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Pilot Texas Red Cross Virtual Disaster Health Services Model-Case Study, Kathryn Elaine Weseman Jan 2018

Pilot Texas Red Cross Virtual Disaster Health Services Model-Case Study, Kathryn Elaine Weseman

Walden Dissertations and Doctoral Studies

The Red Cross traditional method of Disaster Health System (DHS) response is ' boots on the ground.' Texas, the 2nd largest state by population and land mass, has only 15 DHS volunteer nurses who were not able to meet the needs of disaster victims in Texas with the traditional response method. The Texas Red Cross DHS volunteer nurses began piloting a virtual DHS model in 2014. The research question was how Texas Red Cross nurses designed, developed, implemented, and evaluated the Texas Red Cross virtual DHS Model. The purpose of this case study was to provide this information in a …

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Perceptions Of Employees And Supervisors Of A Skills Training Program, Lincoln Calcavecchi Jan 2018

Perceptions Of Employees And Supervisors Of A Skills Training Program, Lincoln Calcavecchi

Walden Dissertations and Doctoral Studies

Organizational leaders know that training improves worker performance, but training is often initiated without considering employees' work task requirements. This instrumental case study was conducted to understand the perceptions of employees who completed a skills training program and those of supervisors. The conceptual framework was andragogy, emphasizing self-efficacy and self-direction, motivation, and goal setting for adult learners. The guiding questions addressed the perceptions of employees about their self-directed participation in the skills training program and its relationship to work tasks and supervisors' perceptions of employees' participation in that program. Semi-structured interviews with 8 individual employees and a focus group with …

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Social Support, Gender, And Burden In Caregivers Of Patients With Alzheimer's Disease, Jennifer Lynne Wisneski Jan 2018

Social Support, Gender, And Burden In Caregivers Of Patients With Alzheimer's Disease, Jennifer Lynne Wisneski

Walden Dissertations and Doctoral Studies

There are 15.9 million adults in the United States providing care to a family member diagnosed with Alzheimer's disease. Family member caregivers experience detrimental physical and mental health stress because of their caregiving role. The purpose of this study was to determine if the independent variables of marital status, perceived social support, and gender of family member caregivers of patients with Alzheimer's disease were related to the dependent variable of caregiver burden. The variables were examined through the lens of John Bowlby's attachment theory using archival data (n = 586) from the REACH II program. The results of the analysis …

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Educating Oncology Nurses On The Benefits Of Patient Exercise, Roberta Anderson Jan 2018

Educating Oncology Nurses On The Benefits Of Patient Exercise, Roberta Anderson

Walden Dissertations and Doctoral Studies

Exercise benefits patients with cancer during and after treatments. A formalized educational program is lacking at the project's site for oncology nurses on the benefits of exercise for their patients during and after treatment. The purpose of the project was to address the identified gap in practice at the project's site by providing education to oncology nurses on the benefits of exercise for their patients during and after treatment. The ARCS model of motivational design was used as a theoretical foundation to develop and guide the educational program presented to the oncology nurses. The question addressed in the project was: …

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Enhancing Urinary Catheter Skills Among Clinically Practicing Nurses, Arvella Derisa Battick Jan 2018

Enhancing Urinary Catheter Skills Among Clinically Practicing Nurses, Arvella Derisa Battick

Walden Dissertations and Doctoral Studies

Catheter-associated urinary tract infections (CAUTIs) contribute to increased patient length of stay and health care costs. The literature has shown that one plausible cause of CAUTIs is improper Foley catheter insertion techniques among nurses. The purpose of this project was to answer the project-focused question that asked if there was a difference in nurses' practice skills following an educational intervention involving aseptic Foley insertion. Benner's novice-to-expert theory was the conceptual model for the study. Nurses from a college nursing program were asked to demonstrate Foley catheter insertion on a simulation model, and their technique was evaluated using a standardized checklist. …

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Inclusion Of The African Diaspora In Florida Nonprofit Organizations, Lydia Asana Jan 2018

Inclusion Of The African Diaspora In Florida Nonprofit Organizations, Lydia Asana

Walden Dissertations and Doctoral Studies

Social and economic challenges in one part of the world influence budgets, security, health, and well being of populations globally as was the case with the 2014 Ebola outbreak. Deficits in healthcare, education, governance, and the economy in African nations result in financial and social contributions from the diaspora residing in the United States. Many African-born immigrants to Florida came with useful knowledge and experience from their home nations that could be a valuable resource in carrying out effective development initiatives. However, accessing that knowledge is challenging. The purpose of this research was to explore the inclusion of members of …

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Evidence-Based Strategies And Practices To Manage Veterans' Noncancer Pain: A Systematic Review, Janice D. Ivery Jan 2018

Evidence-Based Strategies And Practices To Manage Veterans' Noncancer Pain: A Systematic Review, Janice D. Ivery

Walden Dissertations and Doctoral Studies

Opioid therapy is widely used to treat veterans with chronic noncancer pain (CNCP) despite evidence indicating patient safety concerns with the treatment. Although there is a place for opioid therapy in chronic pain management, opioids are not recommended as the first line of treatment for CNCP because of the risk for accidental overdose and death. The purpose of this project was to examine alternative practices for managing CNCP through a systematic review of the literature guided by the conceptual model of the Joanna Briggs Institute method for systematic reviews (JBIM-SR). A critical appraisal of the literature was conducted, and data …

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The Relationship Between Big Five Personality Traits And Burnout: A Study Among Correctional Personnel, Sharon Maylor Jan 2018

The Relationship Between Big Five Personality Traits And Burnout: A Study Among Correctional Personnel, Sharon Maylor

Walden Dissertations and Doctoral Studies

Burnout is a serious work related syndrome that is a result of exposure to chronic work stress. In addition to the consequences of burnout on the individual, the symptoms of burnout can adversely affect the organization, the clients the individual works with and the individual's close family and friends. The literature has focused on the history of burnout and the level of burnout experienced by various high stress occupations; however there has not been extensive research into the role personality traits play in burnout. The main research question of this study was to identify personality traits that are more susceptible …

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African-American Women And Work-Life Balance, Alisha Diane Powell Jan 2018

African-American Women And Work-Life Balance, Alisha Diane Powell

Walden Dissertations and Doctoral Studies

African American women have high rates of depression and anxiety and are more likely to experience marital instability. Work-life balance (WLB) has been a topic of growing discussion and research as the number of women in the workplace has increased significantly. Researchers have demonstrated that women who work full time outside of the home have the unique challenge of fulfilling work obligations while taking care of household responsibilities. Work-life balance (WLB) has been a topic of discussion and research as the numbers of women in the workplace have increased significantly in the United States. The purpose of this qualitative phenomenological …

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The Relationships Between Older, Physically Impaired Men And Their Pets., Jennifer Hughes Williams Jan 2018

The Relationships Between Older, Physically Impaired Men And Their Pets., Jennifer Hughes Williams

Walden Dissertations and Doctoral Studies

The present study examined older male adults' lived experiences with pet ownership. There is robust literature on older adults and the human-animal bond, but presently there are no qualitative phenomenological studies that focus solely on older physically impaired males who live alone and the relationships they have with their pets. With the guiding framework of biopsychosocial theory and using intensive interviews, 10 older males (65+) who suffered from some physical impairment discussed the relationships they have with their pets, and how their companion animals affect their physical, emotional, and social health. All interviews were transcribed, coded, and analyzed for themes. …

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Neurodevelopmental Basis Of Autism Spectrum Disorder Based On Age And Gender, Sursatie Chetram Jan 2018

Neurodevelopmental Basis Of Autism Spectrum Disorder Based On Age And Gender, Sursatie Chetram

Walden Dissertations and Doctoral Studies

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that affects communication, socialization, and restricted/repetitive behaviors. In 2012, one out of every 55 children (1 in 42 boys and 1 in 189 girls) have been diagnosed with ASD in the United States. Only 30-40% of ASD has a known etiology (e.g., genetic predisposition) and the other 60-70% is unknown. Prior to this study, there was no known literature on age and gender differences related to neuro-developmental functioning of ASD. The purpose of this study was to examine how the differences in age and gender of people with ASD were related to …

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Implications For Public Policy Regarding Gay Seniors Living In Suburban Florida, Brian Fuss Jan 2018

Implications For Public Policy Regarding Gay Seniors Living In Suburban Florida, Brian Fuss

Walden Dissertations and Doctoral Studies

In less than 20 years over 6 million lesbian, gay, bisexual, and transgender (LGBT) individuals will be over 65 years old designated as seniors according to the Older Americans Act. When public policies for the aging population are implemented, LGBT individuals are forgotten, especially those living in nonmetropolitan areas. Using a purposeful convenience sample and a phenomenological approach 7 gay seniors residing in Florida suburban areas were interviewed to explore their lives as they age. Aging policies were investigated through the social construction of deservedness lens to ascertain individual political power while exploring (a) the challenges of living in suburban …

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Problem Solving, Decision Making, And Kirton Adaption-Innovation Theory In High-Performance Organizations, Miriam Grace Michael Jan 2018

Problem Solving, Decision Making, And Kirton Adaption-Innovation Theory In High-Performance Organizations, Miriam Grace Michael

Walden Dissertations and Doctoral Studies

Research on high-performing nonprofit boards has indicated a positive relationship between a board's strength and an organization's effectiveness; however, how boards achieve success remains relatively unknown. The Kirton adaption-innovation (KAI) theory was used to examine board members' cognitive styles in relationship to facilitating problem solving and decision making. This nonexperimental, quantitative study included archived nonprofit board data from 2 American Society of Association Executives (ASAE) studies that had addressed the high performance of boards and factors associated with organizational success. A total of 102 randomly selected, high-performing nonprofit board members completed the KAI Inventory, which was used to measure cognitive …

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Health Literacy As A Measure To Reduce Cost, Improve Health And Access, Vivian Dee Jan 2018

Health Literacy As A Measure To Reduce Cost, Improve Health And Access, Vivian Dee

Walden Dissertations and Doctoral Studies

The United States dedicates greater than 17% of its gross national product to healthcare. This percentage is expected to go up to 20% by 2018. Despite the high cost of care, the health care system remains inefficient and ineffective. Barriers include reduced access to care related to low health literacy. Complicating low health literacy is the high readability score of patient education materials. The high readability score is in part due to tools that are not standardized and measure different aspects of education materials creating varying readability scores. The purpose of this quality improvement project was to adopt a tool, …

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The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace Jan 2018

The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace

Walden Dissertations and Doctoral Studies

Researchers have linked dementia to common psychiatric symptoms such as agitation and aggression, known as behavioral and psychological symptoms of dementia (BPSD). To treat residents manifesting BPSD, nursing homes (NHs) use psychoactive medications. However, research is limited and inconsistent regarding the impact of Depakote treatment on agitation and short-term memory (STM) in NH residents who have dementia. The purpose of this nonexperimental quantitative study was to evaluate for 1 year the impact of Depakote treatment on agitation and STM in NH residents as measured by each resident's Minimum Data Set (MDS). Moncrieff and Cohen's drug-centered theory served as the theoretical …

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Attitudes And Effectiveness Of Teachers In Diverse Inclusive Classrooms, Pamela Moore-Mckinley Jan 2018

Attitudes And Effectiveness Of Teachers In Diverse Inclusive Classrooms, Pamela Moore-Mckinley

Walden Dissertations and Doctoral Studies

Students with disabilities who participate in a fully inclusive educational program have failed to meet district or state goals for adequate yearly progress. This student population is explicitly recognized in state and federal accountability systems. The purpose for this study was to determine how certain factors affected the implementation of inclusive services at one school. This study investigated how teachers' attitudes and perceptions toward inclusion, level of education, exposure to people/students with disabilities, level of support, and knowledge of laws governing the education of students with disabilities affected inclusive classrooms. Gardner's theory of multiple intelligences was used as the theoretical …

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General Education Teachers' Perceptions About Inclusion Of Students With Emotional-Behavioral Disabilities, Alison Patton Jan 2018

General Education Teachers' Perceptions About Inclusion Of Students With Emotional-Behavioral Disabilities, Alison Patton

Walden Dissertations and Doctoral Studies

Some general education teachers do not have the training, tools, and supports to work with the diverse needs of students with emotional-behavioral disabilities. The purpose of this case study was to develop a deeper understanding of how general education teachers perceive students with emotional-behavioral disabilities to better understand the issues related to effectively work with these students in the classroom. The conceptual framework for this study was Ajzen's theory of planned behavior. Fifteen general education teachers' definitions of an emotional-behavioral disability, perceptions of students with emotional-behavioral disabilities, training and supports by the school districts, and descriptions of classroom interactions were …

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Hypertension Awareness And Health Care Access/Use In Black Women With Hypertension, Marlène Trusiak Jan 2018

Hypertension Awareness And Health Care Access/Use In Black Women With Hypertension, Marlène Trusiak

Walden Dissertations and Doctoral Studies

Black women in the United States have a high prevalence of hypertension and suffer the most complications of cardiovascular disease. Black women, though aware of the dangers associated with hypertension, have limited opportunity to access health care and or change their lifestyles. The purpose of this quantitative cross-sectional study was to test if there was a significant difference in hypertension awareness, health care access/use, and lifestyle modifications in Black women prior to and post implementation of The Patient Protection and Affordable Care Act, as compared to women of other races. The behavior modification theory guided this study. Secondary data from …

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Skills That Small Business Owners Use To Succeed Beyond 5 Years, Shelly Gerig Jan 2018

Skills That Small Business Owners Use To Succeed Beyond 5 Years, Shelly Gerig

Walden Dissertations and Doctoral Studies

Small businesses in the United States have a high failure rate, with 50% failing within 5 years. Small businesses also account for 99.7% of U.S. firms and provide 48.0% of employees in the private sector, or 57 million out of 118 million employees. From 1992 to 2013, small firms were responsible for 63% of new jobs generated. The purpose of this qualitative multiple case study was to explore the skills small business owners (SBOs) used to achieve sustainability beyond 5 years in a purposefully selected area of Central Florida. The conceptual framework of human capital theory served to focus this …

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Predictive Relationships Between Electronic Health Records Attributes And Meaningful Use Objectives, Solomon Nii Koppoe Jan 2018

Predictive Relationships Between Electronic Health Records Attributes And Meaningful Use Objectives, Solomon Nii Koppoe

Walden Dissertations and Doctoral Studies

The use of electronic health records (EHR) has the potential to improve relationships between physicians and patients and significantly improve care delivery. The purpose of this study was to analyze the relationships between hospital attributes and EHR implementation. The research design for this study was the cross-sectional approach. Secondary data from the Health Information and Management Systems Society (HIMSS) Analytics Database was utilized (n = 169) in a correlational crosssectional research design. Normalization Process Theory (NPT) and implementation theory were the theoretical underpinnings used in this study. Multiple linear regressions results showed statistically significant relationships between the 4 independent variables …

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A Phenomenological Exploration Into The Resiliency Of Prostate Cancer Survivors, Luis Eduardo Lacourt Jan 2018

A Phenomenological Exploration Into The Resiliency Of Prostate Cancer Survivors, Luis Eduardo Lacourt

Walden Dissertations and Doctoral Studies

Scholarly articles related to the physical and emotional effects of prostate cancer treatment and survivorship are abundant. However, few researchers have explored resiliency of prostate cancer survivors through their recovery and survivorship experience. There is a gap in the literature regarding resilience through the lived experiences of prostate cancer survivors. Counselor educators could be better prepared to teach counselors to promote the resilience needs of prostate cancer survivors. The purpose of this hermeneutic phenomenological qualitative study was to explore and describe the lived experiences of prostate cancer survivors. Coding analysis of data collected from interviews of 7 participants generated 3 …

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Emergency Department Use For Nontraumatic Dental Conditions And Adult Oral Health, Cheryl Anne Lassiter-Edwards Jan 2018

Emergency Department Use For Nontraumatic Dental Conditions And Adult Oral Health, Cheryl Anne Lassiter-Edwards

Walden Dissertations and Doctoral Studies

Nontraumatic dental-related emergency department visits has resulted in a financial burden to hospitals across the United States. This study investigated whether there is a relationship between adult preventive dental care and emergency department visits for nontraumatic dental conditions by comparing specific states. Guided by Andersen's behavioral model of health services utilization, this retrospective quantitative study also investigated associations between state-specific community water fluoridation and dental-related emergency department visits. The population of interest was adult Medicaid enrollees who visited the emergency department for non-trauma-related dental conditions in the top 5 most populous states as identified in the 2012 NHAMCS survey. These …

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Exploring Burnout And Perceived Stress In Emergency Managers During Deployments, Angelika Phillips Jan 2018

Exploring Burnout And Perceived Stress In Emergency Managers During Deployments, Angelika Phillips

Walden Dissertations and Doctoral Studies

The stressful nature of deploying to a disaster makes it necessary for a good emergency manager to be capable of coping in high-pressure situations. When intensified by extended work hours, deployments can often lead to burnout, job strain, and emotional stress, which can have a significant impact on an employee's well-being. The purpose of this study was to examine the effects of burnout and perceived stress amongst emergency managers working for FEMA and to determine if social support was an effective intervention. The theoretical foundation used for this study was the job demands-resources theory, which aided in understanding, explaining, and …

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Counseling And Referral Experiences Of Southern Baptist Clergy, Charles Profit Jan 2018

Counseling And Referral Experiences Of Southern Baptist Clergy, Charles Profit

Walden Dissertations and Doctoral Studies

Pastors are often called upon to counsel people troubled by what may be a diagnosable and treatable condition. Current research suggests that pastoral counselors (PC) are reluctant to provide a referral to a mental health professional (MHP) citing that only 10% of help seekers are referred, leaving millions of Americans to suffer with undiagnosed and untreated mental illness. The current literature indicates that PCs feel inadequately trained to counsel those with mental illnesses and the reluctance to refer is due to a distrust of MHPs. Currently, there is little qualitative research on pastors' counseling and referral experiences. In this study, …

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Educational Training Of Staff Nurses For Evidence-Based Practice, Tina June Theriaque Jan 2018

Educational Training Of Staff Nurses For Evidence-Based Practice, Tina June Theriaque

Walden Dissertations and Doctoral Studies

Translating research into practice takes 10 to 20 years or more. Evidence-based practice (EBP) integration remains at 10% to 20%, despite recommendations requiring EBP-guided decisions. Up to 30% decreases in health care system spending, improved quality outcomes, and increased staff satisfaction result from EBP integration. Nurse leaders, who rate quality and safety as the highest priority but EBP as the lowest, are accountable for EBP enculturation; a desire to support bedside registered nurses in EBP exists, yet this EBP use knowledge gap supersedes this goal. The purpose of this project was to provide an EBP education program introducing the use …

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Teachers' Lived Experiences Of A Positive Intervention On Emotional Behavior Disorder Students, Leslie Deann Williams-Britt Jan 2018

Teachers' Lived Experiences Of A Positive Intervention On Emotional Behavior Disorder Students, Leslie Deann Williams-Britt

Walden Dissertations and Doctoral Studies

Champions for Change Mentorship Program (CFCMP) was implemented to address the academic and social struggles of emotional behavior disorder (EBD) students. The problem was that although the passing of the California Assembly Bill 1729, called the Other Means of Correction law, had prompted a greater need for positive behavior intervention support at Tier 2 and Tier 3 levels, implementation of the CFCMP continued to generate serious concerns involving students with behavior issues. The conceptual framework for this study is Bandura's social learning theory which guided CFCMP to incorporate cognitive and observational learning to develop academically and socially sound students with …

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Educational Manager Perceptions Towards Integrated Management Information System Implementation In Yemen, Mahfood Hussain Alkaabi Jan 2018

Educational Manager Perceptions Towards Integrated Management Information System Implementation In Yemen, Mahfood Hussain Alkaabi

Walden Dissertations and Doctoral Studies

The government of Yemen has been developing government offered services designed to improve the quality of education management. Yemen's managers of education and managers of higher education in the Ministry of Education (MOE) and the Ministry of Higher Education (MOHE) have sought to improve quality of education, reduce costs, and provide timely information for decision-making processes by implementing an integrated management information system (IMIS). The problem was the lack of understanding the barriers that hinder successful IMIS implementation by the MOE and MOHE, and the role that lack of collaboration has played in prior unsuccessful attempts. The purpose of this …

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Levels Of Income And Quality Of Care For Adults With Type 2 Diabetes, Lorna Bowen Jan 2018

Levels Of Income And Quality Of Care For Adults With Type 2 Diabetes, Lorna Bowen

Walden Dissertations and Doctoral Studies

Type 2 diabetes impacts the lives of adults in the low-income, middle-income, and high-income brackets in the United States and globally. More research was needed on how adults 45 years and older in Marion County managed their diabetes and the care they received based on their income. This case study involved investigating how adults 45 years and older in Marion County self-managed their diabetes and the quality of care they received based on their income. The health belief model supported the conceptual framework for the study. Data were collected through face-to-face and telephone interviews with 15 purposefully selected participants. Data …

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Effects Of Occupational Stress On Decision-Making Style In Law Enforcement Officers, Christine M. Crippen Jan 2018

Effects Of Occupational Stress On Decision-Making Style In Law Enforcement Officers, Christine M. Crippen

Walden Dissertations and Doctoral Studies

Police officers deal with a variety of stresses from different sources. Organizational stresses have the most effect on police officers, often more than stressful critical incidents. Previous research has indicated that over time, the mundane organizational and operational stresses of the job can result in a variety of effects from psychological to physiological, and this stress can impact police performance and public safety. However, there remains an important gap in the current literature regarding the impact of stress on the decision-making style of police officers. Police officers often make split-second decisions that can affect their life, the public, and other …

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Relation Of High Stakes Teacher Evaluation Implementation In Hawaiê»I To Teacher Satisfaction, Desire A. Desoto Jan 2018

Relation Of High Stakes Teacher Evaluation Implementation In Hawaiê»I To Teacher Satisfaction, Desire A. Desoto

Walden Dissertations and Doctoral Studies

High-stakes teacher evaluations (HSTEs) in public education influence millions of students and teachers across the U.S. Currently, there is a dearth of published quantitative research that shows the relation of HSTEs to teacher job satisfaction. The purpose of this quasiexperimental quantitative study was to determine if implementation of HSTEs in state of HawaiÊ»i as part of the U.S. Department of Education's Race to the Top program initiative was related to teacher job satisfaction in public schools over time. A repeated measures analyses was conducted using archived teacher job satisfaction data from over 200 public schools in HawaiÊ»i from 2009 to …

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