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- All Subjects: mobility
- Creators: Baker, Dale
Description
The high rate of teacher turnover in the United States has prompted a number of studies into why teachers leave as well as why they stay. The present study aims to add to that knowledge specifically regarding why teachers choose to stay at urban schools. Several reasons teachers in general choose to stay have been identified in previous studies including faith in their students, continuing hope and sense of responsibility, and love among others. The importance of such a study is the possibility of designing programs that reinforce teacher success through understanding the personal and professional reasons teachers choose to stay. Getting teachers to stay is important to the nation's goal of providing equity in science education to all children. Important to this research is an understanding of motivational theories. Already a challenge in the over-busy modern world, the ability to self-motivate and motivate others is of particular importance to teachers in urban schools as well as teachers struggling against restrictive budgets. Studies have shown teachers extrinsically motivated will need external rewards to encourage them while teachers who are intrinsically motivated will have their own internal reasons such as satisfaction in contributing to the future, self-actualization, or the joy of accomplishment. Some studies have suggested that teachers who decide to remain teaching tend to be intrinsic motivators. Unfortunately, the environment in most Western country educational systems presents a challenge to achieving these intrinsic goals. As a result, self-determination theory should play a significant role in shaping educational programs. The following study examined the perspectives of secondary school science teachers, specifically regarding why they opted to remain within the classroom in urban districts. It was conducted utilizing interviews and surveys of teachers working within urban school districts in Arizona and California. The sample consisted of 94 science teachers. More than half of the participants were White females and 36 percent of them had been teaching for more than 15 years. Participation in the study was based on self-selected volunteerism. Survey questions were based on self-determination theory and used Likert scale responses. Follow-up audiotaped interview requested information regarding identity and their social interaction within the urban settings. The survey responses were analyzed using SPSS for descriptive statistics, one-way ANOVA, and linear regression. The results of this study provide insight on what works to motivate science teachers to continue teaching in less than ideal school settings and with such high bureaucratic impediments as standardized testing and school rating systems. It demonstrates that science teachers do seem to be intrinsically motivated and suggests some areas in which this motivation can be fostered. Such results could help in the development of teacher support groups, professional development programs, or other programs designed to assist teachers struggling to deal with the specific problems and needs of inner city school students.
ContributorsAlhashem, Fatimah (Author) / Baker, Dale (Thesis advisor) / Margolis, Eric (Committee member) / Husman, Jenefer (Committee member) / Arizona State University (Publisher)
Created2012
Description
Background: Heart failure is the leading cause of hospitalization in older adults and has the highest 30-day readmission rate of all diagnoses. An estimated 30 to 60 percent of older adults lose some degree of physical function in the course of an acute hospital stay. Few studies have addressed the role of posture and mobility in contributing to, or improving, physical function in older hospitalized adults. No study to date that we are aware of has addressed this in the older heart failure population.
Purpose: To investigate the predictive value of mobility during a hospital stay and patterns of mobility during the month following discharge on hospital readmission and 30-day changes in functional status in older heart failure patients.
Methods: This was a prospective observational study of 21 older (ages 60+) patients admitted with a primary diagnosis of heart failure. Patients wore two inclinometric accelerometers (rib area and thigh) to record posture and an accelerometer placed at the ankle to record ambulatory activity. Patients wore all sensors continuously during hospitalization and the ankle accelerometer for 30 days after hospital discharge. Function was assessed in all patients the day after hospital discharge and again at 30 days post-discharge.
Results: Five patients (23.8%) were readmitted within the 30 day post-discharge period. None of the hospital or post-discharge mobility measures were associated with readmission after adjustment for covariates. Higher percent lying time in the hospital was associated with slower Timed Up and Go (TUG) time (b = .08, p = .01) and poorer hand grip strength (b = -13.94, p = .02) at 30 days post-discharge. Higher daily stepping activity during the 30 day post-discharge period was marginally associated with improvements in SPPB scores at 30 days (b = <.001, p = .06).
Conclusion: For older heart failure patients, increased time lying while hospitalized is associated with slower walking time and poor hand grip strength 30 days after discharge. Higher daily stepping after discharge may be associated with improvements in physical function at 30 days.
Purpose: To investigate the predictive value of mobility during a hospital stay and patterns of mobility during the month following discharge on hospital readmission and 30-day changes in functional status in older heart failure patients.
Methods: This was a prospective observational study of 21 older (ages 60+) patients admitted with a primary diagnosis of heart failure. Patients wore two inclinometric accelerometers (rib area and thigh) to record posture and an accelerometer placed at the ankle to record ambulatory activity. Patients wore all sensors continuously during hospitalization and the ankle accelerometer for 30 days after hospital discharge. Function was assessed in all patients the day after hospital discharge and again at 30 days post-discharge.
Results: Five patients (23.8%) were readmitted within the 30 day post-discharge period. None of the hospital or post-discharge mobility measures were associated with readmission after adjustment for covariates. Higher percent lying time in the hospital was associated with slower Timed Up and Go (TUG) time (b = .08, p = .01) and poorer hand grip strength (b = -13.94, p = .02) at 30 days post-discharge. Higher daily stepping activity during the 30 day post-discharge period was marginally associated with improvements in SPPB scores at 30 days (b = <.001, p = .06).
Conclusion: For older heart failure patients, increased time lying while hospitalized is associated with slower walking time and poor hand grip strength 30 days after discharge. Higher daily stepping after discharge may be associated with improvements in physical function at 30 days.
ContributorsFloegel, Theresa A (Author) / Buman, Matthew P (Thesis advisor) / Hooker, Steven (Committee member) / Dickinson, Jared (Committee member) / DerAnanian, Cheryl (Committee member) / McCarthy, Marianne (Committee member) / Arizona State University (Publisher)
Created2015