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Psychiatric Disorders As Potential Predictors In Medical Disease Development, Linda Kay Taliaferro Jan 2011

Psychiatric Disorders As Potential Predictors In Medical Disease Development, Linda Kay Taliaferro

Walden Dissertations and Doctoral Studies

Millions of individuals suffer disability or death from immune-based inflammatory diseases. If psychiatric disorders could be empirically linked to the prediction of immune-based inflammatory diseases, there would be a basis for promoting disease prevention measures for individuals diagnosed with one of four psychiatric disorders. Psychoneuroimmunology provided the theoretical base for understanding emotionally induced medical disease development. In this quantitative study, a parallel archival research design was used to investigate the degree to which generalized anxiety disorder, posttraumatic stress disorder, major depression recurrent, and dysthymic disorder predicted the presence of atherosclerosis, cardiovascular heart disease, rheumatoid arthritis, cancer, and type II diabetes. …

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Using Organizational, Coordination, And Contingency Theories To Examine Project Manager Insights On Agile And Traditional Success Factors For Information Technology Projects, Michael J. Doherty Jan 2011

Using Organizational, Coordination, And Contingency Theories To Examine Project Manager Insights On Agile And Traditional Success Factors For Information Technology Projects, Michael J. Doherty

Walden Dissertations and Doctoral Studies

Two dominant research views addressing disappointing success rates for information technology (IT) projects suggest project success may depend on the presence of a large number of critical success factors or advocate for agile project management as an alternative to traditional practice. However, after two decades of research, success rates remain low, and the role of critical success factors or project management approach remains unclear. The purpose of this study was to use views of experienced project managers to explore the contribution of success factors and management approach to project success. Applying organizational, coordination, and contingency theories, the research questions examined …

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Patients' Perspectives On Discussing Complementary And Alternative Medicine Therapies With Conventional Doctors, Deborah A. Mcninch Jan 2011

Patients' Perspectives On Discussing Complementary And Alternative Medicine Therapies With Conventional Doctors, Deborah A. Mcninch

Walden Dissertations and Doctoral Studies

Currently, little is known about patients' perceptions and beliefs in discussing complementary and alternative medicine (CAM) with their conventional medical (CM) doctor. The purpose of this descriptive research was to show whether CAM-using patients have an interest in discussing CAM treatments with their CM doctor for comprehensive care as described by the health belief model (HBM) constructs of perceived susceptibility, perceived seriousness, and perceived benefits of taking action. A sample of 165 participants age 18 or older from 2 chiropractic clinics in the midwestern United States completed a Likert-scaled survey. The data were analyzed using descriptive statistics and multiple regression …

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The Relationship Between Overweight And Obesity And Acculturation Of 12- To 19-Year-Old Mexican American Children, Elsa Ramirez-Brisson Jan 2011

The Relationship Between Overweight And Obesity And Acculturation Of 12- To 19-Year-Old Mexican American Children, Elsa Ramirez-Brisson

Walden Dissertations and Doctoral Studies

Mexican Americans, one of the fastest growing segments of the population, have been identified as having above-average rates of obesity. Yet, among this group, obesity rates seem to differ by immigrant status: recent immigrants, immigrants who have lived in the United States more than 15 years, and U.S.-born Mexican Americans. Guided by the acculturation phenomenon and the social ecological model, the current study assessed all 1,732 Mexican American children 12-19 years old who participated in the National Health and Nutrition Examination Survey between 2003 and 2008 to determine the association between body mass index (BMI) and language, years living in …

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The Relationship Between Daily Snowfall Accumulation And Pattern And Severity Of Traumatic Injuries At A U.S. Ski Resort, S. Jason Moore Jan 2011

The Relationship Between Daily Snowfall Accumulation And Pattern And Severity Of Traumatic Injuries At A U.S. Ski Resort, S. Jason Moore

Walden Dissertations and Doctoral Studies

Throughout the relevant literature, research addressing the impact of a specific environmental factor, such as snowfall, on injury patterns or severity among alpine skiers and snowboarders is sparse. The foundation for inquiry into this relationship was developed based on principles of physics and traumatology coupled with findings in the available literature. Secondary analysis of trauma registry data coupled with daily snowfall measurements from one of the largest ski areas in North America illustrated a negative correlation between daily snowfall amount and injury severity (r = -.08). Concordant findings demonstrated an increased odds of sustaining an injury defined as severe or …

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Assessing The Influence Of Socioeconomic Factors, Knowledge Level, Attitudes, And Practices On Malaria Prevention Among The Gusii People Of Kenya, Christopher Nyakundi Arori Jan 2011

Assessing The Influence Of Socioeconomic Factors, Knowledge Level, Attitudes, And Practices On Malaria Prevention Among The Gusii People Of Kenya, Christopher Nyakundi Arori

Walden Dissertations and Doctoral Studies

Global morbidity and mortality associated with malaria is rampant, and most of the clinical malaria cases are found in sub Saharan Africa. Previous and current research show that malaria is both preventable and treatable and that socioeconomic variables have a profound influence on how persons in rural Africa respond to malaria infections and the associated preventive strategies. This study assessed two key research questions for malaria cases in the Gusii region of Kenya regarding: First, whether a community education program on malaria has an impact in changing malaria preventive behaviors; and, second, if a relationship exists between socioeconomic factors and …

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The Impact Of Teacher Collaboration In A Professional Learning Community On Teacher Job Satisfaction, Donna V. Ackerman Jan 2011

The Impact Of Teacher Collaboration In A Professional Learning Community On Teacher Job Satisfaction, Donna V. Ackerman

Walden Dissertations and Doctoral Studies

A dilemma in some local educational institutions is the lack of a supportive teacher community which could lead to decreased teacher job satisfaction. The purpose of this study was to describe to what extent teacher collaboration in a professional learning community (PLC) impacts teacher job satisfaction. Theoretical foundations by DuFour, Eaker and DuFour supported the relationships between PLC and teacher collaboration. Herzberg's theory of motivation and Maslow's hierarchy also served as frameworks in this study. An interpretive, qualitative research design was used to explore potential connections between collaboration and job satisfaction. Research questions addressed how scheduled school day collaborative time …

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Experiences Of Older African American Women With Breast Cancer Screening And Abnormal Mammogram Results, Marshalee George Jan 2011

Experiences Of Older African American Women With Breast Cancer Screening And Abnormal Mammogram Results, Marshalee George

Walden Dissertations and Doctoral Studies

Even with access to well-known breast cancer treatment centers, older African American women continue to have higher breast cancer mortality compared to their European American counterparts. Researchers have theorized relationships among diagnostic delay, socioeconomic status (SES) factors, beliefs, culture, and breast cancer mortality in African American women ages 40 to 64, but these same relationships among African American women ages 65 to 80 have not been investigated. The purpose of this qualitative study was to describe older African American women's experiences with abnormal mammograms. The quality-caring model and critical race theory were used through narration to show the association of …

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The Effects Of An Integrated Health And Physical Education Program On Student Achievement, Myralynn B. Catchings Jan 2011

The Effects Of An Integrated Health And Physical Education Program On Student Achievement, Myralynn B. Catchings

Walden Dissertations and Doctoral Studies

In recent years, several schools have addressed the No Child Left Behind (NCLB) Act of 2001 by focusing on promoting skill acquisition in reading and math, often overlooking physical education (PE) as a significant part of a child's education. The purpose of this causal-comparative study was to evaluate the effectiveness of an integrated health and physical education (HPE) program on student achievement. This study was grounded in action-based learning theories. The research question examined differences in posttest scores, adjusted for pretest differences, from 204 freshman students enrolled in a Biology-1 class at an urban high school. Students in Group A …

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The Association Of Mentorships And Leadership Practices With Nursing Faculty Retention, Lisa M. Rettenmeier Jan 2011

The Association Of Mentorships And Leadership Practices With Nursing Faculty Retention, Lisa M. Rettenmeier

Walden Dissertations and Doctoral Studies

The lack of mentored relationships among nursing educators has the potential to negatively influence perceptions of leadership practices and could decrease the numbers of nursing faculty staying in academia. The purpose of this study was to investigate the perceptions of mentorships and leadership practices of nursing faculty teaching in academia. Watson's caring theory was the theoretical foundation to explain the congruence between mentored relationships, leadership practices, and the association with faculty retention. The first research question focused on differences between mentoring experience, assistance, and characteristics by mentor training type. Question two assessed the relationship between leadership practices by mentor training …

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Project Management Competencies Leading To Technology Implementation Success At A Community College, Bradford Orcutt Jan 2011

Project Management Competencies Leading To Technology Implementation Success At A Community College, Bradford Orcutt

Walden Dissertations and Doctoral Studies

The problem addressed in this study was to understand the knowledge gap between project management competencies available and those needed for successful implementation of technology projects at a community college. The purpose of the qualitative study was to evaluate, compare, and analyze the performance of project managers of 2 large technology projects in a specific community college with respect to each other and what was known about achieving project success at a public institution of higher education (IHE). The research questions for this study examined the competencies exhibited by the project leaders, the success parameters established for the projects, and …

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A Q Methodology Analysis Of Individual Perspectives Of Public Decision Making Influences Of Collaborative Processes, Perry D. Gross Jan 2011

A Q Methodology Analysis Of Individual Perspectives Of Public Decision Making Influences Of Collaborative Processes, Perry D. Gross

Walden Dissertations and Doctoral Studies

Suboptimal public policy formulation and implementation often result from traditional representative democratic practices. Increasing government fragmentation, eroding trust among policy actors, and an increasingly complex policy making environment contribute to this problem. Collaborative decision making is considered to be a pragmatic alternative by its advocates. The purpose of this research was to explore the claim that process dynamics lead participants to prefer collaborative approaches to decision making among local and regional transportation plans in a western state. The conceptual framework was the diversity, interdependence, and authentic dialogue (DIAD) theory-based model of collaboration in decision making. The research questions focused on …

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A Synthesized Model Of Compliance Based On Physician And Patient Reported Barriers To Hypertension Guidelines, Pamela Ballou-Nelson Jan 2011

A Synthesized Model Of Compliance Based On Physician And Patient Reported Barriers To Hypertension Guidelines, Pamela Ballou-Nelson

Walden Dissertations and Doctoral Studies

Hypertension affects as many as 50-70 million Americans; early and consistent compliance to hypertension guidelines is important to prevent heart attack and stroke, both leading causes of death in the United States. Despite the advances in medicine and health-care technology, the effectiveness with which hypertension is managed at the individual and community level is less than optimal. The research questions in this study addressed the lack of physician compliance to hypertension guidelines and why patients fail to follow guidelines. Improving hypertension management depends on bridging the gap between physician awareness of evidence-based guidelines and patient compliance. Grounded theory was used …

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The Relationship Of Provider Cultural Competence And Utilization Of Prenatal Care In The Hmong Of Minnesota, Cynthia J. Larson Jan 2011

The Relationship Of Provider Cultural Competence And Utilization Of Prenatal Care In The Hmong Of Minnesota, Cynthia J. Larson

Walden Dissertations and Doctoral Studies

Experts suggest that the cultural competence of healthcare providers is a critical factor impacting healthcare services to the ethnically diverse patient populations in the U.S. and that it may play a role in improving outcomes and reducing health disparities; however, the association between cultural competence and health outcomes remains unclear. This study used a cross-sectional quantitative design grounded by cultural competency constructs and the ethnic origins theory to explore the relationships between provider cultural competence, adequacy of prenatal care, and neonatal health outcomes in Hmong women, a population whose cultural beliefs affect their use of early and adequate prenatal care. …

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Middle School Mathematics Students' Perspectives On The Study Of Mathematics, Christy H. Vaughn Jan 2011

Middle School Mathematics Students' Perspectives On The Study Of Mathematics, Christy H. Vaughn

Walden Dissertations and Doctoral Studies

This qualitative study addressed the perceptions toward the study of mathematics by middle school students who had formerly been in a remedial mathematics program. The purpose of the study was to explore the past experiences of nine students in order to determine what is needed for them to feel successful in mathematics. The conceptual framework of the study was grounded in philosophies of motivation, including achievement goal theory, self-worth theory, self-efficacy theory, expectancy-value theory, and attribution theory. The study used a phenomenological research design to answer the key research question, which focused upon the experiences of students and the meaning …

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African American Student Retention In The Reserve Officer Training Corps (Rotc) Leadership Program, Elaine A. Edwards Jan 2011

African American Student Retention In The Reserve Officer Training Corps (Rotc) Leadership Program, Elaine A. Edwards

Walden Dissertations and Doctoral Studies

The percentage of qualified African American senior military leaders is significantly lower than the percentage of African Americans serving in the enlisted ranks. With the changing demographics of the 21st century, increasing the number of African American Army officers is a practical as well a moral issue. The purpose of this mixed methods study was to understand African American cadets' perception of the Army Reserve Officer Training Corps (ROTC) Leadership Program and the impact of ROTC on their lives. The theoretical basis for this study is Sternberg's theory of intelligence and Woodman, Sawyer, and Griffin's theory of organizational creativity. The …

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The Perspectives Of African American Nonprofit Female Executives From The Northeastern Region Of The United States About The Work-Family Balance, Tammy Evans-Colquitt Jan 2011

The Perspectives Of African American Nonprofit Female Executives From The Northeastern Region Of The United States About The Work-Family Balance, Tammy Evans-Colquitt

Walden Dissertations and Doctoral Studies

Although many studies have been conducted on the increased pressure and stress facing women who are trying to fulfill work and family demands, little is known about African American women in executive positions and their perspectives about work-life balance. A particular gap in the research literature exists on the lived experience of African American nonprofit executive women in maintaining work-life balance. The conceptual framework of this phenomenological study was the bidirectional frame of both work interfering with family and family interfering with work. Data were collected through semistructured telephone interviews of 12 African American women ages 30 to 45 and …

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An Examination Of Small Businesses' Propensity To Adopt Cloud-Computing Innovation, Steven E. Powelson Jan 2011

An Examination Of Small Businesses' Propensity To Adopt Cloud-Computing Innovation, Steven E. Powelson

Walden Dissertations and Doctoral Studies

The problem researched was small business leaders' early and limited adoption of cloud computing. Business leaders that do not use cloud computing may forfeit the benefits of its lower capital costs and ubiquitous accessibility. Anchored in a diffusion of innovation theory, the purpose of this quantitative cross-sectional survey study was to examine if there is a relationship between small business leaders' view of cloud-computing attributes of compatibility, complexity, observability, relative advantage, results demonstrable, trialability, and voluntariness and intent to use cloud computing. The central research question involved understanding the extent to which each cloud-computing attribute relate to small business leaders' …

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Middle School Teachers' Perceptions Of Barriers Of Managing Student Behavior, Winifred Nicole Whitlock Jan 2011

Middle School Teachers' Perceptions Of Barriers Of Managing Student Behavior, Winifred Nicole Whitlock

Walden Dissertations and Doctoral Studies

Despite training and support, many middle school teachers struggle to create, implement, and enforce research-based strategies to manage students' behaviors. The purpose of this case study was to examine teachers' perceptions about the barriers of managing student behavior. The research questions investigated 9 teachers' perceived barriers of managing student behavior at one middle school and the observed actions of these teachers' reactions to student behavior. Each participant was asked to participate in a 45-minute semistructured interview to examine their perceived barriers of managing student behavior and the strategies they use to manage student behavior relative to McGregor's theories X and …

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Educators' Perceptions Of Assistive Technology For Students With Severe Or Multiple Disabilities, Mary Jane Davis Jan 2011

Educators' Perceptions Of Assistive Technology For Students With Severe Or Multiple Disabilities, Mary Jane Davis

Walden Dissertations and Doctoral Studies

Assistive technology (AT) is defined as any tool that can help integrate students with severe or multiple disabilities (SMD) into learning activities. As mandated by federal law, AT must be considered for all students with disabilities. Educators, however, do not consistently embrace low and mid tech AT devices in reading and the language arts, thus limiting student engagement in learning activities. The purpose of this study was to explore educators' perceptions of their experiences regarding the acquisition and the use of low and mid tech assistive devices with students with SMD. This study builds on the existing literature base of …

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Effects Of A Web-Based Decision Aid On African American Men's Prostate Screening Knowledge And Behavior, Beverly Layton Jan 2011

Effects Of A Web-Based Decision Aid On African American Men's Prostate Screening Knowledge And Behavior, Beverly Layton

Walden Dissertations and Doctoral Studies

African American men have the highest prostate cancer occurrence and deaths of any population, yet many are unaware of screening opportunities or prognoses if diagnosed with the disease. The focus of this study was to learn whether a web-based prostate health education decision aid would increase prostate cancer knowledge, declared intention to be screened, and the likelihood of scheduling a prostate-specific antigen (PSA) test. The transtheoretical model of behavior change served as the theoretical framework for the study to assess readiness to adopt new behaviors. A total of 128 African American men between the ages of 40--65 without a history …

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The Impact Of Canine Companion Service Animal (Csa) Use On Social Behaviors Between Individuals With Autism Spectrum Disorders Who Use Csa And Those Who Do Not, Melanie D. Hoffman Jan 2011

The Impact Of Canine Companion Service Animal (Csa) Use On Social Behaviors Between Individuals With Autism Spectrum Disorders Who Use Csa And Those Who Do Not, Melanie D. Hoffman

Walden Dissertations and Doctoral Studies

According to theory of the mind, individuals with autism spectrum disorders (ASD) are unable to interpret the social cues of others, which results in anxiety and social behavior deficits . Individuals with ASD are currently using canine Companion Service Animals (CSAs) in order to practice developing attachment bonds ; however, no known quantitative studies have demonstrated the efficacy of CSA in improving social behaviors in ASD populations. The purpose of this quantitative study was to examine the extent to which exposure to CSA impacts social skills and social interaction in children and adolescents with ASD as measured by the parent …

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Vipassana Meditation And Teacher Decision-Making, Jeffrey Ronald Glogowski Jan 2011

Vipassana Meditation And Teacher Decision-Making, Jeffrey Ronald Glogowski

Walden Dissertations and Doctoral Studies

The purpose of this grounded theory study was to build a theory about the process and function teachers construct around the effect Vipassana meditation has on stress, teaching, and decision-making. This study addressed the problem of how teachers respond to daily tasks and demands that can negatively impact their longevity in the profession. The starting point was the conceptual framework, including resolving cognitive dissonance, choice theory, mindfulness, and the perspective of Vipassana meditation. The research questions addressed how Vipassana meditation influences a teacher's daily routine, decision-making, classroom management, general procedures, and stressful situations. The data collection was done in 2 …

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Public Sponsored Health Insurance To Improve Health Outcomes With Implications For Government Health Policy, Design, And Decision Making, Steven M. Wagner Jan 2011

Public Sponsored Health Insurance To Improve Health Outcomes With Implications For Government Health Policy, Design, And Decision Making, Steven M. Wagner

Walden Dissertations and Doctoral Studies

This research sought to ascertain the extent to which providing public sponsored health insurance (PSHI) to previously uninsured Mexican-American Hispanics improves health outcomes among those requiring ongoing treatment to control diabetes. Prior research utilizing insurance access theory; access, equity, and health outcome interrelationship theory; health affordability theory; and financial and resource burden theory suggests the uninsured receive less care than the insured, with delayed treatment, leading to chronic conditions. This research tested each of those major theoretical constructs into a blended conceptual framework based on the notion that providing health insurance helps alleviate the disabling effects of diabetes among this …

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Union And Nonunion Employment: An Investigative Study Of Factors In The Employment Setting That May Influence The Development Of Burnout, Rachel Elizabeth Costello Jan 2011

Union And Nonunion Employment: An Investigative Study Of Factors In The Employment Setting That May Influence The Development Of Burnout, Rachel Elizabeth Costello

Walden Dissertations and Doctoral Studies

The primary goal of this two-phased, sequential mixed-methods study was to discover whether union affiliation is associated with a lower occurrence of burnout in factory workers by comparing union and nonunion workers. The objective was to determine levels of burnout in union and nonunion employees as well their perception of social support in the workplace. The theoretical synthesis consisted of conservation of resources theory and the theory of reasoned action. The Oldenburg Burnout Inventory (OLBI) and the Quality of Worklife Questionnaire were used to identify the characteristics of the workplace (job demands and job resources) and the level of burnout. …

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Evaluation Of Capacity For Best Practice Of Clinical Vaccine Research In Western Kenya, Sylvie Anne Kwedi Jan 2011

Evaluation Of Capacity For Best Practice Of Clinical Vaccine Research In Western Kenya, Sylvie Anne Kwedi

Walden Dissertations and Doctoral Studies

African institutions that perform health research need to continuously evaluate their practices in order to ensure compliance with international standards of good clinical practice (GCP). This mixed-methods study, undertaken at one clinical research site in Western Kenya, was an evaluation of GCP compliance at the site, research participants' satisfaction with research procedures, and research participants' comprehension of informed consent. The qualitative portion of the study involved audit of the site's compliance with GCP standards. The quantitative portion was an assessment of participant satisfaction and informed consent comprehension, undertaken through interviews with a sample of 297 participants. Thematic analysis of the …

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Relationship Satisfaction Among Married Or Cohabitating Heterosexual And Homosexual Couples In The State Of Hawaii, Adrianna Marie Flavin Jan 2011

Relationship Satisfaction Among Married Or Cohabitating Heterosexual And Homosexual Couples In The State Of Hawaii, Adrianna Marie Flavin

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore relationship satisfaction among adult, cohabitating heterosexual and homosexual dyads. The United States has the highest rate of divorce among all the industrialized nations. Divorce has been linked to declines in mental and physical health, financial and social instability, unhealthy patterns of over-compensation, and higher levels of separation among the offspring of such couples. Hawaii has the fourth lowest rate of divorce in the country, despite also having the one of the highest rates of interethnic marriage worldwide. Researchers of relationship satisfaction and minority issues have yet to explore the correlates of relationship …

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Exploring The Meaning And Use Of Science Content Integration, Jason L. Garner Jan 2011

Exploring The Meaning And Use Of Science Content Integration, Jason L. Garner

Walden Dissertations and Doctoral Studies

Science content integration, or the simultaneous teaching of science with other subjects during learning activities, has been explored by multiple studies. However, due to a lack of consensus on its definition, it was difficult for educators in a local school district to discuss and evaluate the effectiveness of this instructional technique. This qualitative collective case study, based on a constructivist theoretical foundation, centered on the questions of how teachers defined and used science content integration, and perceptions of impediments to its use. Participants were five teachers in a suburban elementary school. The sources of data for this study were interviews, …

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Investigating Student Gender And Grade Level Differences In Digital Citizenship Behavior, Robert Lyons Jan 2011

Investigating Student Gender And Grade Level Differences In Digital Citizenship Behavior, Robert Lyons

Walden Dissertations and Doctoral Studies

The rapid rise of technology, which has become embedded in all facets of 21st century society during the past decade, has fostered a corresponding rise in its misuse. Digital citizenship abuse, a relatively new phenomenon of this electronic age, is a rapidly growing global problem. Parents, schools, and society play roles in supporting appropriate online behavior. Schools must take the lead role to assess and address digital citizenship issues. This ex post facto study investigated the online actions of students in a medium-sized K-12 school district and explored possible causal relationships between online misbehavior and student grade and gender based …

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Perceptions Of Recent Male Nursing Graduates Regarding Gender Bias And Gender-Based Educational Barriers, Nancy Spahr Jan 2011

Perceptions Of Recent Male Nursing Graduates Regarding Gender Bias And Gender-Based Educational Barriers, Nancy Spahr

Walden Dissertations and Doctoral Studies

Despite decades of important contributions by male nurses, nursing is still viewed as a feminine profession. Moreover, male nursing students continue to experience gender bias and gender-based educational barriers within schools of nursing. This has led to failure and drop-out rates much higher than those experienced by their female counterparts. The purposes of this quantitative survey study were to (a) explore the relationship between perceived gender bias, gender-based educational barriers within nursing education, and resiliency in recent male nursing graduates; and (b) to identify those gender-based barriers that were considered to be most prevalent and most important. A view of …

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