contribution

The University of New Hampshire Law Review

All inventors should be compensated for the value of their contributions. Inventors contribute both to the patent system and to the technology commercialization process by providing access to a qualifying disclosure describing a qualifying idea. Yet today, a schism divides the patent world and the commercial world over the value of these inventive contributions. Unlike the commercial world, the patent world pays inventors for the contributions of noninventor technology commercialization roles. In particular, seminal reasonable royalty cases like Georgia-Pacific and TWM Manufacturing allow patentees to recover infringer profits and proxies thereof—in violation of congressional mandate and the Supreme Court’s opinion …

Transgender Health: Exploring Medicalization And The Interactions Of Race/Ethnicity, Disability, And Education, Evan Thomas England

Master's Theses and Capstones

There is a wide range of experiences among and between transgender, BIPOC (Black, Indigenous, people of color) and disabled groups, but they all share histories of medicalization that result in marginalized health experiences and access to health care. To what extent do these health experiences and outcomes vary for U.S. adults with multiply marginalized intersectional identities? How, if at all, does the established moderating capability of education impact health outcomes for people who are transgender? Using data from the 2020 Behavioral Risk Factor Surveillance System, this study utilizes regression modelling to explore the interactions of race/ethnicity, disability, and education with …

Broken Promises: The Granite State’S Return To The Institutionalization Of Children With Disabilities

The University of New Hampshire Law Review

In 1975, the New Hampshire legislature enacted a progressive statute which mandated the Department of Health and Human Services “to establish, maintain, implement and coordinate a comprehensive service delivery system for developmentally disabled persons.” This law was innovative for its time; it decreed that individual service plans (ISPs) be developed for every client in the state’s service delivery system, guaranteed “a right to adequate and humane habilitation and treatment[,]” and contemplated the state’s area agency system as we know it today. The statute was a steppingstone for the 1981 class action lawsuit of Garrity v. Gallen. This was one of …