Improving Timely Pain Reassessments And Documentation Using Nurse Education And Visual Reminders: A Quality Improvement Project, Madison Grace

Master's Theses and Capstones

Background: Effective pain management requires nurses to complete and document an entire pain assessment cycle, including the initial assessment, intervention, and reassessment (Wolters Kluwer, paragraph 5, 2020). Timely reassessments are essential for determining whether interventions were effective or if additional actions need to be taken to improve patient pain and comfort. Despite established hospital policies and guidelines, inconsistencies in timeliness of pain reassessments and associated documentation are a common challenge faced.

Local Problem: Baseline chart audits on a 22-bed combined pediatric and adult medical-surgical unit identified opportunities to improve adherence to timely pain assessments and documentation. With only 65% percent …

A Quality Improvement Project: Enhancing Nursing Knowledge And Patient Safety In The Prevention Of Hospital-Acquired Pressure Injuries (Hapis) In A Medical-Surgical Unit, Kristen Vartabedian

Master's Theses and Capstones

Background: Hospital-acquired pressure injuries (HAPIs) are a significant quality indicator within the hospital system. HAPIs increase hospitalization, morbidity, and associated healthcare costs. The current evidence suggests that ongoing nursing education can improve pressure injury prevention and help in the early identification.

Local Problem: Nurses within a medical-surgical unit demonstrated a gap in knowledge in the identification of hospital acquired pressure injuries and lack of accuracy when charting skin findings. Thus, contributing to a delay in recognition and treatment of HAPIs.

Methods: This quality improvement project utilized the Plan-Do-Study-Act (PDSA) framework to guide implementation of educational flipbooks. Materials contained standardized wound …

Addressing Perception Of Nurse Burnout Through Educational Interventions On An Inpatient Hematology And Oncology Unit: A Quality Improvement Project, Kendra Flint

Master's Theses and Capstones

Introduction Nurse burnout is a growing concern in healthcare due to its negative effects on nurse well-being, staff retention, patient safety and quality of care. This quality improvement project evaluated whether a brief educational intervention could improve nurses’ confidence in recognizing and managing early signs of burnout within an inpatient hematology and oncology unit.

Methods This QI project utilized the Plan-Do-Study-Act (PDSA) framework to guide implementation and evaluation. Registered nurses completed anonymous pre- and post- intervention electronic surveys and descriptive statistics were used to compare change in self-reported confidence and burnout perception.

Intervention Participants were directed through a brief electronic …

Improving Early Ambulation After Cardiac Surgery Using Nurse Education And Workflow Cues: A Quality Improvement Project, Nathan Seeley

Master's Theses and Capstones

Background: Early ambulation following cardiac surgery is an evidence-based practice that promotes postoperative recovery, reduces complications, and supports earlier discharge (Cook et al., 2024; Engelman et al., 2019; Kanejima et al., 2020). Despite its recognized benefits, consistent implementation remains challenging in busy inpatient settings due to workflow demands, competing priorities, and patient-related barriers.

Local Problem: Inconsistent early ambulation practices were identified on the Cardiac Surgical Step-Down Unit, creating an opportunity to improve adherence to evidence-based postoperative mobility practices.

Methods: This quality improvement project used the Plan-Do-Study-Act (PDSA) model to evaluate the impact of a brief nurse-focused educational intervention on early …

Improving Effective Completion Of Catheter Care Using A Reminder System To Minimize Incidence Of Catheter-Associated Urinary Tract Infections: A Quality Improvement Project, Morgan K. Leonard

Master's Theses and Capstones

BACKGROUND: CAUTI rates can be decreased by implementing a care cluster for RNs for CAUTI care into morning assessments and medication administration to ensure it is being done regularly with reminders through cards at the computers in patient rooms. LOCAL PROBLEM: The local problem in the microsystem were the catheter-associated urinary tract infection (CAUTI) rates at 1.199, while the national benchmark is 1.000 (Medicare, n.d.).

METHODS: Reminder cards were placed in patient rooms on the computers which are highly utilized by staY while providing patient care to serve as a reminder to complete catheter care in a high task burden …

A Quality Improvement Initiative: Implementing An Effective Massive Transfusion Protocol Cognitive Aid Tool Within An Operating Room & Post-Anesthesia Care Unit Setting, Jenna L. Farrell

Master's Theses and Capstones

Abstract

Background: Massive Transfusion Protocol (MTP) activations are low-frequency, high-acuity events in the post-anesthesia care unit (PACU) setting.  These events necessitate the rapid formation of codes teams, interdisciplinary communication amongst unfamiliar providers, critical decision-making, high-volume rapid blood transfusions, and critical laboratory marker monitoring.

Local Problem: Due to the infrequent nature of hemorrhagic events in the PACU, nurses may have limited experience participating in these protocols at their institutions, resulting in potential for documentation errors from retrospective back charting, decreased confidence regarding blood product sequencing and laboratory draw timing, and increased cognitive workload overall.  This quality improvement (QI) project implemented …

Retirement: Broaching Intersectional Identities And Aging, Nichole Tiggs Angieri, Ericka Cables, Mary Martha Abernathy

Adultspan Journal

Broaching intersectional identities in retirement is a crucial counseling skill that fosters trust and connection with older adults as they navigate this major life transition. Using Person-Centered, Trauma-Informed (PCTI) and Relational-Cultural Theory (RCT) as complements to broaching, these theories provide both relational and cultural attunement to facilitate healing and well-being in this specialized population. Through didactic information and case studies, the purpose of this conceptual paper is to provide counselors and counselor educators with insight into broaching intersectional identities in retirement and to advocate for further research on aging and identity. The implications for clinical practice include providing an integrated …

Full-Time Career Retirement: A Black Man’S Narrative Of Survival And Protecting His Peace, Demetrius Cofield, Amaya Rakes

Adultspan Journal

Full-time career retirement is a major developmental transition that is often examined through race-neutral frameworks, leaving Black men’s experiences underexplored in counseling and aging scholarship. This perspective article centers the narrative of a retired Black man veteran who transitioned into full-time career retirement after decades of state employment. Using a narrative interview approach, this manuscript examines the factors that shaped his retirement decision and adjustment to later adulthood. The interview frames retirement as a process of self-preservation, continuity, and intentional living rather than identity loss or disengagement. Findings highlight the role of disciplined wellness practices and selective disengagement in promoting …

A Systematic Review Of Psychosocial Interventions For Improving Well-Being In Retired Adults, Sakir Yilmaz, Mustafa Filiz

Adultspan Journal

The transition to retirement is a critical biopsychosocial stage that often brings challenges such as shifting roles and reduced income, which may lead to psychological distress. In this study, we systematically synthesized quantitative evidence on the effectiveness of psychosocial interventions in enhancing well-being (increase in positive functioning) among retired adults. A comprehensive search across PubMed, Scopus, Web of Science, and Cochrane was completed in October 2025. This was supplemented by Google Scholar and reference list screening, identifying 5,945 database records and 123 additional sources. After screening and eligibility assessment, seven studies met the inclusion criteria. Across these studies, interventions produced …

Town Of Alton, Town Report 2025, Alton Town Representatives

Alton, NH Annual Reports

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

Lethality And The Historical Principles Of Arms Regulation, Darrell A. H. Miller, Jennifer Tucker, Peter Rutland, Stephen Hargarten

Public Law and Legal Theory Working Papers

Second Amendment “arms” jurisprudence is a muddle. Lower courts have been obliged to craft various approaches from Supreme Court decisions that appear to point in different directions.

We propose that the scope and protection of Second Amendment “arms” could be calibrated to a single, shared metric across all weapon types–lethality. Lethality captures the issue that everyone cares about: whether one advocates for gun rights or for gun violence prevention.

Lethality helps make legible the changes in weapons technology over time and explains the principle that underlies traditional regulation of “dangerous and unusual” weapons. The more lethal a weapon is, the …

Cheap Violence: Weapons And The Law, Joseph Blocher, Darrell A. H. Miller

Public Law and Legal Theory Working Papers

A primary task of law is to control violence. Nearly every imaginable rule-of-law value depends on the success of that endeavor, and some of the most foundational works in legal and political theory begin with an effort to understand the relationship between law and violence. Many of those works were written during periods where the lines between law and violence were blurred, and current threats to the rule of law have sparked renewed interest in the structural interactions between law, violence, and the state.

Missing from this discussion has been a comparably deep analysis of the relationship between law and …

Patrimonial Constitutionalism, Aziz Z. Huq

Public Law and Legal Theory Working Papers

The means and the ends of federal power are experiencing a sea-charge. Pardons are freely granted—but only to political allies or political foes who might be coaxed into switching sides. Baseless federal criminal investigations are opened against other political foes. Probes into allies’ corruption are abandoned. Independent federal agencies responsible for defending the public sphere use their regulatory authority to openly advance politically allied voices, while stifling criticism of those in power. Federal money is explicitly wielded as cudgel and bribe to induce partisan loyalty. These and similar ways of flexing federal power add up to more than the sum …

Prescribing Religion: The Ten Commandments On Classroom Walls, Samuel L. Bray, Nathan S. Chapman, Brent A. Strawn

Public Law and Legal Theory Working Papers

Several states have recently enacted laws requiring the display of the Ten Commandments in public schools. This Article considers the application of the Establishment Clause to these statutes. First, it examines the history of England and its North American colonies to show that a central feature of an established religion was the government’s prescription of particular religious beliefs and practices. Second, it demonstrates that choosing one version of the Ten Commandments to display in public school classrooms necessarily specifies particular religious beliefs. This is in contrast to expressions of generic providentialism that the founders understood the Establishment Clause to permit. …

Slicing Spontaneity, Lee Anne Fennell

Public Law and Legal Theory Working Papers

No abstract provided.

The Prehistory Of The Interim Docket, Aditya Bamzai, Samuel L. Bray

Public Law and Legal Theory Working Papers

Did the Supreme Court issue stays of lower court judgments before the modern era? This Essay explores the underappreciated history of the Supreme Court’s issuance of interim relief. As we show, the Supreme Court has relied on a wide variety of statutory and common law authorities to issue stays long before the recent controversies attending the “shadow” or “interim” docket. This history demonstrates that the Court has always had authority to fashion interim relief of some kind. More- over, it supports the conclusion that the Supreme Court’s authority under the All Writs Act exists even when a more specific statutory …

Agglomerama, Lee Anne Fennell

Public Law and Legal Theory Working Papers

No abstract provided.

Fee Simple Obsolete, Lee Anne Fennell

Public Law and Legal Theory Working Papers

Urbanization has dramatically altered the way in which land generates and forfeits value. The dominant economic significance of patterns of land use and the opportunity costs of foregone complementarities have made the capacity to reconfigure urban property essential. Yet the architecture of our workhorse tenure form—the fee simple—is ill-suited to meet these challenges. The fee simple grants a perpetual monopoly on a piece of physical space—an ideal strategy when temporal spillovers loom large, interdependence among parcels is low, most value is produced within the four corners of the property, and cross-boundary externalities come in forms that governance strategies can readily …

Land Use And Land Cover Simulation Via Integrated Modelling With Gis Techniques For Sustainable Land Utilization Development In The Northeast Khong Subwatershed Of Thailand, ฺBanchongsak Faksomboon, Thipphaphone Keoviyavong

Applied Environmental Research

Land utilization is an important indicator of socioeconomic and environmental changes caused by both natural and man-made factors. Land use and land cover (LULC) simulation is a critical tool for monitoring and predicting LULC and is essential for sustainable development, land resource management and planning. The cellular automata (CA) Markov model is the basis for the current study’s prediction of LULC changes in the Northeast Khong Sub Watershed (NKSW). Landsat data from 2013 to 2023 were used to investigate LULC classification and determine the spatiotemporal distributions of LULC. In addition, LULC data from 2013 and 2023 were used to generate …

Reduction Of Cr(Vi) With Infrared Light And Chemical Adsorption Of Cr(Iii) By A God-Crown/Bentonite Composite For Electroplating Waste Remediation, Andre Taufik Kurniawan, Muhammad Djoni Bustan, Sri Haryati

Applied Environmental Research

Heavy metal pollution, particularly chromium (Cr) from electroplating industrial waste, has severely threatened environmental quality and human health. This study aims to develop a composite adsorbent material based on bentonite and god crown biomass capable of removing chromium ions from liquid waste through a combination of reduction and adsorption mechanisms. The god crown/bentonite (GC/Bt) composite was synthesized at a mass ratio of 2:1 and calcined at 900°C. FTIR characterization revealed active functional groups (–OH, C=O, Si–O, and Al–O–Si), whereas BET analysis revealed a mesoporous structure (surface area 31.12 m2 g-1, pore diameter 4.37 nm) suitable for ion diffusion. The reduction …

Trauma, Memory, And Familial Dynamics In Octavia Butler’S Kindred, Itzel Campos

Research Papers

No abstract provided.

Pension System And Corruption In Sub-Saharan Africa, Folake O. Alomilagba

Research Papers

This paper examines the relationship between corruption and pension coverage across Sub-Saharan Africa, where extending old-age income security remains a pressing developmental challenge. Using an unbalanced panel of 42 countries over 2000–2024, drawn from the Worldwide Governance Indicators, World Development Indicators, the International Labor Organization, and the World Bank's ASPIRE database, the study estimates the effect of the control of corruption on the share of the elderly receiving a pension. Pooled OLS, random effects, and two-way fixed effects estimators distinguish cross-country from within-country variation. Control of corruption is positively and significantly associated with coverage across cross-sectional specifications, with effects of …

A Quantum Algorithm For Multidimensional Partial Differential Equations With Practical Case Studies, Manu Chaudhary, Kareem El-Araby, Devon Bontrager, Alvir Nobel, Shima Mohaghegh, Kieran Egan, Mainish Singh, Trey Campbell, Jacob Spry, Luis Aviles, Naveed Mahmud, Pranav Reddy, Pruthviraj Sadhankar, Shivansh Shrivas, Esam El-Araby

Electrical Engineering and Computer Science Faculty Publications

Partial differential equations (PDEs) play a central role in scientific and engineering analysis, with applications spanning fluid dynamics, heat and mass transfer, electromagnetism, quantum mechanics, and financial modeling, where they are used to describe diffusion processes, wave propagation, and the evolution of complex systems over space and time. Solving multidimensional partial differential equations (PDEs) is a computationally challenging problem, even for the most advanced classical systems. Over the past decade, quantum computing has attracted significant interest as a potential approach for solving complex computational problems, including multidimensional PDEs. Although a variety of approaches have been proposed for solving PDEs, most …

The Art Of The Steal: Remedying The Looting Of Cultural Property Under International Law, Madeleine L. Sharp

Minnesota Journal of International Law, Vols. 28:2 onward (2019-present)

The practice of looting has existed almost as long as art itself. Although international law has bolstered its protections for art and cultural property in the context of armed conflict, significant enforcement issues remain.

The current framework for prosecuting the crime of looting does not adequately deter the practice, especially in instances that are unrelated to periods of armed conflict. Although pillage is treated as a war crime, all cases of looting—not just those that occur during war— should be viewed as a serious crime that threatens all nations. This Article proposes that universal jurisdiction be extended to the act …

The Patriarchal Project Of Apartheid: Exploring The Gendered Dimensions Of Apartheid And International Justice Pathways Forward, Akila Radhakrishnan, Alyssa T. Yamamoto

Minnesota Journal of International Law, Vols. 28:2 onward (2019-present)

Although the South African apartheid regime was first and foremost a race-based project, it was also a gendered project. The regime’s dystopian vision to entrench the systematic oppression of non-white people, particularly black people, was rooted in an ideological commitment not just to white supremacy, but to white male supremacy. This paper unpacks the gendered experiences of apartheid and outlines potential avenues to facilitate a more intersectional approach to justice and accountability efforts. Part I traces the patriarchal vision underpinning the South African apartheid regime—and the distinctly gendered dimensions of apartheid’s operationalization and legacy. Adopting a comparative approach, Part II …

Climate And Environmental Controls On Forest Soil Organic Matter Cycling, Genevieve Goebel

Dartmouth College Ph.D Dissertations

Climate change factors act on the soil environment in complex ways, known to disturb soil organic carbon (C). Rising global temperatures and alterations to regional precipitation and nitrogen deposition regimes may contribute to the intensification of global change by accelerating the rate of biological decomposition and CO2 efflux to the atmosphere. The magnitude and endurance of the disturbance to soil organic C across landscapes and throughout time that climate change factors may pose to soil C cycling are not comprehensively understood. These knowledge gaps in our field make it challenging to anticipate how soil environments and the vast ecosystems that …

Genomic Determinants Of Appetite Regulation And Their Role In Obesity Risk, Timothy J. Renier

Dartmouth College Ph.D Dissertations

Over 40% of US adults and 20% of children live with obesity. It is related to increased risks of diseases including type II diabetes and cancer, is a source of harmful stigma, and impairs child development. Appetitive traits describing patterns of food approach and avoidance behaviors may serve as windows into the underlying pathophysiology of obesity. As both obesity and appetitive traits are heritable, common genetic drivers of obesity may lead to phenotypic obesity through appetitive traits as a disease mechanism. Additionally, GLP-1 receptor agonists (GLP-1RAs) have been shown to exert their profound clinical effects in part by modulating appetite. …

Cross-Temporal Statistical Approaches For Evaluating Predictor-Outcome Relationships, Jeff Joseph

Dartmouth College Ph.D Dissertations

Central auditory function is linked with cognitive deficits, but few research projects use existing statistical approaches or develop new ones to forecast cognitive deficits using the results of central auditory tests. To address this limitation, we use a series of statistical learning frameworks for predicting a child’s cognitive abilities based on his/her central auditory performances and demographic factors. Two key challenges exist. First, children may start the study at a time when they are unable to perform the central auditory tests or cognitive tests. Second, cognitive performance is age-dependent, particularly in the early formative years of childhood and adolescence. To …

Governing Agroecological Transitions: Landscape Legacies, Participation, And Socioecological Change In The Northeastern United States, Kristen Jovanelly

Dartmouth College Ph.D Dissertations

Agroecological transitions are often presented as purposeful shifts toward more resilient, equitable, and ecologically sustainable landscapes. In practice, these transitions unfold through histories, ecological feedback, institutional arrangements, and contested forms of participation. This dissertation examines how these forces shape what agroecological transitions become, for whom, and with what socioecological consequences across urban and working landscapes in the northeastern United States.

Drawing on historical and critical analysis, ecological modeling, greenhouse experimentation, ethnographic fieldwork, and institutional analysis, I trace transition through urban forests, community-garden seed banks and soils, temperate agroforestry systems, and a participatory tree nursery. Analyses of urban greening and agroforestry …

Beyond Bathrooms: The Far-Reaching Consequences Of Denying Gender Identity In Adams V. School Board Of St. Johns County, Jeffrey Sun, Regina Umpstead Pratel

American University Journal of Gender, Social Policy & the Law

INTRODUCTION: The transgender community continues to face discrimination in United States society, and legal protections are unlikely to change anytime soon. Understanding the broader context of these challenges helps explain why some instances of discrimination in public schools may be overlooked or even supported by public officials. An examination of recent judicial rulings concerning transgender students’ access to restrooms corresponding with their gender identity—situated within the broader convergence of national legal and social developments—provides critical insight into the structural barriers faced by transgender students within the educational system and transgender individuals in society at large. Significantly, the growing visibility of …