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Antonsson, Lisa, and Carolina Gustavsson. "Livet efter organtransplantation : En litteraturbaserad studie om patienters upplevelser." Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-8163.
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Background: For patients with end-stage organ failure receiving an organ is lifesaving. To be transplanted means a big change and adjustment in life with lifelong medication. The ambition for these patients is to go back and live as normal of life as possible. Aim: The aim of this study was to describe patients experiences of being organ transplanted. Method: The method used was a literature-based study based on qualitative scientific articles. A total of 9articles were analyzed with a qualitative content analysis. Result: After analysis 5 categories emerged; indebted, limitations in daily life, fear of organ rejection, concerns about medicine and a positive attitude to life. It showed that patient´s experiences of being organ transplanted are individual and unique. Some experiences are harder to deal with than others. Conclusion: Patients describe both negative as well as positive experiences of being transplanted. They express a need for more knowledge about their condition and a need that health care staff enhance their knowledge and understanding about their unique situation.
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Sahlbring, Linnea, and Maria Spetz. "Gåvan av ett nytt hjärta : Vuxna patienters upplevelser efter hjärttransplantation." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-9718.
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Background: Each year, thousands of patients around the world receive a new heart through heart transplant surgery. This is a lifesaving action and is most common among people with a heart disease that has led to a severe and non-treatable heart failure, for instance cardiomyopathy. But the process of receiving a new heart comes with challenges and the patients can experience emotional and physical difficulties. Aim: The aim of this study was to illuminate adult patients' experiences after heart transplantation. Method: A literature-based study was conducted and fourteen scientific qualitative articles were analyzed with a qualitative approach. Results: After analyzing the results, three main themes emerged; "To receive someone else's heart", "Learning how to live" and "To experience difficult emotions". Each main theme had three significant subthemes. The findings showed that a diversity of experiences arose among the patients after undergoing heart transplant surgery. They experienced gratitude, faith, concern, existential thoughts and sadness. They expressed support and the pursuit of gaining control in daily life as meaningful and essential. But they also had to handle limitations in their lives concerning the medical treatment, the continuous follow-ups and the diet restrictions. Conclusion: As a nurse it is fundamental to see the heart transplant patient as a unity and a unique person. Thus it is important to notice the patients' psychological difficulties that can arise after heart transplantation and not only observe the physical problems. Communicate with the patients in a motivating and caring way and try to understand their individual experiences of the situation in order to promote their health. In that way we can lay a valuable foundation for nursing.
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Molin, Elvira, and Frida Eriksson. "Patienters emotionella upplevelser av att ställas inför organtransplantation och dess efterförlopp : en litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-79866.
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Bakgrund: Organtransplantation är ett livräddande ingrepp som genomförs när inga andra behandlingsalternativ finns. Patienten står inför en livslång behandling med immunsänkande läkemedel för att minska risken för avstötning. Det är en emotionellt krävande upplevelse för patienterna och deras familjer som gör att de är i behov av stöd av sjuksköterskan. Syfte: Syftet var att beskriva patienters emotionella upplevelser före och efter organtransplantation. Metod: En litteraturstudie som baseras på kvalitativa omvårdnadsvetenskapliga artiklar. Resultat: Fyra kategorier identifierades, Tacksamhet och skuld på samma gång, Upplevelse av stöd, Känslomässig berg- och dalbana och Oro med tillhörande underkategorier. Slutsats: Organtransplantation var överlag en omtumlande upplevelse som var unik för varje patient. Sjuksköterskan behöver mer kunskap för att bidra till god vård då patienters upplevelser före och efter organtransplantation är relativt outforskat. Nyckelord: Livserfarenhet, mottagare, organtransplantation, patient, upplevelse.<br>Background: Organ transplantation is a life-saving intervention that is carried out when no other treatment options exist. The patient is facing a lifelong treatment with immunosuppressive drugs to reduce the risk of rejection. It is an emotionally demanding experience for the patients and their families are in need of support from the nurse. Aim: The purpose was to describe patients' emotional experiences before and after organ transplantation. Method: A literature study based on qualitative nursing science articles. Result: Four categories were identified, Gratitude and guilt at the same time, Experience of support, Emotional roller coaster and Concern with associated subcategories. Conclusion: Organ transplantation was generally a tumultuous experience unique to each patient. The nurse needs more knowledge to contribute to good care since patients' experiences before and after organ transplantation are relatively unexplored. Keywords: Life experience, recipient, organ transplantation, patient, experience.
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Buchan, Kerry. "Recipient Experiences of a Peer-Led Abstinence Programme at the University of the Western Cape." Thesis, Online Access, 2008. http://etd.uwc.ac.za/usrfiles/modules/etd/docs/etd_gen8Srv25Nme4_8335_1260527059.pdf.
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Roggenkamp, Simone. "Women's experience of their fertility and being an egg donor recipient : a portfolio of research and therapeutic practice." Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/18677/.
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This portfolio consists of three sections: a qualitative research study, a case study and an article, with the overall aim of exploring women’s psychological experience of their fertility and reproductive health. The aim has been, across the three sections, to depict how women try to make sense of their fertility issues, the complexity of this experience, and how this impacts on other areas of their life. Fertility issues have been medicalised due to the rise of and focus on developing artificial reproductive techniques to assist people in conceiving: The focus has been on solving a medical problem with a medical solution, and less on the more psychosocial elements of infertility and artificial reproductive techniques. It is hoped that these three sections will help extend our understanding and insight into the experience of the psychosocial repercussions that fertility issues and egg donation can have for women.
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Hedström, Victoria, and Julia Gustafsson. "Att leva med ett transplanterat hjärta : ur ett patientperspektiv." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-39436.
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Bakgrund: Hjärttransplantation har idag blivit en etablerad procedur som kan erbjudas till patienter som lider av svår hjärtsvikt. Patienterna har stort behov av omvårdnad en lång period efter att hjärttransplantationen är genomförd. Sjuksköterskans uppgift är att kunna möta hjärttransplanterade patienter i omvårdnadsarbetet. Syfte: Syftet var att beskriva vuxna patienters upplevelser efter hjärttransplantation. Metod: För att utföra studien gjordes en allmän litteraturstudie. Tio vetenskapliga artiklar från tre olika omvårdnadsdatabaser granskades och analyserades. Resultat: I resultatet framkom tre huvudkategorier med sex underkategorier; Patienternas upplevda känslor med underkategorierna; Rädsla över att det nya hjärtat skulle sluta slå, Upplevelsen av att inte vara värdig sitt nya hjärta och Tankar och känslor om donatorn och donatorns familj. Huvudkategorin; Upplevelse av ny identitet och huvudkategorin: Upplevelse av stöd med följande underkategorier; Stöd från vården, Stöd från anhöriga och vänner och slutligen Stöd från andra hjärttransplanterade. Slutsatser: Upplevelserna av att leva med ett transplanterat hjärta varierade mellan patienterna och omfattade både psykiska och fysiska faktorer. Upplevelsen av att leva i osäkerhet kring sin hälsa skapade oro, rädsla och ångest hos patienterna som visade på ett stort behov av stöd från sjukvårdspersonalen. För en optimal personcentrerad omvårdnad behöver sjuksköterskan ha kunskap om hjärttransplanterade patienters upplevelser för att få ökad förståelse och kunna ge adekvat omvårdnad.<br>Background: Heart transplant has today become an established procedure offered to patients suffering from severe heart failure. The patients are in need of medical care for a long period of time after the heart transplant has been carried out. Moreover, it is the duty of the nurse to be able to respond to the patients in daily nursing care. Aim: The aim was to describe adult patients’ experiences after a hearttransplantation. Method: To carry out the study, a general literature study was used. The result was based on ten scientific articles from three healthcare databases which were reviewed and analyzed. Result: Three main categories and six subcategories emerged from the result; The patients’ experienced feelings with the following subcategories; Fear that the new heart would stop beating, The experience of not being worthy of the new heart and Thoughts and feelings about the donor and the donor's family. The main category; Experience of new identity and the main category: The presence of support with the following subcategories; Support from the healthcare, Support from relatives and friends and finally Support from other hearttransplanted. Conclusion: The experiences of living with a transplanted heart varied between patients and included both mental and physical components. The Patients’ experience of living in uncertainty about their health created difficulties with fear and anxiety and the patients showed a great need for support. To achieve the best person-centered care possible, the nurse needs to be familiar with the patient’s experiences to acquire an understanding so as to be able to give an appropriate nursing care.
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Klein, Hal. "The experience of unemployment of social assistance recipients." Thesis, University of British Columbia, 1989. http://hdl.handle.net/2429/28252.
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An exploratory study was conducted to discover significant events and the feelings attached to these events during the experience of unemployment of social assistance recipients. Twenty social assistance recipients were interviewed. The subjects ranged in age from 25 to 44 and there were 11 females and 9 males. The phenomenological/critical incident methodology adapted by Borgen and Amundson (1984) was used. It was found that this group had an unemployment experience that could be best described as a "flat" experience with relatively few highs and a continual, pervasive string of lows. The most prominent critical incident was financial pressures and this factor seemed to dominate the experience of the great majority of respondents. Their experience was characterized by a continual struggle to financially meet survival needs, pessimism around job search, low self esteem and a battery of negative feelings around being on welfare. The results of this study will hopefully assist counsellors in understanding the experience of unemployment of social assistance recipients and lead to more effective therapeutic interventions for this population.<br>Education, Faculty of<br>Educational and Counselling Psychology, and Special Education (ECPS), Department of<br>Graduate
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Gill, Paul. "Illuminating donor and recipient experiences in live kidney transplantation." Thesis, Cardiff University, 2006. http://orca.cf.ac.uk/54297/.
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Live kidney transplants are a successful and efficient means of treating those with chronic renal failure. However, the procedure is associated with potential physical and psychosocial risks, such as operative complications and pressure to donate and receive. Recipients also often feel grateful, even 'indebted', to the donors and, consequently, this can affect their relationship with each other. Despite these issues, few studies have focused on the experiences of those involved in live transplantation. This study was, therefore, undertaken to provide an in-depth insight into this process from the participants' perspectives. Therefore, the aims of this qualitative, longitudinal study were to explore: > The experiences of donors and recipients throughout the live transplantation process > The relevance of the anthropological theory of 'gift exchange' as a framework for exploring and understanding the live kidney transplantation process > How a theoretically informed insight into these experiences may be used to inform and develop future research and clinical practice A qualitative, phenomenological approach was used to explore the experiences of 11 live kidney donors and their recipients in South-West England. Data were collected through a series of three semi-structured interviews, conducted pre- transplant and at three and ten months post-transplant. Interviews were transcribed verbatim and data coded into categories arising from participants' accounts. These findings were also considered within a theoretical framework of gift exchange. Live transplantation was the treatment of choice for all participants, especially recipients. All donors initially made an instantaneous, voluntary decision to donate and found the decision relatively easy to make. In contrast, recipients found accepting the donors' offer emotionally burdensome because of concern for their wellbeing. They were only really able to accept the transplant after discussing the matter with their donor and establishing that it was something that they really wanted to do. Recipients' lives were transformed by a successful transplant and they were subsequently very grateful to the donors for donating. Donors derived immense personal satisfaction from this outcome and it helped to confirm to them that what they had done had been worthwhile. However, the transplant rejected in one recipient and the effects of this failure were devastating. The provision of transplant services throughout this process were generally positively evaluated by participants, although several recommendations were suggested. Data from this study show that the experiences of participants interviewed, closely resembled the fundamental dynamics of the gift exchange process, thus supporting the hypothesis that this theory provides an appropriate framework for understanding the live transplantation process in these participants. The findings from this study have implications for clinical practice and future research in this area.
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Falk, Rachel E. "Identity and adjustment : experiences of the organ transplant recipient." Thesis, Canterbury Christ Church University, 2015. http://create.canterbury.ac.uk/14079/.
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Positive health-related behaviour is particularly important for liver transplant recipients’ (LTRs) recovery. However, non-adherence in adolescents post-transplant is thought to be greater than, or equal to, 50%. Literature searches have found limited research into the area of young adults’ experiences of having a donated liver. Knowing more of their experience seems important to help inform practice to improve adherence and ultimately save lives. The present study aimed to construct a grounded theory of young adults’ experiences of having a liver transplant, in order to better understand how young adults may adjust following such experiences. Semi-structured interviews were conducted with twelve liver transplant recipients (LTRs; five female, seven male). Data were analysed using constructivist grounded theory. A model was constructed to capture the dynamic interactions between thirteen categories, resulting in four main themes: Finding Identity Post-Transplant, Carrying Responsibility, Unseen, Unspoken or Misunderstood Challenges and Adjusting to Life After Transplant. The study highlights the importance of the themes in psychological adjustment post-transplant. Understanding this process is imperative in order to improve health-related behaviours in a cohort with traditionally poor adherence. Implications for further research and clinical practice are discussed, including educating LTRs to raise their levels of self-efficacy, which have a positive impact on adherence.
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Symonds, Anna. "Recipients' experiences of living-related renal transplantation." Thesis, University of Leicester, 2006. http://hdl.handle.net/2381/31231.
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Section A. The literature review critically considers the evidence relating to the psychological consequences of living-related renal transplantation. Circumscribed research has suffered from an assumptive bias and has identified only partial responses to transplantation, whilst considering recipients as a homogeneous group. Recommendations for the exploration of the encompassing experience of living-related renal transplantation from recipients' own position and understanding are made. Section B. The current study aimed to explore the experiences of living-related renal transplant recipients. Semi-structured interviews were undertaken with eight participants and Interpretative Phenomenological Analysis was used to examine the transcripts. The analysis identified a total of twenty sub themes, which reflected the participants' experiences. From this, five super-ordinate themes were elicited: story of illness, kidney as a gift, uncertainty about the future, coping mechanisms and liberty. Clinical implications for practice include recommendations for health professionals conveying information, the provision of pre-operative information and education, systemic working between health professionals and post-transplant care facilities. Further research is required to examine the effects of gender on living-related transplantation, and the impact of transplantation on family members. Section C. The critical appraisal reflects upon the process and experience of conducting research. Learning points are considered from the difficulties faced, to inform future practice.
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Owusu, Mama Bema. "Aid for basic education development in Ghana : the recipients' experience." Thesis, University of Glasgow, 2018. http://theses.gla.ac.uk/8661/.
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Development agencies have been sending educational aid to Ghana for more than three decades, their declared purpose being to support the country’s educational development. Despite the aid and development agencies’ own literature indicating the aid is promoting education development, there has been little research exploring the aid’s actual outcomes as experienced in country by recipients. This dissertation therefore sought to explore experiences of Ghanaian educational aid recipients: teachers, head teachers, district, and national education managers, focusing on whether and how educational aid has contributed to or hindered educational development. Using an interpretive approach, the participants’ perceptions of their experiences of aid were sought. The interviewing method was used to collect data as it gave the opportunity to hear from the recipients’ individually. 13 participants were interviewed from the Ministry of Education, the Ghana Education Service, two primary schools and a District Education Office. King’s (2007) template analysis strategy was used to identify important themes in the recipients’ accounts of experiences, and the themes interpreted to arrive at findings. Six major findings were identified, the most significant being that the outcomes of aid are mixed – having both positive and negative impacts. Positive impacts include increased funding and learning experiences, whilst the negatives include aid conditionality. The other findings are that aid may be funding non-priority items; an urgent need to improve the delivery of aid; measuring the outcomes of aid is a challenge; there are tensions around the appropriateness of aid; and, aid not being the first option for recipients to seek assistance. Implications of these findings for practice include recommendations to: decentralise needs assessment for aid processes from the national authorities to include a cross section of regional, district and school staff in consultations; development agencies to allow recipients to decide what and how funds are used to meet local educational needs; the recipient nation to develop a standardized evaluation framework that can generate necessary data to report aid results; the need for the national government to incrementally wean the country off aid by pursuing alternative sources of funding; and in the short term, the need for development agencies to provide sustainable aid if the need arises. The concluding observation is the urgent need to recognise that aid can be improved for the betterment of those who it is intended to benefit.
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Saletti, Anja. "Nutritional status and mealtime experiences in elderly care recipients /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-121-0/.
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Glaze, Joy Adella. "The Lived Experiences of Caregivers of Lung Transplant Recipients." FIU Digital Commons, 2018. https://digitalcommons.fiu.edu/etd/3683.
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Lung transplantation is a treatment for patients with end stage lung disease; they will not survive without such surgery. A caregiver is essential for a patient to become eligible for a lung transplant and the caregiver plays an essential role in the transplant recipient’s care both before and after transplant surgery. Most caregiver research has been conducted on caregivers of persons with Alzheimer’s disease, dementia or on elderly patients, however, it is important to examine caregivers’ experiences caring for other patient groups with disabling conditions. Caregivers of transplant recipients are one such group.
The purpose of this qualitative study, using a hermeneutic phenomenological approach, was to examine the lived experiences of caregivers of lung transplant recipients pre- and post-lung transplantation. The study used semi- structured, face to face, tape recorded in- depth interviews to document the experiences of a purposive sampling of 20 caregivers of lung transplant recipients. Interviews (English, Spanish) were transcribed verbatim and analyzed for emerging themes. The resulting 4 themes and 12 sub themes were: 1) Establishing the diagnosis; 2) Caregivers roles; 3) Caregivers psychological and psychosocial Issues; and 4) Support. The 12 sub themes were:1) Caregivers reaction to transplant option; 2) Caregivers’ lack of basic knowledge as related to lung transplant 3) Disease progression: Reality of unanticipated changes/fear of death; 4) Pre- transplant experiences; 5) Hospital course; 6) Home care; 7) Lifestyle changes and Social activities;8) Physical health and Emotional health ; 9) Financial and Employment issues;10) Family/Friends;11) Professional support; 12) Support groups. Study results demonstrated caregivers’ lack of knowledge about transplantation, dramatic changes in caregivers ‘family life, social activities, employment, and often financial status. Results also demonstrated a need for health care providers and policy makers to recognize caregivers’ stressful life changes and implement informational, psychological and emotional interventions and policies to assist these caregivers during their stressful and tedious experiences.
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Jacob, Julie Anne. "Expectations and experiences of students on welfare assistance attending short-term training at community and technical colleges /." Thesis, Connect to this title online; UW restricted, 2005. http://hdl.handle.net/1773/7858.
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Barton, Carol. "Employee Lived Experiences and Initiative Success in Arkansas Quality Award Recipient Organizations." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3277.
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Businesses with failed quality initiatives lose revenue, experience high expenses, and have fewer market opportunities. Researchers attribute failed quality initiatives to human and social factors. The purpose of this phenomenological study was to explore the lived experiences of employees in companies that received an Arkansas Governor's Quality Award between 2010 and 2015. No one knows how employees' experiences contribute to successful quality initiatives, or how their stories about their experiences influence quality management and continuous improvement. The conceptual framework consisted of Weick's theory of sense-making and Deming's system of profound knowledge. Data were collected via semistructured interviews with 11 participants across 8 organizations. Participants checked the member experience summary created from verbatim interview transcriptions analyzed per van Manen's whole-part-whole model. The analysis of the transcripts showed that participants' most meaningful experiences were those with people, followed by materials, feelings, time, and space. The study findings also showed that people transferred proven problem-solving methods from the workplace to their home and out into the community. The results of this study could contribute to positive social change by helping managers increase the potential for a successful quality initiative when they consider people's needs and contributions before adopting a set of quality management tools and practices.
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Johansson, Emmelie, Jennifer Larsson, and Emelie Thuresson. "Livet med ett nytt hjärta : Patienters upplevelser och copingstrategier." Thesis, Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-3196.
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Background: For patients with severe heart disease, may heart transplantation be the only opportunity for survival. Previous research highlights the importance of the nurse's role as supporters and knowledge brokers. People who has undergone heart transplant may be changed forever. Having to undergo a heart transplant can lead to that patients end up in a traumatic crisis. People's perception of herself and her perception of the world is also changing when the body is injured or suffers a disease. Aim: The aim of this study is to elucidate patients' experiences of living with a new heart, and to focus on the coping strategies used by patients to manage their new situation. Method: A literature review was chosen as the method. The 12 items used in the study have been based on studies of seven qualitative and five quantitative approaches. Articles were published after year 1995. Results: Two main categories emerged from the analysis: Patients' experiences of living with someone else's heart, and patients' coping strategies to deal with the new heart. The most important results were about emotional turmoil, changes in health, psychological adjustment and defense mechanisms. Conclusion: To have received a new heart gives different experiences. It is important that the nurse has knowledge and understanding of these individual experiences that patients can feel.
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Lodge, Vanessa. "Mi’kmaq and Maliseet Tom Longboat Award Recipients’ Experiences in Sport in the Maritimes." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/20693.
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This thesis employs postcolonial theory, a case study methodology, semi-structured interviews, and archival research to understand Mi’kmaq and Maliseet peoples’ sporting experiences in the Maritimes region of Canada. Two publishable papers comprise this thesis. The first paper analyzes the obstacles the participants faced and the positive experiences they had in sport. The second paper examines the ways in which the concept of “difference” was reproduced and challenged through the participants’ involvement in mainstream and all-Native sporting environments. Together, these papers bring much needed scholarly attention to Mi’kmaq and Maliseet peoples’ involvement in sport in the Maritimes, while they also make a contribution to the existing body of literature concerning Aboriginal peoples’ sport participation in Canada.
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Rutter, Lucie Elisabeth. "Kidney transplantation : investigating sexual functioning in female recipients and exploring the lived experience of donors." Thesis, Bangor University, 2016. https://research.bangor.ac.uk/portal/en/theses/kidney-transplantation-investigating-sexual-functioning-in-female-recipients-and-exploring-the-lived-experience-of-donors(c6bd8eab-2682-443b-82c7-f54d25b69bd0).html.
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This thesis explores aspects of kidney transplantation across three papers. A systematic literature review focuses on the sexual functioning of women following kidney transplant (KTx). A review of quantitative studies found that having a KTx improved sexual functioning when compared to other renal replacement therapies. However, as the studies were methodologically flawed it was difficult to conclude how much improvement in sexual functioning is gained. Some studies found sexual functioning was restored and is comparable to general population whereas others found problems continued following KTx. An empirical study explores the lived experience of living non-couple donors. Using interpretative phenomenological analysis, six living donors agreed to share their stories. Three themes evolved from the data which revealed complexities in the decision making process, difficulties regarding loss and adjustment during and following the donation and donors’ minimisation of their difficulties. This appeared to contribute to the donors’ perception of a lack of care and support during their donation. Clinical recommendations include enhancing information and further preparation during the assessment process, access to psychological support and independent advocates and increasing clinician awareness of the barriers that prevent donors sharing any difficulties. A final paper considers the impact of the findings in both research and clinical fields. This paper highlights the lack of good quality research investigating psychological aspects of donating and receiving a kidney. The implications and recommendations for renal services are discussed, focusing on the increased utility of advocacy, psychology involvement and increasing clinicians’ awareness of the emotional impact of donating. In addition, this paper contains personal reflections regarding the research process and findings.
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Simpson, Abigail. "Adolescent identity experiences of historically disadvantaged scholarship recipients attending independent South African high schools." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/19946.
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Thesis (MEdPsych)--Stellenbosch University, 2012.<br>ENGLISH ABSTRACT: Little is known about the experiences that previously disadvantaged bursary and scholarship learners have in independent South African schools. Many scholarship and bursary recipients are from homes that fall into the low to middle income groups and they find themselves surrounded by boys and girls who are from high income, affluent homes. The aim of this study is to gain an understanding of the experiences that scholarship learners have within independent school environments and to find out what the opportunities and challenges are that they may face. Bronfenbrenner‟s bioecological model was used as theoretical framework as it incorporates a number of different interconnected systems that will influence the participant's lives and their experiences. These microsystems included parents, school, peers and the individual.
This study's research methodology is a phenomenological approach which is embedded within the interpretative paradigm. Purposeful sampling was used to select eight learners from four different independent schools in the Western Cape. Two semi-structured interviews were conducted within two months of each other, with each of the participants. Phenomenological data analysis was conducted to analyse the information provided in the interviews.
The research findings indicated that previously disadvantaged scholarship learners face a great deal of pressure in the form of high expectations being placed on them, both academically and behaviourally. Racial stereotyping was found to be prevalent with regards to assumptions made about learner's academic abilities and financial backgrounds. Challenges related to cultural difference and financial challenges were also noted.<br>AFRIKAANSE OPSOMMING: Min is bekend oor die ervarings wat voorheen benadeelde beurs-leerders in onafhanklike (private) Suid-Afrikaanse skole. Baie beurshouers kom uit huise wat in die lae tot middel inkomste groepe val, en hulle vind hulself tussen seuns en meisies wat van hoë-inkomste huise kom. Die doel van hierdie studie is om die ervarings wat die beursleerders in onafhanklike skool omgewings beter te verstaan en vas te stel watter geleenthede en uitdagings hulle ervaar. Bronfenbrenner se bioëkologiese model word gebruik as ‟n teoretiese raamwerk omdat dit verskillende stelsels insluit wat ‟n invloed sal hê op die deelnemers se lewens en ervarings. Die mikrostelsel sluit die ouers, skool, portuurgroep en individu in.
Hierdie studie se navorsingsmetodologie is 'n fenomenologiese benadering wat binne die interpretatiewe paradigma ingebed is. Doelgerigte steekproefneming is gebruik om agt leerders van vier verskillende onafhanklike skole in die Wes-Kaap te kies. Twee semi-gestruktureerde onderhoude is gevoer met elkeen van die deelnemers tussen ‟n tydperk van twee maande. Fenomenologiese data-analise is gebruik om die inligting van die onderhoude te analiseer.
Die navorsingsbevindinge het aangedui dat die deelnemers baie druk ervaar in die vorm van hoë verwagtinge wat op hulle geplaas word, in terme van hul akademiese prestasie en gedrag. Algemene rasse-stereotipering was gevind met betrekking tot die aannames wat gemaak is oor die leerders se akademiese vermoëns en finansiële agtergronde. Kulturele verskille en finansiële uitdagings is ook opgemerk.
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Gogłoza, Aleksandra. "Polish Datives - an Applicative Analysis." Doctoral thesis, Humboldt-Universität zu Berlin, 2021. http://dx.doi.org/10.18452/22596.
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Diese Arbeit konzentriert sich auf die relative syntaktische Position polnis- cher inhärenter Dative. In semantischer Hinsicht schlagen wir vor, dass alle dativmarkierten Argumente in polnischer Sprache eine Entität bezeichnen, die geistig von einer Veränderung, einem Zustand oder einem Prozess betroffen ist, der im persönlichen Bereich der als Dativ-DP lexikalisierten Entität stattfindet. In syntaktischen Begriffen schlagen wir vor, dass polnische Dativ-DP Applikative sind, die von einem Appl-Kopf lizenziert wurden, und dass sie je nach ihrer syntaktischen Position in zwei Typen vorkommen, tief und hoch. Tiefe Applikative verschmelzen unter v, während hohe Applikative darüber verschmelzen. Die Verschmelzungsposition eines Applikativs bestimmt sein syntaktisches Verhalten. Wir zeigen, dass im Gegensatz zu tiefen Applikativen hohe Applikative Anaphern vorangehen können, zusätzliche Partizipialsätze kontrollieren und sekundäre Prädikate darstellen können. Wir schlagen vor, dass diese Unterschiede eine zuverlässige Diagnose für die Anwendungstypen in polnischer Sprache darstellen. Mit diesen Tests analysieren wir polnische Rezipienten und Benefiziäre als tiefe Applikative und polnische Experiencer als hohe Applikative. Darüber hinaus unterscheiden wir zwischen freien Applikativen, z. B. Benefiziäre im Polnischen, und gewählten, z. B. Rezipienten im Polnischen. Vom Verb gewählte Applikative verschmelzen zuerst als Teil von v oder der Wurzel und werden bei der Bewegung zu [Spec;ApplP] zu Applikativen. Im Gegensatz dazu werden nicht gewählte Applikative direkt in [Sepc;ApplP] verschmolzen, d. h. sie werden als Applikative geboren. Wir schlagen einen Partizipanten-Implikationstest vor, um zwischen diesen beiden Typen zu unterscheiden. Wenn wir die Analyse über polnische Dative hinaus erweitern, nehmen wir an, dass es sprachübergreifend zwei Arten von Applikativen gibt: verb-intern, projiziert als Teil von vP / VP und verb-extern, projiziert als Teil von ApplP. Wir nehmen polnische Dative als letztere an.<br>This thesis focuses on the relative syntactic position of Polish inherent datives. In semantic terms, we propose that all dative-marked arguments in Polish de- note an entity mentally affected by a change, state or process which takes place within the personal sphere of the entity lexicalised as a dative DP. In syntactic terms, we propose that Polish dative DPs are applicatives, licensed by an Appl head, and that they come in two types, low and high, depend- ing on their syntactic position. Low applicatives merge below v while high applicatives merge above it. The merge position of an applicative determines its syntactic behaviour. In contrast to low applicatives, high applicatives can antecede anaphors, control adjunct participial clauses and depictive secondary predicates. We propose that these differences constitute reliable diagnostics for applicative types in Polish. With these tests, we analyse Polish recipients and benefactives as low applicatives and Polish experiencers as high applicatives. Moreover, we distinguish between applicatives that are free, e.g. benefactives in Polish, and those that are selected, e.g. Polish recipients. Applicatives selected by the verb merge first as part of v or the root, and they become applicatives on movement to [Spec;ApplP]. In contrast, non-selected applicatives merge directly in [Spec;ApplP], i.e. they are born as applicatives. We propose a participant im- plication test to differentiate between these two types. Moreover, extending the analysis beyond Polish data, we hypothesise that cross-linguistically, there exist two types of applicatives, verb-internal, projected as part of vP / VP, and verb-external, projected as part of ApplP. We take Polish datives to be of the latter type.
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Kaba, Evridiki. "Physical and psychological problems experienced and coping strategies used by heart transplant recipients after their operation." Thesis, University of Glasgow, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.264154.
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Egerfors, Johanna, and Matilda Jansson. "Personers upplevelser efter en organtransplantation - en litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-29478.
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Bakgrund: I Sverige genomförs ca 700 organtransplantationer årligen. Organ kan doneras från levande och avliden donator. Antalet möjliga donatorer har ökat men är inte tillräckligt för att tillgodose behovet. Att vänta på ett organ innebär stor ovisshet och leder till att relationer förändras. Personerna känner hopp och är förväntansfulla inför livet efter transplantationen. Personer som är levande donatorer ångrar inte sitt beslut att donera efteråt. Sjuksköterskor som arbetar med patienter som väntar på en organtransplantation skapar en nära relation till patienten, arbetet kan vara mycket psykiskt påfrestande men också givande. Syfte: Att beskriva personers upplevelser efter en organtransplantation. Metod: Beskrivande litteraturstudie baserat på 10 kvalitativa artiklar. Resultat: Första tiden efter en organtransplantation upplever personerna isolering och begränsningar. Oro för avstötning och för framtiden förekommer och personerna anpassar sig på olika sätt. Personerna upplever brist på förståelse, svårigheter att leva upp till förväntningar och beskriver behov av stöd. Relationen till familj och vänner förändras. Känslor av tacksamhet och skuld har betydelse. Slutsats: Tiden efter en organtransplantation upplevs isolerande och kantas av känslor som oro, tacksamhet och skuld. Personerna behöver göra anpassningar genom en förändrad livsstil och upplever en ny vardag. Det är svårt att leva upp till andras förväntningar, relationer förändras och personer upplever brist på förståelse och ett behov av stöd. Att hjälpa personerna se mening i sina upplevelser, och att styra de hälsofrämjande insatserna till att stödja personernas egna förmågor och resurser är en viktig del av sjuksköterskans arbete.<br>Background: Approximately 700 organ transplantations are undertaken in Sweden every year. Organs can be donated from both living and deceased donors. The number of possible donors has increased but is not enough to accommodate the need. Waiting for an organ means living with great uncertainty. It also changes relationships with family and friends. People waiting for an organ are hopeful for the future and are anticipating normalcy after the transplantation. Living donors do not regret their decision to donate. Nurses caring for people waiting for an organ establish close relations to the patient, their work can be mentally demanding but also rewarding. Aim: To describe people´s experiences after an organ transplantation. Method: Descriptive literature review based on 10 qualitative articles. Result: Time after an organ transplantation is experienced as isolating and restrictive. There are experiences of anxiety of organ rejection and worry about the future and people adapt in different ways. People feel a lack of understanding from others and find it hard to meet expectations. There is a need for support and relations alter. Feelings of gratitude and guilt are of significance. Conclusion: Time after an organ transplantation is isolating and there are feelings of anxiety, gratitude and guilt. People adapt by making lifestyle changes and experiences a new living. Meeting others expectations is difficult and relationships alter. People experiences lack of understanding and need for support. Helping people find meaning in their experiences and guiding them to use their abilities and resources is an important aspect of nursing.
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Tran, Kin. "Livet efter en levertransplantation." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-19376.
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En levertransplantation är ett livsförändrande ingrepp som innebär en chans till ett nytt liv för patienter med en livshotande diagnos. Ingreppet medför också stora omställningar för patienter i form av fysiska och psykiska svårigheter. Genom att få en större inblick i patienters livssituation kan sjuksköterskorna med den nyvunna kunskapen, ge en bättre anpassad vård till patienterna. Syftet med denna uppsats är att belysa patienternas upplevelser av sin livssituation efter en levertransplantation. Metoden som används är en litteratur baserad studie utifrån kvalitativa vetenskapliga artiklar, inriktat på patienters upplevelse kring levertransplantation. Åtta artiklar analyserades enligt Evans (2003) där två huvudteman samt åtta subteman kunde urskiljas. Patienterna upplevde en dramatisk förändring i sitt välbefinnande efter operationen och strävade efter att återgå till det liv de hade innan sjukdomen debuterade. Det fanns dock en ständigt överhängande rädsla för organavstötning som förde med sig ett stort lidande för patienterna. Stöd från närstående, andra patienter som delat samma erfarenhet samt vårdpersonal med erfarenhet och kunskap ansågs vara essentiellt för tillfrisknandet. Vårdgivarens kännedom om patienternas upplevelse i samband med en levertransplantation är av yttersta betydelse för patienterna. Kännedomen om att sjuksköterskan kan relatera till vad patienterna säger och hur de mår, främjar vårdrelationen och därmed omvårdnaden.<br>Program: Sjuksköterskeutbildning
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Gratz, Steven J. "Factors influencing supervised agricultural experience earnings of Ohio FFA state degree recipients as reported on the Ohio FFA state degree application." The Ohio State University, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=osu1080302672.
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Evertsson, Elvira, and Åsa Dunder. "Organmottagares upplevelse av att ha genomgått en hjärttransplantation : En litteraturbaserad studie." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-16761.
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Bakgrund: I Sverige utfördes den första hjärttransplantationen år 1984 i Göteborg. En ökande trend har identifierats genom åren och Sverige är det land som utför flest hjärttransplantationer i Skandinavien. Det är vid svår hjärtsvikt som den drabbade kan bli kandidat för eventuell hjärttransplantation och sjuksköterskan har en nyckelroll i omvårdnaden av dessa patienter. Omvårdnadens syfte är att förbättra patientens chans för överlevnad och livskvalitet. Syfte: Beskriva organmottagares upplevelser av att ha genomgått en hjärttransplantation. Metod: En litteraturbaserad metod för att bidra till evidensbaserad omvårdnad med grund i analys av kvalitativ forskning. Resultat: Fyra kategorier identifierades; En ny livssituation, förändrad syn på livet, ta del av andra erfarenheter och nya tankar inför framtiden, med tio underkategorier. Konklusion: Resultatet visar att patienter som genomgått en hjärttransplantation upplever en förändrad vardag och livssyn. Nya insikter om livet och upplevelse av att fått en ny chans skapas. Detta väcker känsla av tacksamhet och skyldighet gentemot sin donator. Majoriteten av patienterna upplevde att stödet från sjukvården var bristfälligt, både inför och efter operationen och att det är bristen på information som upplevs som central.<br>Background: The first heart transplant performed in Sweden took place in 1984 in Gothenburg. An increasing trend has been identified over the years and Sweden is the country that performs most heart transplants in Scandinavia. It is in case of severe heart failure that the affected person can become a candidate for any heart transplant and the nurse has a key role in the care of these patients. The purpose of nursing is to improve the patient's chance of survival and quality of life. Aim: The aim was to describe the organ recipient’ experience after having a heart transplant. Method: A literature-based study where the data consisted of qualitative articles. Result: Four categories were identified; A new life situation, changed view of life, influence from others and new thoughts about the future with ten subcategories. Conclusion: The result shows that patients who have undergone a heart transplant experience a changed everyday life and belief. New insights about life and the experience of having a new chance created. This arouses a sense of gratitude and obligation towards their donor. The majority of the patients felt that the support from the health service was inadequate, both before and after the surgery and that it is the lack of information that is perceived as central.
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Åhs, Hultgren Sofia, and Olsson Anna Suslova. "En litteraturbaserad studie med syfte att belysa personers upplevelser efter en organtransplantation." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-13557.
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Background: When a person suffers from organ failure, an organ transplantation can save life. Persons on the waiting list often have mixed feelings like uncertainty and hope for the future. Even the time after transplantation is described like a period of physical and mental challenges during the recovering. Aim: The aim of this study was to highlight persons´ experiences after an organ transplantation. Method: The method used was a literature-based study based on qualitative articles. A total of eight articles were analyzed with a Qualitative content analysis. Results: The results from the study showed that people experienced mixed feelings after transplantation and these were described in three main themes: A new reality, New strategies and Emotional roller coaster. Conclusion: People who have undergone an organ transplant experience both physical and mental stress during recovery.<br>Personer som drabbas av svikt i ett eller flera organ kan bli aktuella för en organtransplantation. Det är en medicinsk behandlingsmetod som kan rädda liv men samtidigt innebära många omställningar i personens liv. När personerna stod på väntelistan för organtransplantation hade de olika tankar inför sin kommande transplantation och förhoppningar inför livet som transplanterade. Studiens syfte var att belysa personers upplevelser av att ha genomgått en organtransplantation. Åtta artiklar valdes sammanlagt till studien. I resultatet framkom att personerna upplevde fysiska och psykiska påfrestningar efter operationen. Utifrån det formades tre teman En ny verklighet, Nya strategier och Känslomässig bergodalbana. Upplevelserna efter transplantationen hade både positiv och negativ karaktär. Personerna kände skuld, rädsla, tacksamhet och tillit över att ha mottagit ett organ från en avliden person. Chansen till ett nytt liv var något som många ville förvalta på bästa sätt. Personerna upplevde även förändrade roller i familjen och med vänner. De kunde återuppta sina intressen och sina roller som make/maka, förälder och vän. Personerna upplevde även begränsningar i sitt nya liv genom restriktioner i form av infektionskänslighet och medicinering. De flesta fick hjälp och stöttning från familj och upplevde att det och adekvat information från sjukvården gav dem trygghet i sitt tillfrisknande. Sjuksköterskan har en betydande roll i omhändertagandet av personer som genomgått en organtransplantation. Det framkom att många negativa upplevelser som personerna genomgick hade kunnat förhindras med hjälp av information. Genom ett personcentrerat förhållningssätt där varje person bemöts utefter deras förutsättningar och behov går det att förbättra omhändertagandet av personer som genomgått en transplantation och minska deras negativa upplevelser.
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Andersson, Sara, and Maria Cramér. "Att leva med ett organ från en avliden donator - en humanbecoming." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-36743.
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I takt med att behovet av organ ökar utförs det fler organtransplantationer varje år. För att kunna få ett nytt organ innebär det för många att någon annan avlider under de omständigheterna så att organen kan doneras, och framförallt att viljan att donera sina organ finns från den avlidne eller dess anhöriga. Ett beslut som kan ge flera andra livet tillbaka. Transplantationsprocessen är lång och slutar inte när det nya organet är transplanterat, förutom livslång medicinering kan många tankar och frågor uppstå. Syftet med studien var att beskriva patienters upplevelser att leva med ett organ från en avliden donator. Studien genomfördes som en allmän litteraturstudie där tio resultatartiklar som svarade till studiens syfte granskades och sammanställdes, vilket resulterade i fem teman; Upplevelser av tacksamhet, Upplevelser av ansvar inför donator, Upplevelser av ett förändrat själv, Upplevelser av skuld samt Upplevelser av sorg. Huvudfynden i resultatet var att mottagarna upplevde en förändring av sig själva efter transplantationen samt upplevelser av tacksamhet över att ha fått en andra chans i livet. För att hantera förändringen krävs det hjälp och förståelse från sjukvården. Större förståelse kring mottagares upplevelser efter transplantationen med organ från en avliden donator behövs för att bättre kunna bemöta deras behov.<br>The need for organ transplants has risen considerably, that is why there are more organ transplants carried out each year. To acquire a new organ means for many that somebody has to die during circumstances that an organ can be donated and the donor or their relatives must have a will to donate their organ. The transplant process is long and doesn't end when the new organ is transplanted, in addition to lifelong medication there can be many thoughts and questions that can arise. The purpose of this study was to describe the patients experience to live with an organ from a deceased donor. The study was carried out like a general literature study. The ten resulting articles were assessed, compiled and resulted in the following five themes: Experience of gratefulness, Experience of responsibility to the donator, Experience of a changed self, Experience of guilt and Experience of grief. The main findings from the study is that the recipient experiences a change in their self and experience of gratefulness. A wider understanding around the recipient experiences after a transplant with an organ from a deceased donor, where personal treatment is needed to support the requirements.
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Gratz, Steven Jon. "Factors influencing supervised agricultural experience earnings of Ohio FFA state degree recipients as reported on the Ohio FFA state degree application." Columbus, Ohio : Ohio State University, 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1080302672.
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Thesis (Ph. D.)--Ohio State University, 2004.<br>Title from first page of PDF file. Document formatted into pages; contains xv, 166 p.; also includes graphics (some col.). Includes abstract and vita. Advisor: James J. Connors, Dept. of Agricultural Education. Includes bibliographical references (p. 124-134).
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Tucker, Jo B. "Successful reentry into the workplace: a case study of the experiences of female welfare recipients participating in two job training programs." Texas A&M University, 2005. http://hdl.handle.net/1969.1/4772.
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This case study investigated eight welfare recipients and their perceptions of the
effectiveness of the job training programs in which they participated in an effort to
understand the domains in which welfare-reliant individuals exhibit a commitment to
work. Specific issues addressed by this qualitative study included the individuals'
perceptions of (1) the program effects on escaping poverty and becoming self-sufficient;
(2) the impact of the program focus on the participants' achievement and empowerment;
(3) employment and the prospects of getting off welfare, both before and after program
completion; and (4) recommendations for improvement in designing such programs. It
is clear that all participants in the study found resolution to the tensions in their lives
through the programs. Life skills training was critical in enhancing the self-esteem of
the participants, providing them the tools necessary to overcome their fear of
independence and allowing them to experience their own definition of success. Each
participant in the study wished for more time in the program. Most participants felt the
program was a gift and verbalized the value of supportive services on-site.
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Fitzgerald, Amanda R. "An Examination of Current and Past Recognized ASCA Model Program (RAMP) Recipients and Their Experiences with Pursuing the Re-ramp Designation." Thesis, University of Pennsylvania, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=10974695.
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<p> To highlight exemplary school counseling programs, in 2003, the American School Counselor Association developed the Recognized ASCA Model Program (RAMP) as an acknowledgement for those schools that have implemented a comprehensive school counseling program based on the ASCA National Model (American School Counselor Association, 2016b). Since the inception of the RAMP program, 668 schools have earned the RAMP designation. Of those, 189 have current RAMP status and 469 have had RAMP status at some point but have let it lapse. </p><p> The purpose of this study was to examine the factors that contributed to a school’s decision to continue or discontinue the pursuit of subsequent RAMP designations. This mixed-methods study surveyed 238 schools of various levels (e.g., elementary, middle and high school) located in 36 states. Following the analysis of the questionnaire data, six in-depth interviews were conducted. Two of the interviews were with schools that had earned multiple-consecutive RAMP designations, two were with schools that earned multiple RAMP designations in non-consecutive years, and two were with lapsed RAMP schools. </p><p> The findings of this study indicate that current RAMP schools and lapsed RAMP schools that did not have significant turnover within the counseling department from the time of their original RAMP designation, report to be currently implementing comprehensive school counseling programs regardless of their current RAMP status. Additionally, schools that were unwilling to pursue subsequent Re-RAMP designations were likely to cite multiple barriers or challenges that include: time, a lack of support or understanding from school administrators and staffing turnover. Finally, the results indicate that schools are more willing to pursue the Re-RAMP designation if they have a variety of supports in place and perceive the benefits of the designation to be valuable. </p><p> Implications of these findings for the association’s management, improvement and support of the Recognized ASCA Model Program are discussed. Further areas for research regarding the various components of comprehensive school counseling programs are suggested.</p><p>
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Pearson, A. Fiona. "Making Education Work: The Effects of Welfare Reform on the Educational Goals and Experiences of TANF Participants." unrestricted, 2006. http://etd.gsu.edu/theses/available/etd-04122006-130648/.
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Thesis (Ph. D.)--Georgia State University, 2006.<br>Title from title screen. Wendy Simonds, committee chair; Ralph LaRossa, Charles A. Gallagher, committee members. Electronic text (289 p.) : digital, PDF file. Description based on contents viewed June 19, 2007. Includes bibliographical references (p. 246-275).
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Hansson, Cecilia, and Selma Zilic. "Njurmottagares erfarenheter av livet efter en transplantation : En litteraturstudie i omvårdnad." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-39627.
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Bakgrund: Mer än 10% av den västerländska befolkningen lever med kronisk njursvikt. Njurtransplantation är det effektivaste behandlingsalternativet vid svår kronisk njursvikt, och fler än 600 personer står på väntelistan för en ny njure i Sverige. Det är som sjuksköterska viktigt att se patienterna bakom sjukdomen och ha förståelse för deras individuella behov. Genom att få en uppfattning av patienternas livsvärld, har sjuksköterskan möjlighet att främja njurmottagarnas liv efter transplantationen. Syfte: Syftet med litteraturstudien var att belysa njurmottagares erfarenheter av livet efter en transplantation. Metod: En litteraturstudie baserad på 10 vetenskapliga studier med kvalitativ ansats. Studiernas kvalitet granskades med hjälp av SBU:s granskningsmall och analyserades med en innehållsanalys. Resultat: Resultatet presenterades i tre tema och nio undertema. De tema som framkom var: Utmaningar i det dagliga livet, Livsförändringar och Självständighet. Slutsats: Njurmottagarna upplevde många olika känslor efter transplantationen. De kände glädje och tacksamhet, för att de hade fått en ny chans i livet, men också för att de inte längre var beroende av dialysbehandling. De upplevde också känslor av rädsla och oro, som var associerade till risken för njuravstötning och fysiska komplikationer. Dessutom hade anhöriga höga förväntningar som mottagarna inte kunde leva upp till, vilket bidrog till känslor av besvikelse. Genom personcentrerad vård och mycket information från sjuksköterskor, var njurmottagarna mer redo för livet efter transplantationen.<br>Background: More than 10% of the western population are living with kidney failure. The most effective treatment for severe chronic kidney failure is a kidney transplant, and more than 600 people are waiting for a new kidney in Sweden. It is important as a nurse to see the patient behind the disease and have understanding for their individual needs. By gaining insight of the person’s life-world, can the nurse promote kidney recipients life after a transplant. Aim: The purpose was to explore kidney recipient’s experiences of life after a transplantation. Method: A literature review based on 10 scientific articles with qualitative approach. The quality of the articles was reviewed and analyzed by a content analysis. Results: The results were presented in three themes and nine sub-themes. The themes presented were Challenges in the daily life, Life changes and Independence. Conclusion: The kidney recipients experienced different emotions after the transplant. They felt joy and gratitude, because they had been given a new chance in life, but also because they were no longer dependent on dialysis treatment. They also experienced feelings of fear and anxiety, which were associated with the risk of kidney rejection and physical complications. In addition, relatives had high expectations that the recipients could not live up to, which contributed to feelings of disappointment. The obstacles that the recipients experienced in life after the transplant, could the nurse support them in. Through person centered care and a lot of information from the nurses, were the kidney recipients more ready for life after the transplant.
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O'Driscoll, Catherine T. "A study to determine the quality of life and experiences for liver and kidney transplant recipients and living kidney donors in Western Australia : the economic implications." University of Western Australia. School of Surgery, 2008. http://theses.library.uwa.edu.au/adt-WU2009.0077.
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The use of quality-of-life as an outcome measure provides detailed information about the effectiveness of medical treatments than morbidity or mortality rates alone. The use of quality-of-life data in the clinical setting can inform patients regarding treatment options, treatment benefits and costs. In competing health care markets, outcome measurement is regarded as important as it is concerned with the impact of health care practice and affects health policy decisions. Doessel (1978) conducted the first Australian study on the cost-effectiveness analysis of renal replacement therapies. The study was based on Klarman, Francis & Rosenthal's (1968) the study, where the output was measured in terms of the number of life years gained from kidney transplantation, and a twenty-five percent weight was allocated in an attempt to capture quality-of-life from kidney transplantation. Doessel (1978) used two sources of data: Australian data (Disney 1974) and European data (Gurland et al. 1973; Shiel et al. 1974). The study measured life years gained, and agreed with the Klarman et al. (1974) findings that transplantation is the most effective way to increase life expectancy of persons with chronic renal disease (Butler & Doessel 1989). The outputs of the alternative treatments were not reported in monetary terms; the study focused on life years gained as the output measure. Hence the importance of this current study, which includes a cost-effectiveness analysis for cadaver liver, and living kidney transplantation for end-stage liver and kidney disease patients. Calls to respect patient autonomy and to produce patient-centered outcomes have recently brought the patients point of view back into the center of clinical medicine (Sullivan 2003). Survival rates indicate one measure of outcome however they do not reflect patients perceptions of health benefit or experiences. Noting that patients psychosocial effect on functioning is of more concern to them than their physical Thesis Preamble iii ability, that more accurate knowledge of patients conditions be measured prior to transplantation (Tarter et al. 1991). Recently researchers advocated investigating transplant patients' states of health to assess the social benefit of these expensive health care services from their perspective (Joralemon & Fujinaga 1997). The current study's mixed method, bridges the gaps in treatment outcome measurements, as the mixed method applied (Creswell 1994; Sim & Sharp 1998) prospectively measured quality-oflife, determined health utility, quality-adjusted life years (QALYs) and incremental cost-effectiveness ratios (ICERs). The study reported the living donors experience of the donation process, described their needs; expressed using a new psychosocial model supporting future living kidney donor's during the donation process.
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Karim, Anoar, and Christer Vernberg. "Ett hjärta är livets största gåvaEn litteraturstudie om mottagarens upplevelser efter enhjärttransplantation. : A heart is the greatest gift of lifeA literature study about recipient's experiences after a hearttransplant." Thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-83905.
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Hadid, Kadija, and Tatiana Lindberg. "Vi tackar för maten! : ensamstående äldres upplevda matsituation med hemtjänst." Thesis, Högskolan Kristianstad, Sektionen för lärande och miljö, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-17038.
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Inledning: Andelen äldre personer i Sverige ökar och beräkningar visar att det kommer finnas över en miljon personer i Sverige som är över 80 år 2045. Det är fler och fler äldre personer som väljer att bo i ordinärt boende vilket betyder att det kommer att behövas fler resurser för att bemöta deras behov. Att undersöka vårdtagarnas upplevda matsituation är viktigt för att förstå de hälsomässiga, sociala och samhällsekonomiska risker en bristfällig matförsörjning kan resultera i. Syfte: Syftet är att undersöka och beskriva den upplevda matsituationen bland äldre ensamstående vårdtagare som bor i ordinärt boende med hemtjänst för att få en förståelse för vilka förbättrande åtgärder som behövs. Fokus läggs på måltidsordning, känslorna kring matsituationen och måltidsmiljön. Material och metod: En kvalitativ studie gjordes i form av djupintervjuer med enskilda individer samt observationer av serverad mat och befintlig mat i hemmet. Intervjuerna spelades in samt transkriberades. Informanterna bestod av sex vårdtagare mellan 77 och 96 år från Höör och Simrishamn. Resultat: Resultatet visar att informanterna är nöjda med maten de får av hemtjänsten. Det finns dock ett underliggande missnöje med hur maten serveras, anpassning till hemtjänstens scheman samt brist på sällskap under måltiderna. Slutsats: Utifrån studien har det visats att vårdtagarna är tacksamma för den hjälp de får av hemtjänsten men det finns tecken på att det behövs förbättringar gällande hemtjänstens kunskap och planeringen av måltiderna. Det är inte möjligt att generalisera resultaten på grund av den begränsade omfattningen dock finns det möjligheter för framtida insatser och forskning kring exempelvis äldres speciella behov när det gäller matens innehåll, konsistens och måltidsordning.<br>Introduction: The number of elderly in Sweden is increasing and calculations show that there will be over one million people in Sweden over 80 years of age year 2045. There are more and more elderly people who choose to live in their own homes which means that more resources are required to meet their needs. Studying the experienced food situation of care recipients is important in understanding the health, social and socio-economic risks that a lack of food intake can result in. Aim: The purpose of this study was to explore and describe the experiences of elderly care recipient’s food situation, whom are living alone with home care in order to gain insight into which improvement actions are needed. The focus was on meal arrangements, the feelings about their food situation and their meal environment. Materials and methods: A qualitative study was implemented in the form of in-depth interviews with individuals as well as observations of served food and existing food in the informant's home. The interviews were recorded and transcribed. The informants consisted of six care recipients between the ages of 77 and 96 from municipalities Höör and Simrishamn. Results: The result shows that the informants are satisfied with the food they receive from the home service. There is an underlying dissatisfaction with how the food is served, adaptation to the home service schedules and company during meals. Conclusion: Based on the study, it has been shown that care recipients are grateful for the help they receive from home care services, but there are indications that improvements are needed regarding home care’s knowledge and planning of meals. It is not possible to generalize the results because of the limited extent, however, there are opportunities for future actions and research on, for example, special needs regarding food content, consistency and meal arrangements for the elderly.
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He, Sih-Sian, and 何思嫻. "The Experience and Perception of Social Assistance Recipient: Case Study in Kaohsiung City." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/78161073029979018344.
Full textAbstract:
碩士<br>國立暨南國際大學<br>社會政策與社會工作學系<br>100<br>Public Assistance Act is constituted to assist the people in poverty. The Act enacted to care for low-income households, assist persons in need during an emergency or disaster, and help them to live independently. Although the social assistant institution has good intent, relative literature indicates that the institution may lead people to the negative perception. Thus, this research aims to explore the experience and the subjective perception of low-income households in the qualification course. Mainly to recipients’ voice, trying to know what recipients happened in the social assistant institution.
The research adopt the qualitative research method. Choosing samaple in the homogeneous sampling of the judgment sampling. There were 11 interviews who were the teenagers’ parents in New Generation Hope Project to participate in this research.
In the research, we found that we could classify 2 categories about the experiences of recipients in the low-income households qualification course. First, the contact experience with institution, including “information was not clear enough”, “the positive or negative experience depend on the characteristics of the administrator”, “the smoothness of the application depend on the family conditions” and “the officers dominated all”; secondly, personal events, including: “ giving children all of the things”, “solving nuclear problems and learning to treasure and reciprocate” and “hiding the identity of recipient and avoiding to cause unnecessary trouble”.
About perception, also sorts two categories: first of all, negative perception : “subjective negative imagination”, “frustration and sorrow” and “without relaxing the sense of owing”;secondly, positive perception : “removing the fear and promoting the sense of handling of life”, “warm and empathy” and “contented and gratitude”.
Besides, we also found the recipients’ experiences and perception would influence each other in the low-income households qualification course. Modificatory thinking play an important adjustment factor. Therefore ,the experiential reception of recipients do not bias negative completely and the experiential reception of recipients star to change to be positive.
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Young, Carolynn Jean. "Perceptions of symptom experience and compliance in heart transplant recipients." 1990. http://catalog.hathitrust.org/api/volumes/oclc/22617054.html.
Full textAbstract:
Thesis (M.S.)--University of Wisconsin--Madison, 1990.<br>Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 54-58).
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Lee, Yun-Jung, and 李昀容. "The Experiences of Donor and Recipient within Living-Donor Liver Transplantation." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/68916570856413962265.
Full textAbstract:
碩士<br>國立臺灣大學<br>護理學研究所<br>100<br>Owing to the progress of medicine, liver transplantation has become the treatments of choice for end stage liver disease. However, live donor liver transplantation (LDLT) outnumbered cadaveric transplantation greatly at Taiwan due to the shortage of cadaveric donor. This study aimed to investigate the experience of donors and recipients throughout LDLT, the interactions between donors and recipients, and their adaptations for such experience.
In this retrospective study, a total of 23 interviewees, 12 donors and 11 recipients, were enrolled from a medical center at northern Taiwan between August 2011 to May 2012. The one-by-one in-depth interview was performed with purposive sampling and phenomenological point of view. The interviews can be divided into three parts: donor adaptation to the transplant experience, recipient adaptation to transplant experience, and the interactions between donor and recipient.
The time for donor interview ranged between 23 to 80 minutes (mean 53 min). The donor experience can be grouped into themes of uncertainty, suffering, and confirming of recovery. In the theme of “uncertainty”, they were informed of the bad condition of their family and the possible contraindications for liver donation. In the theme of “suffering”, they experienced physical pain of surgery and hoped everything passed quickly. In the third theme of “recovery”, they experienced periods of doubt of recovery, re-examine, more experience of life, and return to normal life. The adaptation to these experiences can be divided into themes of cognitive and overt act. The cognitive act included positive perception and compromised idea, and the overt act included facing the recovery process and restrictions after liver donation operation.
The time for recipient interview ranged from 25 to 85 minutes (mean 56 min), and can be divided into four different themes. In the first theme of “facing the threat of death”, they experienced the dark days of liver failure, and the shock when they were informed the need for liver transplant. In the second theme of “contraindication”, they experienced the questions of wish to live, where comes the donor, and the struggles between live donor and cadaveric donor liver transplantation. In the third theme of “recovery”, they experienced weakness after operation and feeling of recovery after transplant. In the forth theme of “restart”, they review the past days, check the present days, and look to the future days. As to the cognitive adaptation to these experiences, they had positive perception and compromised their idea. In the overt act, they faced the process of transplantation and accepted the restriction of life after the transplant.
This study also compared the interactive relationship between donor and recipient preoperatively and postoperatively, and demonstrated major differences of the change of interactive pattern and the increase of interaction frequency.
The results of this study can help patients to express their experiences, the clinical health providers to understand the real feelings of patients, and to promote mutual interactions between them to enhance the quality of care.
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Kimberly, Laura L. "Older Adult Kidney Transplant Recipients: The Lived Experience of Adaptation and Integration." Thesis, 2020. https://doi.org/10.7916/d8-xg6z-t744.
Full textAbstract:
Study Purpose and Rationale
The United States is witnessing growth in its aging population and an increase in the prevalence of end-stage renal disease, resulting in a substantial rise in kidney transplantation among adults age 65 and over. While older adult recipients fare better clinically than their counterparts on dialysis, far less is known about their psychosocial wellbeing following transplantation. A small body of qualitative work in organ transplantation suggests that there is an important period of adaptation following transplantation during which a recipient must incorporate the new organ into his or her sense of identity and bodily integrity. Difficulty navigating the adaptation process can have significant adverse effects on psychosocial and clinical outcomes, in extreme cases resulting in graft loss and even death.
Employing a phenomenological approach, this study sought to better understand the lived experience of older adult kidney transplant recipients and the impact of kidney transplantation on their sense of identity and bodily integrity, with implications for the design of effective supports and interventions to optimize post-transplant mental health and wellbeing.
Methods
Applying the hermeneutic phenomenology of philosopher Paul Ricoeur, this study explored the lived experience of 10 kidney transplant recipients age 65 and over. Participants completed one to two in-depth phenomenological interviews lasting approximately one hour each. Interview transcripts and field notes were analyzed using an inductive approach, beginning with an epoché (bracketing) phase and followed by the processes of phenomenological reduction (textured description), imaginative variation (structured description) and synthesis to arrive at an understanding or approximation of the universal essence of the phenomenon of adapting to a kidney transplant.
Findings
Participants reported experiencing the “strangeness” of incorporating the organ of another person into their own body and concern over specific corporeal changes associated with dialysis and transplantation, expressing a disruption of their ‘idem’ sense of identity that ranged from mildly unsettling to deeply distressing. However, participants also articulated powerful narratives of resilience and coping, describing their ability to overcome adversity as an anchor of their ‘ipse’ sense of identity that allowed them to navigate idem corporeal changes over time. The continuity and strength of participants’ ipse sense of self over the life course enabled them to adjust to profound corporeal change, and for some participants kidney transplantation represented a form of liberation from ‘machine life’ (dialysis) and restoration of their idem sense of self.
Conclusions/Implications
Findings from this study have significant implications for ensuring the provision of optimal support to older adult kidney transplant recipients. A more nuanced understanding of the post-transplant experience of adapting to a new organ will enhance the informed consent process, providing the opportunity for transplant teams, potential recipients and their caregivers to engage in meaningful dialogue about the risks and benefits of the procedure and helping to establish expectations for post-transplant recovery. By shedding light on older adult recipients’ perspectives, findings also will help to inform the design of future research studies addressing candidacy for transplantation and post-transplant quality of life. Furthermore, study results will assist transplant teams in determining how to optimize post-transplant care and support for older adult recipients, thereby improving outcomes and contributing to the overall wellbeing of this population. Finally, the findings have implications for ongoing policy discussions in the field, including how to ensure equitable patient selection by establishing appropriate age-related criteria for kidney transplant recipients.
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Sohoolian, Sohila. "Home as a place for providing health care : elderly care recipients’ experience." Thesis, 2004. http://hdl.handle.net/2429/15659.
Full textAbstract:
Home care is a relatively new field for rehabilitation professionals, including occupational therapists. Despite the "client-centered" practice guidelines, the focus of Occupational Therapy (OT) home care research has not been on the client's experience. This study aimed to gain insight into the care recipients' experiences of home care Occupational Therapy (OT) services particularly home modifications recommended by occupational therapists. In order to better understand the care recipients' experience of home care OT, observation of the home modifications and of living and housing conditions of the care recipients was made. A qualitative research approach was used to explore the individuals' experiences from their standpoint. Semi- structured, in-depth interviews were conducted with long-term home care recipients in the Greater Vancouver area. Observations of home modifications were carried out with the care recipients or their family members present. Two main themes emerged from the stories of the participants. The first theme 'The Importance of Home, Neighborhood and Community Resources' sets the context in which the participants of the study experienced home care OT services. Under this theme, socio-economic status, living and housing conditions, reliance on home care services and community resources and renegotiating the meaning of home and neighborhood are discussed. The second theme 'The Experience of Home Care Occupational Therapy' describes the impact of OT services on the participants' daily lives, the role of occupational therapists as a source of knowledge, advocate and social support. The participants described their experiences of home care OT services as positive and enabling. However, their emphasis of OT services depended on their living, housing Conditions and the level of community resources (formal and/or informal) available to them. Occupational therapists played multiple roles of expert, social support and advocate for those participants with low income and no family or limited social contact. The conceptual bases of the study are drawn from occupational therapy's client-centered approach, feminist sociology and social geography. Individual-focused practice, the importance of everyday life experiences in generating knowledge and the importance of "the space" and "the place" in shaping the experience of disability are the central themes of these conceptual approaches. The findings of the study inform the above theoretical concepts. Issues related to client-centered practice and enabling environments are discussed in this paper. Limitations of the study and directions for future research are outlined.<br>Medicine, Faculty of<br>Graduate
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Maclellan, Janet. "Factors that help and hinder the experience of unemployment for social assistance recipients." Thesis, 1994. http://hdl.handle.net/2429/3465.
Full textAbstract:
In this exploratory study, the components of a program
that social assistance recipients found helpful and
hindering in their experience of unemployment was
examined. Twenty men and women from ages 26-54 who had
participated in the Job Search Support Program were
interviewed. Results of this study showed that the
overall experience was positive. Factors that
respondents found most helpful included: motivation,
knowledge, and focus provided by the counsellor; focus of
the Action Plan; and the workshops. Factors that
participants found most hindering involved generating job
options; frustration in the job search; and the
counsellor's lack of support.
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Seabi, Tshegofatso Martha. "The child support grant: the reported experiences of child support grant recipients." Thesis, 2015. http://hdl.handle.net/10539/18466.
Full textAbstract:
This study examined the reported experiences of the Child Support Grant recipients. The aim of this study was to find out how Child Social Grant recipients make sense of the Child Support Grant in their daily lives. How they make sense of their position in the society as recipients of the Child Support Grant. The factors that determine their participation and how they engaged when asked about the Child Support Grant. To understand how they make sense of receiving the grant compared to others and to compare the Child Support Grant recipients reported experiences with the stated aims of the Child Support Grant as stated in the policy documents.
It came into view that Child Support Grant recipients according to their reported experience have or are currently facing tensions and paradoxes. As it was found that participants both believe themselves to be entitled to the Child Support Grant as such they are dependent on it. This entitlement and dependency is justified by the participants in that it gives them a sense of empowerment and independence for economic activity, hence their fears of losing the Child Support Grant.
The Child Support Grant is considered very personal and participants agree that they need the security and stability that the grant offers to the them.
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Lessy, Zulkipli. "Philanthropic zakat for empowering Indonesia's poor : a qualitative study of recipient experiences at Rumah Zakat." Thesis, 2014. http://hdl.handle.net/1805/4038.
Full textAbstract:
Indiana University-Purdue University Indianapolis (IUPUI)<br>Existing zakat research reports little information about the living conditions of Indonesian zakat recipients. This study examined the perceptions of zakat recipients at Rumah Zakat, a charitable institution, in Yogyakarta. Semi-structured interviews solicited seven economic empowerment and seven socio-health program respondents’ narratives. This data collection method incorporating multiple approaches to data analysis, including phenomenology, revealed that economic empowerment respondents with more education and spousal support could better subsist after utilizing Rumah Zakat’s interest-free loans. And, compared to individual efforts or group support, spousal support helped significantly with business growth. These respondents typically earned incomes above the national standard of poverty. As their businesses grew, four respondents planned to employ the jobless. In the socio-health program, respondents had minimal education and incomes that fell below the national standard of poverty. A Rumah Zakat clinic gave these respondents four to five years of free health care services; it also facilitated collaborative learning. Although the services lowered their expenses, three respondents requested food distribution in addition to health care. Respondents benefiting from both programs reported a significant positive impact on their home economies, health, and social lives. Thus, an integrative program offering assistance with micro-credits, health care, food security, and education would better serve the poor.
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Chambers-Ramsey, Natalie J. "Presidential scholarship recipients' perceptions of their college experiences at Southwest Virginia Community College /." 2004. http://wwwlib.umi.com/dissertations/fullcit/3149150.
Full text
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Reider, Ruth Ann. "A Case Study of the Life Experiences of High School Graduates/General Education Development (GED) Recipients in Texas Who Experienced Homelessness During Their Public School Education." Thesis, 2011. http://hdl.handle.net/1969.1/ETD-TAMU-2011-05-9064.
Full textAbstract:
The National Law Center on Homelessness and Poverty (NLCHP, 2007) recently reported that there were 1.3 million homeless children living in the United States. The voices of homeless children and youth are often silent, as the literature generally reflects their experiences only indirectly, as related by care givers or social service providers. In contrast, this study provides firsthand accounts of the difficulties encountered by children and youth who struggle to complete their educations while being homeless. This qualitative case study examines the personal and educational experiences of seven adults who had been homeless as children or youth and who graduated from high school or earned their General Education Development (GED) equivalents.
Two research questions framing this study were: 1. What do the voices of adults who received a high school diploma or GED tell us about their life experiences as a homeless student? 2. What do the voices of adults who received a high school diploma or GED tell us about their educational experiences as a homeless student?
Purposeful sampling was used to locate participants. The population of this study was culturally diverse and included African American and European American individuals currently between the ages of 18 and 51 years. Data was generated via interviews using a protocol designed by the author. This instrument included both fixed and open-ended questions designed to allow participants the opportunity to share their educational and personal experiences. Various forms of documents were also consulted.
The constant comparative method was used to analyze the data. Three categories regarding the life experiences of homeless children and youth emerged from the study; family, the road to homelessness and homelessness. Two categories were identified pertaining to educational experiences; determination or self-motivation and sources of support. The participants' testimonies confirmed some of the existing literature regarding homeless children and youth and, in particular, supported research conducted on the attributes of resiliency. In addition, participant narratives provided insight into the struggles of a marginalized segment of the school population by allowing us to hear their stories in their own words.
The National Law Center on Homelessness and Poverty (NLCHP, 2007) recently
reported that there were 1.3 million homeless children living in the United States. The
voices of homeless children and youth are often silent, as the literature generally reflects
their experiences only indirectly, as related by care givers or social service providers. In
contrast, this study provides firsthand accounts of the difficulties encountered by
children and youth who struggle to complete their educations while being homeless.
This qualitative case study examines the personal and educational experiences of seven
adults who had been homeless as children or youth and who graduated from high school
or earned their General Education Development (GED) equivalents.
Two research questions framing this study were:
1. What do the voices of adults who received a high school diploma or GED
tell us about their life experiences as a homeless student?
2. What do the voices of adults who received a high school diploma or GED
tell us about their educational experiences as a homeless student?
Purposeful sampling was used to locate participants. The population of this study
was culturally diverse and included African American and European American
individuals currently between the ages of 18 and 51 years old. Data was generated via
interviews using a protocol designed by the author. This instrument included both fixed
and open-ended questions designed to allow participant the opportunity to share their
educational and personal experiences. Various forms of documents were also consulted.
The constant comparative method was used to analyze the data. Three categories
regarding the life experiences of homeless children and youth emerged from the study;
family, the road to homelessness and homelessness. Two categories were identified
pertaining to educational experiences; determination or self motivation and sources of
support. The participants' testimonies confirmed some of the existing literature
regarding homeless children and youth, and in particular supported research conducted
on the attributes of resiliency. In addition participant narratives provided insight into the
struggles of a marginalized segment of the school population by allowing us to hear their
stories in their own words.
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Myburgh, Debra Anne. "Experiences of the recipients of Reach For A Dream Foundation projects / Debra Anne Myburgh." Thesis, 2014. http://hdl.handle.net/10394/15463.
Full textAbstract:
In children, life-threatening illnesses (LTIs) present with both physical and psychosocial side
effects, which seem to contribute to the perpetuation of hopelessness and fear among the
children and their families. Children with LTIs often experience regular and painful treatment
routines. A LTI not only impacts on the child but also on the family. LTIs put families in a
critical and vulnerable situation, evoking emotions such as shock, disbelief and fear. Hope
and coping strategies appear to be crucial for both children and their families when facing the
effects of a LTI on a child. While medical intervention strategies are used to alleviate
physical side effects, psychosocial intervention strategies (as referred to in this research
study) that are focused on improving the well-being of the child and family, appear to be
limited. Psychosocial interventions are defined as any intervention that emphasizes
psychological or social factors, rather than biological factors. Psychosocial intervention
strategies, such as „dream-come-true‟ projects, appear to ameliorate distress, offer respite,
decrease isolation, empower individuals, increase self-confidence and give the children
unique opportunities to connect with their families in a positive, normal way. Such a
psychosocial intervention strategy is offered by the Reach For A Dream Foundation (RFAD)
in South Africa. The experiences of the recipients of RFAD „dream-come-true‟ projects were
the focus of this study. The goal of this research study was to study the „dream-come-true‟
psychosocial experiences of children/adolescents and their families, by means of a narrative
enquiry design. This design allowed participants to tell their stories truthfully, giving the
researcher the opportunity to immerse herself in the personal experience of each participant.
Participants were purposively, and then randomly, selected from an RFAD client list. A
total of six children/adolescents, between the ages of 8 and 18 years, were randomly selected
from Johannesburg and the surrounding areas. The children/adolescents and both parents
were interviewed, except for one father who was not present (17 participants in total).
Child/adolescent interviews included the use of fun, tactile emotive cushions to assist the
participants to recognize emotions they had felt „pre-dream‟, during the „dream‟, and „postdream‟.
Semi-structured, individual in-depth interviews were used to interview parent
participants. The parent‟s story was not interrupted, thereby providing the opportunity for a
fluid narrative. In addition to interviews, the researcher made field notes of the participant‟s
reactions, body language and emotions after each interview. All interviews were recorded and
transcribed. Tesch‟s (1990) approach was used to identify, analyse and report patterns within
the data. The findings of this study suggest that intervention strategies improve emotional
health and overall wellness in participants. „Pre-dream‟ feelings of fear, sadness, loneliness
and a lack of normality in everyday life, were prominent themes. Participating parents
expressed anger, helplessness and guilt about being unable to help their children.
During the „dream-come-true‟ experience, the predominant themes that emerged were
excitement, amazement and gratitude. The theme of disbelief in the reality and experience of
the „dream‟ was also prominent. „Post-dream‟, the participants reported a more positive,
confident and hopeful outlook. This research appeared to yield some important information
on the possible benefits of psychosocial intervention strategies, as they seemed helpful in
addressing the challenges presented by LTIs in children/adolescents.<br>MA (Psychology), North-West University, Potchefstroom Campus, 2015
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Follins, Craig Thomas Roueche John E. "An analysis of the expectations and actual experiences of students in welfare to work programs a community college case study /." 2004. http://repositories.lib.utexas.edu/bitstream/handle/2152/1988/follinsct042.pdf.
Full text
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Kostick, Susan. "Coming to community college via welfare reform : an exploration of expectations and experience of women in Washington's WorkFirst program." Thesis, 2001. http://hdl.handle.net/1957/32697.
Full textAbstract:
This qualitative study explores the experiences of women who are welfare
recipients attending a community college under the auspices of a new program,
Washington State's WorkFirst/Work Study program. The study, conducted over
two academic quarters, includes in-depth interviews with WorkFirst/Work Study
students, observations in a weekly seminar, and interviews with community
college staff who work in the program.
The overarching research question is: "What are the challenges and the
transition issues confronted by women who are living in poverty and participating
in a community college program?" The research elicits responses about the
women's expectations and fears about education, their aspirations for themselves
and their children, what they hope to gain from the college experience and what
barriers may interfere. The study identifies five contextual issues in the women's
lives: family background and history, relationships, physical and psychological
health, housing, and finances. And the study explores the participants' experience
with and attitudes toward four thematic areas: parenting, welfare, work and
school. A major goal was to give voice to these women.
Underlying assumptions are that community college administrators and
faculty want to improve access, success and satisfaction with the college for poor
women; that learning about how poor women experience the community college
gives college personnel valuable information; that Washington community colleges
have an interest in working with WorkFirst; and that better understanding of
WorkFirst/Work Study participants' experiences is valuable to the colleges and
benefits low-income students.
The women interviewed are highly motivated and believe that an education
is key to a better life for them and their children. Some of the barriers they face are
embedded in the restrictions and requirements of the WorkFirst program.
Nevertheless, these women say they are better off on welfare, working and going to
school than they were when they were among the working poor. The study
questions the value of some vocational education and suggests that more low-income
women could be recruited to community college earlier in their lives.<br>Graduation date: 2001
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Wilkins, Krista L. "Siblings of pediatric bone marrow transplant recipients: their lived experience as they transition through the bone marrow transplant trajectory." Thesis, 2006. http://hdl.handle.net/1993/181.
Full textAbstract:
Bone marrow transplantation (BMT) is the treatment of choice for many malignancies and other childhood disorders. Acknowledging that the entire family is affected when a child undergoes a BMT, increasing research attention has been given to understanding this experience from the perspectives of recipients, parents and the family as a whole. Yet, minimal attention has been directed at understanding the experience of healthy siblings as they transition through the BMT experience. Before intervention studies can be undertaken that will help healthy siblings transition through the BMT experience, knowledge about the impact of the experience on siblings is needed. Accordingly, a qualitative study guided by the philosophy of hermeneutic phenomenology was conducted to elicit detailed descriptions of the lived experience of siblings.
Participants were children, adolescents and young adults with a sibling who had undergone a BMT during childhood. Participants were recruited from a pediatric BMT clinic in Western Canada. Semi-structured, open-ended interviews that explored siblings’ memories about what it is like to be a sibling of a child who has had a BMT were conducted with each participant. Demographic data and field notes were recorded. All interviews and field notes were transcribed. The transcripts were reviewed repeatedly for significant statements in an attempt to find meaning and understanding through themes.
The data analysis revealed the essence of siblings’ lived experience of transitioning through the BMT trajectory as an interruption in family life. Four themes communicated the essence of siblings’ lived experience: (1) life goes on, (2) feeling more or less a part of a family, (3) faith in God that things will be okay, and (4) feelings around families. Differences between donor and non-donor siblings are highlighted. Siblings’ recommendations for health care professionals are also provided. Results from this study will help health professionals better anticipate the diverse and shifting needs and demands of siblings of pediatric BMT patients. Recommendations for future research and innovations in nursing interventions are provided.<br>October 2005
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Lin, Chin-Sui, and 林錦穗. "The Dark Experiences, Coping Strategies and Needs of Adult Heart Transplant Recipients and Their Families During Recovery Process." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/77501508886276078979.
Full textAbstract:
碩士<br>國立陽明大學<br>臨床暨社區護理研究所<br>97<br>Background End-stage-heart-failure is there terminal phase of heart disease with irreversibly multiple dysfunction, and heart transplantation (HT) has been long acknowledged as the only avenue for the patients’ survival and possibility of quality of life. Nevertheless, most of the recipients (HTR) and their care givers, primary family caregivers (PFC) in particular, continued to suffer from numerous discomforts/distress during the recipients’ recovery process of resuming their holistic well-being including physical, psychological, cognitive, social and spiritual optimal functions. Dark recovery stage (DRS) is referred to the post-HT stage when the HRT or their PFC reported having suffered from intolerable recovery experiences. Did the DRS exist in Taiwan’s HTR and their PFC groups? What are the contents and rationales for their DRS experiences? What are their coping strategies and needed help during DRS? All these questions deserve HT health professionals’ investigation.
Aims The aims of this project were to explore:
1. the DRS experiences for Taiwan’s adult HTR and their PFC;
2. the coping strategies employed by Taiwan’s adult HTR and their PFC;
3. Taiwan’s adult HTR’s and their PFC’s needed help from others during DRS; and
4. Twain’s adult HTR’s appraisals for the discharge-planning provided by hospital.
Design & Method An explorative descriptive qualitative design was used. A purposive sample of adult HTR and their PFC with DRS experiences in the most famous HT hospital in Taiwan was obtained. . Face-to-face depth interviews were and conducted with a semi-structured interview guide. Data were analyzed by qualitative content analysis mode.
Results A total of 52 informants including 20 HTR and 13 of their PFC participated in this project. In the HTR group, 16 of them were male aging from 32 to 70 (M = 46.95) years old. Most of them are married. Their post-HT duration ranged from 3 months to 2 years and 10 months. In the PFC group, 11 of them were females aging from 28 to 67 (M = 47.53) years old; 12 were married, and 1 was single. The relationships of the PFC group were reported spousal (n =11), mother/son (n = 1), and boy/girlfriend (n = 1). Five of them reported suffering from various disease including hypertension (n = 2), duodenal ulcer (n = 1), cardiopalmus (n = 1), and breast cancer (post-operation) (n = 1).
The DRS experienced by HTR were: (a) The physical and psychological discomforts caused by intrusive examinations and major changes of the health status（n = 8）; (b) the sense of uncertainty with future health condition（n = 15）; (c) the sense of uncertainty with future life（n = 13）; (d) the sense of becoming a burden for families（n = 2）; and (e) the unfamiliar medical treatment and environment（n = 2）. Their coping strategies were: (a) setting a goal for recovery and maintaining healthy status（n = 10）; (b) searching for spiritual support（n = 10）; (c) complying with the difficulties（n = 10）; (d) holding positive attitudes（n = 11）; and (e) searching for possible job opportunities（n = 1）. Their needs help included: (a) help from HT and other health professionals（n = 10）; (b) spiritual support（n = 11）; (c) assistance from HTR supporting groups（n = 1）; and (d) social welfare resources（n = 4）.
The DRS experiences for PFC were: (a) worries about HTR’s physical discomforts caused by disease/treatment（n = 1）; (b) psychological turmoil caused by HTR’s unstable health condition（n = 6）; (c) worries about the loss of HTR’s healthy status（n = 5）; (d) psychological stress from HTR’s inadequate physical strength after HT（n = 2）; (e) worries about poor quality of care by PFC（n = 2）;. (f) being unable to take care of other families and HTR in the same time（n = 1）; (g) psychological suffering from the HTR’s suffers（n = 1）; and (h) difficulties in having part-time job to meet financial needs（n = 1）. The PFC’s needed help were identical to the HTR’s. In terms of HTR’s appraisals for discharge-planning, the benefits were systematical help from health professionals（n = 10）, exchanges of recovery tips with other HTR（n = 2）, and learning strategies of health information（n = 2）. The limitations were lacking of complete health teaching package（n = 5） and advertisement（n = 2）, as well as inadequate health care manpower such as case manager（n = 2）.
Conclusions This project identified the contents, rationales, coping strategies and needed help of Taiwan’s adult HTR and their PFC during the most difficult recovery time from HT named as DRS. In order to facilitate the adult HTR’s post-HT recovery, their experiences of DRS need to be prevented, early detected and effectively managed.
HT health professionals are encouraged to further develop related caring plans and systematically evaluate the effectiveness of the protocols. The findings of this project can also serve as innovative information for other organ transplant societies.