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Childhood Obesity Comorbitities Awareness Hospital-Based Education, Sandra Mcgrath Mcgrath Jan 2017

Childhood Obesity Comorbitities Awareness Hospital-Based Education, Sandra Mcgrath Mcgrath

Walden Dissertations and Doctoral Studies

As childhood obesity continues to increase, so do the comorbidities and related health issues, putting youth at a greater risk of developing adult-related diseases such as hypertension, Type 2 diabetes, and cardiovascular diseases. Current literature indicates that healthcare organizations have a significant role in the fight against this epidemic, yet most children's hospitals have no policy to accomplish this task. The purpose of this project was to develop a program proposal for a hospital-based, sustainable obesity program that will aid in improving patient and family awareness of the importance of maintaining an ideal body weight to decrease the incidences of …

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Music Teachers' Perceptions Of Targeted Professional Development, Julie Meadows Jan 2017

Music Teachers' Perceptions Of Targeted Professional Development, Julie Meadows

Walden Dissertations and Doctoral Studies

The fundamental purpose of teacher professional development programs is to improve instructional effectiveness and increase student learning. However, the target district offered no programs that focused on helping teachers develop strategies to meet state standards in music education. The purpose of this qualitative case study was to investigate elementary and middle school music educators' perceptions regarding the need for targeted professional development programs. Self-determination theory served as the foundation for this study. Research questions concerned participants' views of the impact of district professional development programs on their competency in enhancing students' musical skills and their decision-making and connectedness with other …

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A Qualitative Case Study Evaluation Of A Government Workforce Training And Qualification Program, Walter Meeks Meeks Jan 2017

A Qualitative Case Study Evaluation Of A Government Workforce Training And Qualification Program, Walter Meeks Meeks

Walden Dissertations and Doctoral Studies

In response to a 1993 oversight board recommendation, the U.S. Department of Energy (DOE) created a technical training and qualification program to address concerns about a shrinking workforce at defense nuclear facilities. The DOE Technical Qualification Program (TQP) applies to federal employees tasked with oversight, direction, and assistance to contractors at defense nuclear facilities. The purpose of this study was to determine the effectiveness of the TQP by ascertaining program effectiveness, program applicability, program impact on behavior and performance, and program impact on safety, from the participant perspective. Guided by Kirkpatrick's 4-level training evaluation model as the conceptual framework, this …

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Online Facilitation Of Early Childhood Education Preservice Teacher Field Experiences, Catherine Meier Meier Jan 2017

Online Facilitation Of Early Childhood Education Preservice Teacher Field Experiences, Catherine Meier Meier

Walden Dissertations and Doctoral Studies

Researchers have determined that field experience is crucial in education preparation programs, yet little information is available about field experience within online early childhood education (ECE) programs. Educators who work in online ECE programs need to understand how to facilitate field experience effectively. The purpose of this qualitative interview study was to understand the processes, procedures, and experiences of instructors who facilitate preservice teachers' field experience in online ECE programs. A constructivist framework was used to examine facilitation practices. Nine instructors from online ECE programs in the United States participated in 2 semistructured interviews that lasted approximately 1 hour each. …

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Association Between Age-Related Macular Degeneration And Sleep-Disordered Breathing, Jeffrey A. Nau Jan 2017

Association Between Age-Related Macular Degeneration And Sleep-Disordered Breathing, Jeffrey A. Nau

Walden Dissertations and Doctoral Studies

Age-related macular degeneration (AMD) is a chronic, irreversible disease that robs individuals of vision, quality of life, and independence. It is the leading cause of blindness in industrialized countries. Sleep-disordered breathing (SDB) is a condition characterized by repeated episodes of apnea and/or hypopnea, insomnia, short sleep duration, and/or sleep disturbances (snoring, gasping, etc.). Because SDB has been shown to cause chronic hypoxia resulting in oxidative stress on the retina, it has been proposed that SDB may be associated with AMD. Based on the life course theory of chronic disease, this quantitative, cross-sectional study used data from the 2005-2008 National Health …

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Educator's Technology Integration Barriers And Student Technology Preparedness As 21st Century Professionals, Joy Anne Pine-Thomas Jan 2017

Educator's Technology Integration Barriers And Student Technology Preparedness As 21st Century Professionals, Joy Anne Pine-Thomas

Walden Dissertations and Doctoral Studies

Millions of dollars have been spent to acquire educational computing tools, and many education, government, and business leaders believe that investing in these computing tools will improve teaching and learning. The purpose of this quantitative study was to determine whether charter school educators face technological barriers hindering them from incorporating technology into their classrooms. If they experienced self-efficacy issues integrating technology in their classrooms and if they believed their students were technologically prepared as 21st century professionals. A 5-point Likert scale survey, validated by a pilot study, was completed by 61 charter high school teachers. Their responses were analyzed, scores …

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The Impact Of Racial Stereotyping On Juror Perception Of Criminal Offenders, Tameka T. Price Jan 2017

The Impact Of Racial Stereotyping On Juror Perception Of Criminal Offenders, Tameka T. Price

Walden Dissertations and Doctoral Studies

For decades, research has consistently demonstrated that minorities are overrepresented in the prison population, yet relatively little is known about whether juror perceptions about race and criminal culpability may impact this problem in the United States. Using Hill's folk theory of race and racism as the theoretical foundation, this cross sectional study examined the relationship between perceptions of the race of the defendant and the verdicts to be handed down. Data were collected from a convenience sample of 25 people who self-reported having served on a jury or were eligible for jury service within the past 5 years in a …

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Age As A Predictor Of Factors Involved In Targeted School Violence, Wendy Leigh Rippon Jan 2017

Age As A Predictor Of Factors Involved In Targeted School Violence, Wendy Leigh Rippon

Walden Dissertations and Doctoral Studies

Targeted school violence (TSV) in the United States is increasing, causing a loss of innocent lives and challenges for teachers and students in building rapport. In addition, TSV increases levels of anxiety and makes it difficult for parents and community members to believe students are safe while at school. Several studies have highlighted the fact that age may be a factor in school shootings, calling for future research to determine if age is indeed influential. The problem is to date age has not been established as a predictive factor, even though the extant research is beginning to identify possible variances. …

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How Does Organizational Culture Impact Rn Engagement, Veronica Anntionette Ruffin-Ellis Jan 2017

How Does Organizational Culture Impact Rn Engagement, Veronica Anntionette Ruffin-Ellis

Walden Dissertations and Doctoral Studies

Lack of RN engagement in the acute care setting can result in poor staffing, nursing shortages, increased stress levels for nurses and decreased morale. When nurses are not engaged in their work setting, quality of care suffers. A wide range of literature focuses on the importance of RN engagement; however, few health care organizations have taken the initiative to implement programs that foster RN engagement, demonstrating a gap in practice. This study examined the relationship between the levels of RN engagement and their perceptions of their organizational culture. Kolcaba's humanistic approach to meeting the needs of RN staff was used …

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Strategies To Retain Millennial Employees At Full-Service Restaurants, Candace A. Ruiz Jan 2017

Strategies To Retain Millennial Employees At Full-Service Restaurants, Candace A. Ruiz

Walden Dissertations and Doctoral Studies

Some supervisors lack effective strategies to retain millennial generation employees. The purpose of this multicase study was to explore effective strategies supervisors use to retain culinary-educated millennial employees in full-service restaurants. Nine millennials and 3 supervisors from 3 full-service restaurants in Denver, Colorado consented to face-to-face semistructured interviews with open-ended interview questions concerning retention strategies. The conceptual framework of Herzberg's two-factor theory served to guide the scope and the data analysis for the multicase study. The interview transcripts were coded and grouped into themes. Explanation building for the data analysis assisted in finding causal links between cases and the unit …

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Students' Decision-Making After Florida Senate Bill 1720: Guiding Students Through Math Placement, Rebecka Jo Sare Jan 2017

Students' Decision-Making After Florida Senate Bill 1720: Guiding Students Through Math Placement, Rebecka Jo Sare

Walden Dissertations and Doctoral Studies

After Senate Bill (SB) 1720, exempt students enrolling in colleges in Florida no longer have to take a college placement test or enroll in developmental education courses before enrolling in college-level classes. SB1720 caused Florida colleges to find new methods of placement for incoming students, a concern because incorrect placement can have detrimental effects for the student and institution. Bounded rationality theory and Bahr's interpretation of student typology informed this study. The purpose of this survey study was to compare the exempt students who enrolled in remedial math to those who enrolled in college-level math. Research questions asked what differences …

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Exploring The Strategies To Implement A Sustainable Energy Program In Hong Kong Public Hospitals, Terry Ting Jan 2017

Exploring The Strategies To Implement A Sustainable Energy Program In Hong Kong Public Hospitals, Terry Ting

Walden Dissertations and Doctoral Studies

Healthcare is one of the most energy-intensive industries because of its 24 hour-a-day and 7-days-a-week operation model. Climate change, due to environmental pollution, has increased the incidence of respiratory disease, cardiovascular disease, and cancer, which further overload the financial burden of our healthcare system. The National Health Service Sustainable Development Unit suggested that a sustainable healthcare sector also requires using their resources in an efficient and responsible way. Hong Kong public hospitals are facing this problem along with high energy expenditure. The purpose of this qualitative, multiple site case study was to explore strategies for Hong Kong's public hospital leaders …

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Strategies Of Small Business Owners To Acquire Federal Government Contracts, Delores Ann Tyms Jan 2017

Strategies Of Small Business Owners To Acquire Federal Government Contracts, Delores Ann Tyms

Walden Dissertations and Doctoral Studies

Small business owners are not acquiring U.S. federal government contracts at the government established target rate. The government's small business procurement goals remain unmet, which represents an underutilized source of revenues for many small business owners. The purpose of this multiple case study was to explore strategies of 3 small business owners operating in the Washington, D.C., metropolitan area to acquire federal government contracts to increase profitability. The thematic findings were in the context of the resource-based view as the conceptual framework. The participants answered questions in semistructured interviews and provided organizational documents for review. Triangulation of multiple data sources …

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Perceptions Of Organizational Change Among Minority Owners Of Small Businesses, Chad E. Walizer Jan 2017

Perceptions Of Organizational Change Among Minority Owners Of Small Businesses, Chad E. Walizer

Walden Dissertations and Doctoral Studies

Small businesses continue to be a dominant portion of the global economy, and their owners need to understand how they can effectively make organizational changes, including implementing sound decision-making processes and innovation, as well as competing with much larger businesses. Minority small business owners have a particular need for organizational change because of their limited financial opportunities in relation to their nonminority counterparts. The purpose of this phenomenological study was to examine how minority small business leaders in the food service industry in south central Pennsylvania experience and perceive organizational change. Organizational change theory, contingency theory, and situational theory provided …

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An Evidenced-Based Pain Management Module To Improve Clinicians' Knowledge, Mark A. Wells Jan 2017

An Evidenced-Based Pain Management Module To Improve Clinicians' Knowledge, Mark A. Wells

Walden Dissertations and Doctoral Studies

Chronic pain syndrome continues to be a national health concern among all medical specialties. It has an impact on the entire health care system and if current trends continue, the economic impact alone will exceed 100 billion dollars. In 2014, 254 million prescription opioids were written in the United States. During this time, an increase in prescription opioid related deaths was seen, with approximately 20,101 deaths occurring in 2015. Properly trained clinicians across the health care system are needed to achieve successful patient outcomes, while reducing cost, morbidity, and mortality. The purpose of the scholarly project was to develop a …

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Employee Engagement Processes And Productivity Among Las Vegas Five-Star Hospitality Organizations, Robert White Jan 2017

Employee Engagement Processes And Productivity Among Las Vegas Five-Star Hospitality Organizations, Robert White

Walden Dissertations and Doctoral Studies

Employee disengagement creates an unhealthy working environment. Disengagement rates among Las Vegas hospitality industry organizations led to dissatisfaction among employees and resulted in low productivity and profitability. This qualitative descriptive study involved exploring employee engagement strategies that hospitality industry supervisors and managers used to implement programs, thereby solving the employee engagement problems of their organizations. The conceptual framework for the study was leader-member exchange theory. Twenty participants with 5 or more years of Las Vegas hospitality experience who had already successfully implemented engagement programs answered open-ended questions in semistructured interviews. Company documents constituted an additional data source. Analyzing the data …

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Perceptions Of Educational Accountability Among Single African American Mothers, Tierra Winston Jan 2017

Perceptions Of Educational Accountability Among Single African American Mothers, Tierra Winston

Walden Dissertations and Doctoral Studies

The construct of educational accountability formally originated in 2001 as a means to improve education standards by holding teachers accountable for student academic progress; however, the definition of educational accountability for parents continues to be illusive. The purpose of this generic, qualitative study was to explore the perceptions of educational accountability among single, African American mothers of high school-aged children. The research question asked about how the beliefs of educational accountability among single African American mothers related to any involvement in their children's education. Azjen's theory of planned behavior, which outlines the relation of intention to action, was the framework …

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Instructional Strategies That Promote Cultural Competence In Nutrition And Dietetics Education, Cecile Adkins Jan 2017

Instructional Strategies That Promote Cultural Competence In Nutrition And Dietetics Education, Cecile Adkins

Walden Dissertations and Doctoral Studies

Changing demographics in the United States to a minority-majority culture require health care professionals who are culturally competent to provide appropriate care to patients. In a university in the Mid-Atlantic region of the United States, a gap existed between student education and the culturally competent professional practice of entry-level registered dietitians. Using Freire's notion of social justice and Vygotsky's constructivist theory as the conceptual frameworks, the purpose of this study was to explore educators' instructional strategies that promoted cultural competence in nutrition and dietetics education. The research questions examined how educators described the instructional practices they employed to promote cultural …

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Servant Leadership And Humility In Police Promotional Practices, Kevin C. Barker Jan 2017

Servant Leadership And Humility In Police Promotional Practices, Kevin C. Barker

Walden Dissertations and Doctoral Studies

The improper promotion of police officers who lack effective police management skills results in poor supervisor/employee relationships and could have a further negative effect on the relationships between officers and citizens. Yet, few police departments utilize leadership testing in making promotional decisions. The purpose of this quantitative, descriptive study was to explore whether servant leadership, from the perspective of police officers, is viewed as an effective leadership strategy. In particular, the focus of this study was on the element of humility as part of servant leadership theory. Data were collected by distributing the Servant Leadership Survey (SLS) to 2,794 police …

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Performance Improvement Data And Staff Responsibility, Tabitha Anne Bentley Jan 2017

Performance Improvement Data And Staff Responsibility, Tabitha Anne Bentley

Walden Dissertations and Doctoral Studies

Improving the role the nurse plays in health care delivery should be embodied in the performance improvement initiatives to successfully improve the quality of care that is delivered. The purpose of this evidence-based practice project was to collect performance improvement data and present it to staff who, in turn, used the information to improve practice and influence patient safety outcomes. The practice-focused question addressed what would occur if a tool that allowed frequent data trending was used to measure effectiveness of care and thereby influence key outcome measures. Duffy's quality caring model provided a framework for the study to support …

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The Role Of Prenatal Care And Systematic Hiv Testing In Preventing Perinatal Transmission In Tanzania, 2011-2012, Nkembi Lydie Bianda Jan 2017

The Role Of Prenatal Care And Systematic Hiv Testing In Preventing Perinatal Transmission In Tanzania, 2011-2012, Nkembi Lydie Bianda

Walden Dissertations and Doctoral Studies

In 2012, Tanzania, the prevalence of HIV infection among Tanzanian women was 6.3%; that same year, 18% of Tanzanian children were born already infected with HIV. The purpose of this study was to determine the importance of prenatal care attendance on comprehensive knowledge of HIV mother-to-child transmission (MTCT), and HIV testing and counseling, as well as awareness of HIV testing coverage services, in Tanzania. The study population was Tanzanian women of childbearing, aged 15 to 49 years old. Guided by the health belief model, this cross-sectional survey design used secondary data from the 2011-2012 Tanzania Demographic Health Survey. Independent variables …

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The Relationship Between Athletic Development Personality Factors And Decision Making, Herbert Degraffe Jan 2017

The Relationship Between Athletic Development Personality Factors And Decision Making, Herbert Degraffe

Walden Dissertations and Doctoral Studies

Ineffective leadership that results from personality defects, ineffective core executive functions, and emotional decision making can lead to destructive actions and executive failures that affect organizational effectiveness. The purpose of this correlational study was to determine if athletic development personality factors correlate with decision making at the executive leadership level. The research questions focused on determining if there was a relationship between athletic development personality factors and decision making. Social exchange theory, social representations theory, and leadership theories comprised the theoretical framework. Participants included 124 executive decision-makers from the United States, the United Kingdom, South Africa, India, and Singapore who …

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How Improved Training Strategies Can Benefit Taxpayers Using Vita Programs, Jaclyn Marie Barkow Jan 2017

How Improved Training Strategies Can Benefit Taxpayers Using Vita Programs, Jaclyn Marie Barkow

Walden Dissertations and Doctoral Studies

Many volunteer income tax assistance (VITA) sites experience inaccuracy in the taxes prepared according to audits conducted by the treasury inspector general for tax administration (TIGTA). Effective training strategies may influence the accuracy rates of tax returns prepared at VITA sites. Following the conceptual framework of the human capital theory, this multiple case study described the training strategies used by 4 VITA site coordinators in northwest Indiana. An Internal Revenue Service (IRS) representative overseeing the VITA sites identified the 4 site coordinators as achieving an exceptional accuracy rating. Data were collected from semistructured interviews, the annual VITA site coordinator's manual …

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The Andacollo's Mining Community: Ethnographic Work-Based Approach To Corporate Social Responsibility Policies And Practices, Ubirata De Oliveira Jan 2017

The Andacollo's Mining Community: Ethnographic Work-Based Approach To Corporate Social Responsibility Policies And Practices, Ubirata De Oliveira

Walden Dissertations and Doctoral Studies

This ethnographic study was designed to explore the phenomenon of corporate social responsibility (CSR) in the mining industry. The research addressed the impacts of a problematic, systemic, and ethnocentric (top-down) CSR approach driven by a transnational mining company, and proposed a novel cultural relativist (bottom-up) CSR approach looking at the social needs of the community. Solving the problem stemming from the ethnocentric approach is important for both the mining company and the community affected by the CSR program, as it will alter dynamics between actors and mitigate social conflicts. The purpose of this study was to investigate factors that improve …

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Systems Of Support For Elementary School Principals: A Case Study, Jennifer Francone Jan 2017

Systems Of Support For Elementary School Principals: A Case Study, Jennifer Francone

Walden Dissertations and Doctoral Studies

Principals need support throughout their careers in order to lead effectively and promote continuous improvement. However, some elementary school principals of small, rural schools lack access to structured systems of support that could increase their knowledge and skills as instructional leaders. The purpose of this study was to examine a central California school district's existing system of support for elementary school principals to learn the essential features that could be used to provide support for principals of small, rural schools. Informed by the Principal Support Framework provided by the University of Washington's Center for Educational Leadership, the guiding questions for …

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Educators' Perceptions Of Best Practices For Increasing Literacy Among High-Poverty Students, Giuseppe Di Monte Jan 2017

Educators' Perceptions Of Best Practices For Increasing Literacy Among High-Poverty Students, Giuseppe Di Monte

Walden Dissertations and Doctoral Studies

The local problem addressed in this study was the low reading achievement of high-poverty fourth-grade students in a small rural school in the Mid-Atlantic region of the United States. The purpose of this instrumental case study was to examine the perceptions of the campus principal and teachers at a sampled high-poverty and high achieving elementary school to determine best practices for meeting literacy needs of high-poverty students. This knowledge is important because student success in reading achievement contributes to overall academic success. The neo-sociocultural conceptual paradigm of Wertsch, del Rio, and Alverez, which links cognitive and cultural learning processes, was …

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Common Psycholinguistic Themes In Mass Murderer Manifestos, Laura E. Hamlett Jan 2017

Common Psycholinguistic Themes In Mass Murderer Manifestos, Laura E. Hamlett

Walden Dissertations and Doctoral Studies

Mass murder in the United States is increasing, yet understanding of mass murderers is still relatively limited. Many perpetrators compose manifestos, which include journals, blogs, letters, videos, and other writings. Previous research has indicated that personal messages are of great social and psychological importance; however, there remains an important gap in the current literature regarding studies specific to these manifestos. As such, the purpose of this qualitative multiple case study was to provide greater understanding of mass murderers' motives and mindsets through psycholinguistic analysis of their recorded words. The constructivist conceptual framework enabled gathering, analyzing, interpreting, and reporting thematic language …

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Improving Seasonal Influenza Vaccine Uptake Among Health Care Workers, Debra Gray Jan 2017

Improving Seasonal Influenza Vaccine Uptake Among Health Care Workers, Debra Gray

Walden Dissertations and Doctoral Studies

Yearly influenza (flu) immunization rates for hospital healthcare workers (HCW) continue to be lower than those suggested by the Centers for Disease Control and the World Health Organization. Vaccination is considered a valuable step in the process to protect patients against influenza infection. The goal of Healthy People 2020, and most hospital administrators, is that 90% of HCWs are being immunized. The objectives for this systematic literature review were to identify best practice recommendations for improving the vaccine rate among HCWs. The Cochrane methodology framed this systematic review, and Fineout-Overholt's and Melnyk's levels of evidence were used to evaluate the …

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How Parenting Behaviors Influence Weight And Health Status Of African American Adolescents, Natasha T. Hourel Jan 2017

How Parenting Behaviors Influence Weight And Health Status Of African American Adolescents, Natasha T. Hourel

Walden Dissertations and Doctoral Studies

There has been an upward trend in obesity among African American (AA) adolescents over the last 2 decades. While parenting characteristics (e.g., styles and practices) are linked to adolescent eating habits and weight status, related research has focused on European American children from 2-parent middle-class households or economically disadvantaged AA children from single mother households. The purpose of this quantitative secondary data analysis was to investigate the relationship between parenting characteristics on the weight status of adolescents aged 12 to 17 years (n = 325) among a broader population of AA mothers and fathers residing both inside and outside of …

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The Effects Of Transitional Challenges On Ninth Grade School Dropouts, Merlene Leona Jones Jan 2017

The Effects Of Transitional Challenges On Ninth Grade School Dropouts, Merlene Leona Jones

Walden Dissertations and Doctoral Studies

The high dropout rate of the United States Virgin Islands school district's ninth-grade students is a major educational problem and the catalyst for a myriad of social problems. Ninth grade academies and extended school day intervention programs have benefited only the academically prepared students. This qualitative case study examined educators' perceptions of the challenges that led to the increased dropout rate of the district's ninth-grade students. Bandura's self-efficacy theory and Atkinson's motivational achievement theory formed the foundational pillars for this study. The research questions were focused on challenges that led to the increased dropout rate of ninth-grade students and the …

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