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2016

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Effects Of An Integrated Electronic Health Record On An Academic Medical Center, Kenneth E. Koppenhaver Ii Jan 2016

Effects Of An Integrated Electronic Health Record On An Academic Medical Center, Kenneth E. Koppenhaver Ii

Walden Dissertations and Doctoral Studies

The debate about healthcare reform revolves around a triple aim of improving the health of populations, improving the patient experience, and reducing the cost of care. A major tool discussed in this debate has been the adoption of electronic health record (EHR) systems to record and guide care delivery. Due to low adoption rates and limited examples of success, the problem was a lack of understanding by healthcare organizations of how the EHR fundamentally changes an organization through the interactions of people, processes, and technology over time. The purpose of this case study was to explore the people, processes, and …

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Sexuality, Sexual Orientation, And Intellectual Developmental Disorder: A Parent's Perspective, Wendy Marie Kellon Jan 2016

Sexuality, Sexual Orientation, And Intellectual Developmental Disorder: A Parent's Perspective, Wendy Marie Kellon

Walden Dissertations and Doctoral Studies

A consistent gap in previous studies was sexuality education and sexual orientation, as well as how to disseminate the sexual education material in a format that would be useful to individuals with IDD, parents, and caregivers. This biographical study addresses the understanding of sexuality and sexual orientation of an individual with intellectual developmental disorder (IDD), as reported by his parents. Data were collected through face-to-face interviews, documents, and social media sites belonging to the participants. The theoretical framework for this study was social constructivism; a thematic analysis was used for data analysis. The six themes that emerged from this research …

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Strategies To Influence A Quality And Compliance Culture, Betsy Jean Macht Jan 2016

Strategies To Influence A Quality And Compliance Culture, Betsy Jean Macht

Walden Dissertations and Doctoral Studies

In drug, medical, and consumer products businesses, leaders should establish strategies that ensure production of quality products and drive profitability. Sales of defective or substandard products carry a potential risk of unintended effects on the consumer. The purpose of this single case study was to explore the strategies used by leaders to influence a culture of quality and compliance, leading to production of saleable products, and business profitability. The conceptual framework of the theory of constraints served to guide the scope and data analysis for this study. Participants included ten individuals with a minimum of 5 years of experience at …

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Personality Characteristics And Relationship Satisfaction Of Individuals Who Attended The Preparaciã³N De Novios Weekend Workshop, Rosalba Mada Jan 2016

Personality Characteristics And Relationship Satisfaction Of Individuals Who Attended The Preparaciã³N De Novios Weekend Workshop, Rosalba Mada

Walden Dissertations and Doctoral Studies

Research is limited and inconsistent when identifying basic constructs that improve relationship satisfaction; there is also limited research on marriage education efforts that address effects of premarital programs on relationship satisfaction and how they are influenced by personality. Research questions in this study explored the relationship between personality characteristics and relationship satisfaction and the relationship among personality characteristics and affective communication, role orientation, problem-solving communication, aggression, family history of distress, time together, disagreement about finances, and sexual dissatisfaction, as measured with the 16 Personality Factor Questionnaire (5th ed.) and Marital Satisfaction Inventory-Revised. The family systems theory provided the theoretical foundation. …

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Spirituality For Late Adolescents Coping With Grief And Loss, Dana Yolanda Matthews Jan 2016

Spirituality For Late Adolescents Coping With Grief And Loss, Dana Yolanda Matthews

Walden Dissertations and Doctoral Studies

Experiencing the death of a loved one is often life changing, and learning ways to cope is an important part of the healing process. Such a change can be particularly difficult for late adolescents (individuals between 18 and 25 years of age) who are already going through significant life changes. Spirituality and mental health has received increasing scholarly attention in recent years, and the Association for Spirituality, Ethics, and Religious Values in Counseling has developed competencies for counselors to use when working with clients who wish to incorporate spirituality in their treatment. Despite increased interest in the field, there is …

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Perceptions Of Completers Of A Four-Task Teaching Performance Assessment, Jordan Morton Jan 2016

Perceptions Of Completers Of A Four-Task Teaching Performance Assessment, Jordan Morton

Walden Dissertations and Doctoral Studies

In California, 55 teacher preparation programs have embedded a standardized four-task teaching performance assessment (CalTPA) as a requirement for initial teacher licensure. Guided by the frameworks of transactional experience and the theory of formative assessment, this phenomenological study addressed the meaning and role ascribed to the CalTPA by those who complete it. Research questions examined participants' perceptions of their CalTPA experience with respect to preparation, completion of the tasks, feedback, remediation, activities between tasks, and overall experience Data were collected through 3 semi-structured interviews of 8 participants who had successfully completed the CalTPA tasks, chosen by reputational case selection from …

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Psychological Empowerment And Customer Orientation In The Grocery Industry, Christopher Nestico Jan 2016

Psychological Empowerment And Customer Orientation In The Grocery Industry, Christopher Nestico

Walden Dissertations and Doctoral Studies

Organizations incur $83 billion per year in losses because of negative consumer experiences. Leadership behaviors and the various aspects of organizational life affect employee-customer interactions. With psychological empowerment theory as a theoretical framework, the purpose of this correlational study was to investigate the relationship between the independent variables of psychological empowerment (PE), dimensions of PE (e.g., meaning, self-efficacy, influence), tenure, education, and the dependent variable of customer orientation (CO). Employees of a regional grocery retailer in the northeastern United States comprised the population of the study. Data collection involved the use of paper surveys to measure individual worker levels of …

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Bone Health Education For Osteoporosis Risk Reduction In Premenopausal Women: A Quality Improvement Project, Gloria Nichols Nichols Jan 2016

Bone Health Education For Osteoporosis Risk Reduction In Premenopausal Women: A Quality Improvement Project, Gloria Nichols Nichols

Walden Dissertations and Doctoral Studies

In the United States, about 8.5 million women live with osteoporosis. Osteoporosis is a debilitating systemic skeletal disorder characterized by low bone mass and reduced bone mineral density that occurs with the loss of estrogen. The mortality rate for this group is about 3 to 4 times higher than other women and as many as 1 in 3 experience a fracture. Guided by the Health Belief Model, this project evaluated how a bone health fact sheet impacts knowledge about osteoporosis and self-efficacy for preventative behavioral change in premenopausal women (age 40-58 years). The project also evaluated if an electronic medical …

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Effectiveness Of Cognitive Screening For Heart Failure Patients, Comfort Nkengla Jan 2016

Effectiveness Of Cognitive Screening For Heart Failure Patients, Comfort Nkengla

Walden Dissertations and Doctoral Studies

Cognitive impairment is commonly seen in the elderly population. It is unclear if cognitive deficit in heart failure (HF) patients is a primary factor for higher hospital readmission rates in this population. The Centers for Medicare and Medicaid Services have established strict guidelines for reimbursement on readmissions that occur within 30 days. It is imperative that organizations identify and rectify issues that impact readmissions. The aim of this project was to determine if there is a reduction in HF readmission after patients are screened for cognitive impairment. Orem's self-care model guided the project by providing a framework of inquiry regarding …

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The Effect Of Regulations On The Bottom-Line Of Traditional And Shadow Banks, Tsatsu Emmanuel Nyamadi Jan 2016

The Effect Of Regulations On The Bottom-Line Of Traditional And Shadow Banks, Tsatsu Emmanuel Nyamadi

Walden Dissertations and Doctoral Studies

Return on equity is often associated with prudent risk-taking and the attraction of new clients in advanced economies like the United States, where shadow banks are not regulated. Researchers have contended that freedom from regulation encourages risk-taking and earning of higher profits, but there is a lack of empirical evidence addressing this relationship. The purpose of this quantitative study was to investigate whether lack of regulations result in increased return on equity. The theoretical framework was regulatory arbitrage by Ricks M, Gennaioli N, Shleifer A, and Vishny R. The research question addressed the relationship between regulation, profit margin, leverage, asset …

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Adoption Of Information And Communication Technology In Nigerian Small- To Medium-Size Enterprises, Kessington Enaye Okundaye Jan 2016

Adoption Of Information And Communication Technology In Nigerian Small- To Medium-Size Enterprises, Kessington Enaye Okundaye

Walden Dissertations and Doctoral Studies

Small- to medium-size enterprises (SMEs) play a vital role in a dynamic economy through job creation, poverty alleviation, and socioeconomic development in developed and developing countries. The purpose of this multiple case study was to explore how SME leaders in Lagos, Nigeria, adopted information and communication technology (ICT) as a business strategy to increase profitability and compete globally. Organizational leaders have adopted ICT so that their organizations can become more efficient, effective, innovative, and globally competitive. This study involved 4 SMEs that had successfully implemented ICT. The participants included 5 SME leaders from each of the SMEs. The data collection …

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Multimedia Technologies' Influence On Language Acquisition In English Language Learners, Larissa Karina Parrilla Jan 2016

Multimedia Technologies' Influence On Language Acquisition In English Language Learners, Larissa Karina Parrilla

Walden Dissertations and Doctoral Studies

English as a Second Language (ESL) learners at the upper elementary level have struggled to demonstrate the vocabulary required to read in English at grade-level. Although multimedia technologies have demonstrated positive effects as language acquisition educational tools at the university level, it remains unclear how useful they are for language acquisition at the elementary level. This quasi-experimental study used dual coding theory as a framework to examine the relationship between the level of reading comprehension upper elementary students developed and their construction of word meanings through use of multimedia technologies. The study utilized convenience sampling of 85 students divided into …

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Secondary Preservice Teachers' Perceptions Of Preparation To Teach In Urban Schools, Jacquinne Reynolds Jan 2016

Secondary Preservice Teachers' Perceptions Of Preparation To Teach In Urban Schools, Jacquinne Reynolds

Walden Dissertations and Doctoral Studies

University officials have identified a problem among secondary preservice teachers (SPTs) who have expressed reluctance to teach in local urban schools. The purpose of this qualitative case study was to explore the perceptions of SPTs regarding their preparation for and experiences with teaching in urban school settings. Vygotsky's zone of proximal development and Bruner's concept of scaffolding served as the conceptual frameworks that guided this study. Data were collected from 11 SPTs who completed the requirements of their field service experiences in urban schools. Data collection consisted of individual interviews, one focus group interview, and field observations. Findings showed that …

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Southeastern High School Teachers' Perceptions And Experiences In Preparing Students For Required Standardized Testing, Alberta Raymond Jan 2016

Southeastern High School Teachers' Perceptions And Experiences In Preparing Students For Required Standardized Testing, Alberta Raymond

Walden Dissertations and Doctoral Studies

The reauthorized No Child Left Behind requirement for annual state-mandated student examinations led some teachers to believe that they must teach solely for test preparation. This case study explored teachers' perceptions of preparing students for the state-mandated tests at an economically disadvantaged high school in the southeastern United States. Ten teachers were interviewed to understand their perceptions of 'teaching to the test,' feelings of pressure and stress, motivation to teach, and recommendations for integration of creative teaching strategies. The researcher collected demographic data, such as gender, grades taught, and subjects taught, and manually calculated frequencies and percentages. With an electronic …

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Challenges And Implications Of Implementing Strategic Intelligence Systems In Mexico, Hector De Jesus Rivera Ochoa Jan 2016

Challenges And Implications Of Implementing Strategic Intelligence Systems In Mexico, Hector De Jesus Rivera Ochoa

Walden Dissertations and Doctoral Studies

Business intelligence (BI) allows companies to make faster and better-informed decisions. Unfortunately, implementing BI systems in companies in developing countries is minimal. Limited and costly access to the technology, coupled with the cultural background affecting how people perceive BI, has restricted such implementations. The purpose of this phenomenological study was to explore and describe the lived experiences of chief executive officers (CEOs) in northern Mexico to obtain insight into the challenges of implementing BI systems. Research questions focused on the reasons behind the lack of BI systems implementation and the challenges faced by these officers when implementing a new system. …

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Retention Strategies For Financial Stability In Community Colleges, Jackie Ann Roddy Jan 2016

Retention Strategies For Financial Stability In Community Colleges, Jackie Ann Roddy

Walden Dissertations and Doctoral Studies

Tennessee education leaders must improve their student retention strategies to increase financial stability and enhance the state's ability to support businesses and jobs through a well-educated workforce. The focus of this qualitative multiple case study was on 6 Tennessee community colleges where leaders had demonstrated successful strategies for retaining students resulting in increased revenues and financial stability. The advocacy/ participatory worldview provided a conceptual framework for identifying and comparing themes regarding Tennessee higher education leaders' retention strategies. Data collection included interviews and review of organizational retention reports on strategies as well as college, state, and federal findings on retention. Federal …

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Impact Of An Innovative Classroom On Bsn Students' Self-Efficacy And Academic Performance, Laurie Jo Singel Jan 2016

Impact Of An Innovative Classroom On Bsn Students' Self-Efficacy And Academic Performance, Laurie Jo Singel

Walden Dissertations and Doctoral Studies

The critical shortage of registered nurses (RNs) in the United States has led to increased enrollment in nursing schools, but the number of graduates is still decreasing, as nursing students struggle and fail in upper division courses. There is a significant gap in knowledge concerning students' self-efficacy (SE) as a factor directly influencing students' academic performance. The problem examined in this correlational study was the impact of collaborative learning in an innovative classroom setting on Bachelor of Science in Nursing (BSN) students' SE and academic performance. Framed by Bandura's theory of SE, the research questions examined the relationship between students' …

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Success Strategies Saudi Entrepreneurs Used To Navigate Through Regulations In Jeddah, Farah Mehar Spencer Jan 2016

Success Strategies Saudi Entrepreneurs Used To Navigate Through Regulations In Jeddah, Farah Mehar Spencer

Walden Dissertations and Doctoral Studies

Saudi Arabian entrepreneurs face major difficulties with the country's complex regulatory system. Based on Schumpeter's theory of entrepreneurship, the purpose of this phenomenological study was to reveal the lived experiences of Saudi entrepreneurs in navigating regulatory procedures in Jeddah. Data were collected through prolonged, face-to-face phenomenological interviews with 22 Saudi businesspeople who started successful businesses. The van Kaam method and member checking helped validate the transcribed data, which were subsequently coded into 4 themes. Four themes emerged from the data analysis: (a) obstacles in regulatory processes, (b) lack of information, (c) cumbersome procedures and need for alternatives to stringent protocols, …

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A Study Of The Application Of A Bring Your Own Device Strategy In An Elementary School, Carol Louise Scholz Jan 2016

A Study Of The Application Of A Bring Your Own Device Strategy In An Elementary School, Carol Louise Scholz

Walden Dissertations and Doctoral Studies

Numerous studies have been published on the efficacy of a Bring Your Own Device (BYOD) Acceptable Use Policy (AUP) at the U.S. secondary and postsecondary school levels to increase student access to technology. However, there is a lack of data on the efficacy of a BYOD AUP to increase elementary student technology access. The purpose of this descriptive case study was to determine if a BYOD AUP at the U.S. K-5 level would increase students' access to technology as necessitated by the implementation of the Common Core State Standards (CCSS). This study was grounded in social transmission and transformative theories. …

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Electronic Learning Management System Integration Impact On Tertiary Care Hospital Learners' Educational Performance, Ahmad Tassi Jan 2016

Electronic Learning Management System Integration Impact On Tertiary Care Hospital Learners' Educational Performance, Ahmad Tassi

Walden Dissertations and Doctoral Studies

Technological innovations have been shown to improve the quality of health information and improve safety in health care systems. The purpose of this project was to offer hospital nurses a more flexible and practical alternative to education and training than the traditional face-to-face method, supporting nurse educators in overcoming many of the obstacles in responding to nurses' needs in the clinical areas. This project used a randomized, 2-group posttest-only experimental design to measure the effect of treatment at a targeted hospital. The experimental group received a new instructional approach using an Electronic Learning Management System (ELMS) and the control group …

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Investigating How Families Experience School Criminalization, Monique Tate Jan 2016

Investigating How Families Experience School Criminalization, Monique Tate

Walden Dissertations and Doctoral Studies

Public school students across the United States have been criminalized for minor youth behavior issues such as truancy, defiance, and minor fighting incidents. The presence of law enforcement is expanding in school spaces, increasing the likelihood of young students facing court systems for minor offenses. Criminalization of students is counterproductive considering schools are designed to promote student growth and development. Little is known about how students and parents experience school criminalization. The purpose of this multi-case study, based on Freire's conceptual framework of critical consciousness, was to investigate how a small group of families experienced school criminalization. Three families of …

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Strategies Software Company Sales Managers Implemented To Reduce Voluntary Employee Turnover, Pete Taylor Jan 2016

Strategies Software Company Sales Managers Implemented To Reduce Voluntary Employee Turnover, Pete Taylor

Walden Dissertations and Doctoral Studies

The high rates of voluntary employee turnover in software sales organizations have forced business leaders to search for strategies that reduce voluntary employee turnover. The purpose of this multiple case study was to explore the strategies of a small group of sales managers who had demonstrated reduced voluntary employee turnover in their software manufacturing companies. Ten managers from 5 software manufacturing companies who had a minimum of 5 years of management experience were recruited and participated in semistructured, face-to-face interviews. The conceptual framework included Herzberg's 2-factor theory for exploring the relationship between job satisfaction and voluntary employee turnover. Open and …

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Relationship Between Nurse Training And Physical Restraints In Nursing Homes, Terah Tessier Jan 2016

Relationship Between Nurse Training And Physical Restraints In Nursing Homes, Terah Tessier

Walden Dissertations and Doctoral Studies

According to the Centers for Medicare and Medicaid Services (CMS), approximately 1.3 million U.S. residents are residing in nursing homes. CMS enforced regulations in the Nursing Home Reform Act. Training in the use of restraints in nursing homes is monitored through the CMS standards. The purpose of this study was to determine whether there was a correlation between training standards of health care practitioners and their use of restraints in nursing homes based on the patterns of citations by RNs and CNAs. Data were collected from Kansas, Louisiana, and Ohio within the CMS Nursing Home Data Compendium. The key research …

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Managing Effective Communication After A Crisis, Enid Alane Thompson Jan 2016

Managing Effective Communication After A Crisis, Enid Alane Thompson

Walden Dissertations and Doctoral Studies

Despite the effects of natural disasters on small business owners, the owners' communication strategies to alleviate loss to their companies' profitability remain problematic. The purpose of this qualitative descriptive multiunit case study was to explore what communication strategies some small business owners developed and implemented for facilitating resuming their business operations after a natural disaster. The targeted population consisted of 2 small business owners located along the Belmar Boardwalk in Belmar, New Jersey. The conceptual framework for this study was Coombs' situational crisis communication theory. The case data collected were from semistructured interviews and company documents. Employing member checking and …

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Health Care Team Members' Perceptions Of Changes To An Electronic Documentation System, Carol Von Michaelis Jan 2016

Health Care Team Members' Perceptions Of Changes To An Electronic Documentation System, Carol Von Michaelis

Walden Dissertations and Doctoral Studies

Policy makers view electronic medical records as a way of increasing efficiency in the U.S. health care system. However, hospital administrators may not have the clinical background to choose a documentation system that helps the health care team safely increase efficiency. The purpose of this case study was to examine health care team members' attitudes and perceptions of quality of care and efficiency amid a documentation system change. The theory of change was the theoretical foundation for the study. The 6 research questions were designed to elicit information about what the health care team experienced when a documentation system changed …

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K-12 Educational Technology Implementations: A Delphi Study, Jennie L. Vandykgibson Jan 2016

K-12 Educational Technology Implementations: A Delphi Study, Jennie L. Vandykgibson

Walden Dissertations and Doctoral Studies

The use of educational technologies is a key component of education reform. In its current national technology plan, Future Ready Learning: Reimagining the Role of Technology in Education, the U.S. Department of Education asserts that educational technologies can transform student learning. Successful integration of educational technology could increase student achievement and transform the setting to bring about positive social change. The purpose of this study was to provide a group of expert panelists an opportunity to identify strategies and guidelines to create an effective educational technology plan. Data were gathered using a modified Delphi technique from 7 teachers, 8 administrators, …

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Differentiated Instruction, Teacher Immediacy, And Students' Mathematic Success, Katherine Ann Albanese-Benevento Jan 2016

Differentiated Instruction, Teacher Immediacy, And Students' Mathematic Success, Katherine Ann Albanese-Benevento

Walden Dissertations and Doctoral Studies

This study investigated the role of both arts-integrated instruction (art activities as part of math instruction) and teacher immediacy (teacher caring behaviors) levels on students' math achievement. Although students from low socio-economic culturally diverse school districts have shown improvement in academic test scores, their scores are still significantly lower than scores of students from other school districts. Research has shown that when there is an increase in teacher immediacy, students' academic success increases. Despite this known correlation, there is a lack of literature on the ways that arts integration, combined with teacher immediacy, can affect academic success. Constructivist theories, experiential …

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An Evaluation Of Individuals' Construction Of Personal Trust In Organizations, Colin Edward Armour Jan 2016

An Evaluation Of Individuals' Construction Of Personal Trust In Organizations, Colin Edward Armour

Walden Dissertations and Doctoral Studies

Trust is in decline within organizations resulting from poor management and ethical indifference. Failing to address trust perceptions has led to stress between management and employees. Researchers have studied organizational trust as a constant quality within groups but have neglected the uniquely individual constructs of trust that inhibit trust-building efforts. The purpose of this quantitative study was to evaluate how personal constructs of trust may affect outcomes at the organizational level among workers and managers in hierarchal structured organizations. The topics of the research questions addressed the extent which cultural values and the relative trust situation affected individuals' perceptions of …

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Investing In Least Developed Countries: The Aynak Mine Project, Roosevelt Barfield Jan 2016

Investing In Least Developed Countries: The Aynak Mine Project, Roosevelt Barfield

Walden Dissertations and Doctoral Studies

The rise of market globalization creates challenges for business executives seeking to pursue foreign direct investment (FDI) in least developed countries (LDC), such as Afghanistan. Multinational corporate (MNC) executives need strategies that will improve the timely delivery of minerals for mining projects in LDCs. Guided by the force field analysis theory, the purpose of this holistic, single-case study was to explore the strategies that 5 MNC executives in Beijing, China, used to improve the timely delivery of minerals associated with the Aynak copper mine project in Afghanistan. Semistructured interviews were used to elicit detailed narratives from MNC executives about their …

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Tier 1 And Tier 2 Reading Interventions In English Language Arts Classrooms At A Rural High School, Irene Barry Jan 2016

Tier 1 And Tier 2 Reading Interventions In English Language Arts Classrooms At A Rural High School, Irene Barry

Walden Dissertations and Doctoral Studies

Average scores from the 2013 National Assessment of Educational Progress in reading for Grade 12 students indicated only 38% of Grade 12 students were proficient in reading. Even though significant research has been conducted on reading interventions for elementary and middle school students, little is known about how teachers implement reading interventions at the high school level. The purpose of this study was to explore how teachers implemented Tier 1 and/or Tier 2 reading interventions in high school English language arts courses. The conceptual framework was based on Vygotsky's (1929) theoretical research about scaffolding instruction in the zone of proximal …

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