The problem addressed by this project study was low levels of adjunct faculty compliance and satisfaction with the professional development program at a local college. The purpose of the study was to determine if an alternative delivery method would yield higher levels of compliance and satisfaction than would a traditional professional development workshop. The guiding research question was whether an alternative delivery method would yield higher levels of compliance and satisfaction than a traditional professional development workshop. The theoretical base included andragogy, self-directed learning, and connectivism. Using an experimental design, the project examined archival data concerning compliance and satisfaction for 69 adjunct faculty members who had been randomly assigned to an online (experimental group; n = 39) or on-campus (control group; n = 30) professional development workshop. A chi-square analysis showed that compliance levels were significantly higher for participants in the online professional development workshop compared to those who participated in an on-campus workshop. An analysis of variance found that the overall satisfaction level was higher for participants in the online workshop compared to those who participated in the on-campus workshop. The project resulting from the study was a policy recommendation report. Online professional development can positively influence social change by increasing adjunct faculty participation and facilitating the creation and maintenance of networks of health educators. Additionally, direct and indirect costs currently associated with traditional professional development may be reduced through the use of online professional development.

With the growth in healthcare research and rapid changes in technology, nurses' participation in lifelong learning is a critical factor in providing excellent patient care. However, many nurses encounter difficulties engaging in continuing professional development (CPD) activities. The purpose of this case study was to understand pediatric nurses' perceptions of CPD opportunities at a tertiary, freestanding, children's hospital in Southern California. Social cognitive theory was the framework for the study. Interviews and focus groups were conducted with a purposeful sample of 39 nurses comprised of day- and night-shift nurses plus nurse managers. The data were coded into categories and themes to explain the findings; the resulting 7 themes illustrated how these nurses perceived CPD. The nurses identified motivators and barriers that influenced their involvement in CPD activities. Most nurses reported that they were able to incorporate new knowledge into their practice and produce excellent patient outcomes but some nurses expressed instances of resistance and practice not supported with evidence-based approaches to care. Although the nurses found the programs adequate, they recommended ideas for improvement, including a need for leadership and management development. A project aimed at providing nurse managers with professional development in leadership was created to improve CPD. The project could improve the nursing profession by helping educators enhance CPD to support nurses in delivering high-quality patient care, thus supporting the healing and well-being of children under their care.

Students in associate degree nursing (ADN) programs in the United States experience high attrition rates in the first year. The purpose of this quantitative correlational study was to examine the relationship between preadmission factors and first-year ADN program completion rates at one college in the south central United States. Constructivist theory provided the framework for the study. Archival data for 228 students from one ADN program were analyzed using binary logistic regression. Results indicated a statistically significant association between prerequisite grade point average (GPA) and first-year program completion. An increase in the number of incoming students ages 25 years and younger was also noted. The professional development project focused on educating nursing faculty to assist students with lower GPAs to be successful. A second component of the project addressed teaching modalities targeted to millennial and Generation Z learners. Findings may be used to increase the number of nurse graduates at the study site, which may improve health care and economic development in the local community.

Childcare programs that provide high quality care can strengthen children's early development. One component of a quality program is having providers who are knowledgeable in child development; however, despite the understanding of these known predictors of child development, Wyoming does not require childcare providers to complete any training before beginning to work with children. Guided by the constructivist theories of Piaget, Vygotsky, Dewey, and Bruner, this objectives-based program evaluation investigated the Pathways to Professional Development program to determine participants' perceptions of the strengths and weaknesses of the program. A researcher-produced survey was created based on the objectives of the program and consisted of open-ended and Likert scale questions. This survey was completed by 35 childcare providers who completed the 3 modules of the Pathways program. Data analysis began by identifying potential categories, comparing and contrasting emerging themes, and looking for emerging patterns in participant responses. Key results indicated that the participants of this program gained knowledge about child development and developmentally appropriate practice. The implications for social change from this research are directly related to the early childcare providers, children, and ultimately the communities of Wyoming. By increasing the knowledge of childcare providers, higher quality care can be provided, leading to positive relationships, stimulating learning experiences, and to a greater likelihood of children reaching their full potential.

High nursing student attrition rates at a community college in a southwestern state were noted as a significant problem by nursing faculty and college administration because of a nursing shortage and subsequent health care issues in the surrounding community. The purpose of this project study was to explore the perceptions of nursing graduates regarding the influences that led to or impeded their success in completion of the associate degree nursing program. Additionally, perspectives of the usefulness of remediation sessions provided for students failing a course were investigated. This qualitative case study, guided by transformative learning theory, included a sample of 10 nursing program graduates of the community college from 2012-2015, 4 male and 6 female, 3 of which had failed at least one course and participated in remediation during their programs of study. Participants were interviewed and data were coded and analyzed for common themes. Themes included perceptions of being over stressed, awareness of the negativity of peers, the need for self-motivation, making needed changes to increase their own success, and using available resources such as the remediation program even though it was perceived by some as punitive. A professional development workshop for nursing faculty was developed as a project based on these findings to increase faculty knowledge of factors that contribute to nursing student success or failure, assist faculty in identifying and implementing supportive resources that contribute to student success, and introduce them to practices to reduce student stress such as teaching life skills and coping methods. Social change may occur from programmatic changes that enhance nursing students' success resulting in more nursing graduates to facilitate quality health care in the local community.

This qualitative case study examined the lack of success by and high attrition rates of adult learners enrolled in online higher education courses at a public research university in the southeastern United States. The conceptual framework integrated Knowles' theory of andragogy with a composited model that combined elements of Tinto's persistence model with Bean and Metzner's student attrition model. The research questions examined factors and characteristics contributing to the unsuccessful completion of online courses for adult learners. The data were collected in 2 separate phases using a purposeful sample comprised of 152 adult learners who volunteered to participate in the study and had enrolled in an online course at the university between the fall 2013 and spring 2015. The findings revealed that factors such as work-related issues, lack of time management, and personal issues contributed to students' unsuccessful completion of online courses. Additionally, the participants' success depended on their strengths and weaknesses with time management skills, motivation and dedication, technological skills, and communication skills in online learning. The findings were used to create a pre-orientation workshop designed to assist adult learners prior to taking their first online course by assessing student readiness levels for online learning and identifying deficiencies in skills required to be successful. Offering a pre-orientation workshop session to first-time online adult learners will increase their likelihood of success and foster a positive effect on social change in this population by improving retention in an online learning environment.

Discrete-time Markov chain models can be used to make future predictions in many important fields including education. Government and educational institutions today are concerned about college enrollment and what impacts the number of students enrolling. One challenge is how to make an accurate prediction about student enrollment so institutions can plan appropriately. In this thesis, we model student enrollment at East Tennessee State University (ETSU) with a discrete-time Markov chain model developed using ETSU student data from Fall 2008 to Spring 2017. In this thesis, we focus on the progression from one level to another within the university system including graduation and dropout probabilities as indicated by the data. We further include the probability that a student will leave school for a limited period of time and then return to the institution. We conclude with a simulation of the model and a comparison to the trends seen in the data.

Several decades of research document a growing communication gap between older adults and younger generations, with retirees limiting the information they share with younger generations. This limitation is often due to older adults' low self-efficacy and technology as a communication distraction, a trend which has resulted in the loss of intellectual capital for younger generations. The purpose of the study was to understand and increase knowledge transfer between retirees and unrelated younger people in a rural Canadian community. Communication theory of identity and social cognitive theory provided the research frameworks. The research questions examined what knowledge retirees could pass down, retirees' reasons for sharing knowledge, and the community's influence on generational communication. A qualitative case study incorporated several data sources including in-depth semi-structured individual interviews and focus groups (N = 40), and an analysis of existing literature. Transcribed recordings and field note analysis using open coding and peer debrief review resulted in 5 emergent themes. Key findings indicated participants felt they had little or nothing to share despite a variety of life experiences, found communication success with nontechnology-based catalysts, and felt the community has closed social circles. Transferring identity during retirement was difficult for many participants, a finding which supported the resulting project: a retiree social transition workshop. These findings suggest that those approaching retirement may benefit from identity transition support from employment to retirement, resulting in increased well-being in retirement, increased self-efficacy and motivations, and improved knowledge transfer to younger generations.

The purpose of this study was to evaluate the effectiveness of current education materials on changing maternal smoking attitudes. Children are affected by prenatal exposure to tobacco smoke. Although there are educational efforts to discourage pregnant women from smoking, the practice continues in a significant number of pregnancies. New materials, based on current research, were also evaluated for effectiveness. The theoretical framework for this study was adult learning theory presented by Knowles which makes the assumption that an individual is shaped by environmental systems, that adult learning is affected by previous knowledge they bring to the learning and that adults must have a motive for change. The study sought to determine if mothers are presented with the latest research-based information about the effects of smoking upon their unborn child what extent will it change the attitude of smoking while pregnant. The research design was a quantitative, one-group pretest-posttest design. The target individuals, mothers of young children in a large preschool program, were surveyed with direct questions that yielded measurable data. The surveys were validated by three early childhood experts. The data obtained through the participant surveys were analyzed using a paired an analysis of variance, comparing pretest-posttest responses and demographic variables. The results of the study showed the affect education had on changing the attitudes and that demographic characteristics did not influence that change. Through educating mothers on the long-term negative outcomes of smoking during pregnancy, this study's impact has changed attitudes and understanding and thereby changes their behavior. The result of this research provided educational information that may change the attitude towards mothers smoking during pregnancy.

This study explored the problem of student attrition in beginning courses of an Intensive English Program (IEP) that may affect the sustainability of the IEP. The purpose of the study was to understand the perceptions of continuing students and the factors that influenced their motivation and engagement to persist studying in the IEP. Constructivism and behavioral social learning theory guided this study. The research problem addressed the need for students to remain in IEPs and achieve second language acquisition. The research questions were designed to learn what instructional approaches motivated and engaged participants to persist in successive introductory courses. A qualitative case study design, guided by interpretive epistemology, was used to collect students' opinions, perceptions, and suggestions on their experiences in their first course. The target population was beginners in a second IEP course at a community college. A purposive sample of 16 participants took part in 2 focus groups, individual interviews, and open-ended surveys for data triangulation. Constant comparative analysis using open and axial coding was used to aggregate data themes for inquiry. The findings revealed that poor student engagement, lack of mentorship qualities in instructors, and little inclusion of technology have been persistent reasons for their dissatisfaction. The project, a collaborative professional development effort, was designed for IEP instructors to gain awareness on past and current research about the andragogical framework of student-centeredness which culminated with the cooperative elaboration of a set of best practices. The social impact of the study comes from benefits that sustainable IEP programs could offer to communities with large populations of immigrants and to international visitors to empower them to achieve immersion into English-speaking societies.