The purpose of this study was to investigate the process used by Haitians and Haitian Americans who must make healthcare decisions for a terminally ill family member. There is a large population of Haitians and Haitian Americans in South Florida and there has been no research regarding their decision-making process about end-of-life healthcare. The study design was descriptive, applying constructivist grounded theory methodology. Data were collected using semi-structured, face-to-face qualitative interviews. Data analysis and collection occurred simultaneously. Participants (n=12) were purposefully recruited, with 11 from a single, faith-based community. The findings resulted in six concepts: (1) imminent or actual death, (2) disrupted unity, (3) managing disrupted unity, (4) consequences, (5) restoring unity, and (6) creating memories you can live with. These six concepts, elaborated by an additional 17 dimensions, were incorporated into a process model relating to the cultural value of communal unity to the end-of-life decision-making process. The implications of this study include a need to improve the congruence between the nursing care provided at this vulnerable time and the cultural values of this population. Successful access to this population through the structure of the faith-based community points the way to increasing access to appropriate end-of-life healthcare. Practice implications informed by caring science include the importance of nurses’ coming to know the family and listening to the unique care needs. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2015. / FAU Electronic Theses and Dissertations Collection

This qualitative study investigated perceived barriers to the incorporation of Haitian immigrants in Florida into local politics and government. The theoretical framework for this study was Marschall and Mikulska's theory of minority political incorporation to better understand the political ambition of Haitian immigrants to emerge as candidates and voters toward achieving electoral success and a substantive representation. The research question addressed the lived experiences and perceptions of Haitian immigrants related to barriers to their political mobilization at district, state, and federal levels. A phenomenological study design was used with open-ended interviews of 10 Haitian Americans who lived in Florida for at least 3 years. Data were analyzed through a six phase thematic analysis, were categorized into themes and subthemes and were later coded to determine which ones best expressed the challenges that Haitian immigrants were facing. Results indicated immigration statuses, language, and poor knowledge of Haitian immigrants of U.S. politics as well as poor leadership and the absence of a communication platform as factors hindering the incorporation of Haitian immigrants into local politics and governments. Haitian-American leaders could benefit from the results of this study as they may develop a cohesive framework for citizenship drives, voter registration, community outreach, and literacy programs. The positive social change implications from this research include the view that Haitian immigrants are not a burden on the U.S. economy, but a potentially mature and attractive minority group with political value to U.S. lawmakers, district, state and presidential candidates.