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Thesis (Master of Youth Studies)--Australian Catholic University, 2005. / Title from title screen (viewed on July 17, 2007). Includes bibliographical references.

Women who experience homelessness are faced with a myriad of challenges and struggles. Compared to women with housing, they endure higher than average rates of physical illness, mental health challenges, and substance use issues. They are often victims of physical and sexual violence and are subjected to daily experiences of deprivation, isolation, powerlessness, and marginalization. Given the immensity of these struggles, it is essential to better understand those aspects of their experiences and beliefs that promote endurance and resilience. Hope is readily acknowledged, across disciplines and across diverse populations, to be an experience that offers strength to individuals when faced with difficulty. It is understood to be a key component of well‐being and quality of life and has been shown to provide protection from despair, grief, and harmful behaviours. In this research, women who have recently experienced homelessness were asked to speak to their unique understanding of hope. The study participants were also asked to discuss what prevents and supports hope in their lives and finally, were requested to speak of how registered nurses foster or prevent hope. The approach used to guide this research was interpretive description. The use of this approach ensures that the generated knowledge not only addresses the study research questions but also that the data analysis is contextually placed within the clinical setting. This study involved interviews with nine women who had experienced homelessness within the preceding twelve months. Four major themes and multiple subthemes emerged through the process of analysis. Three major themes describe the complexity of living with hope for these women: ‘balancing on the edge’, ‘pushed to the edge’ and ‘pulled from the edge’. ‘Nursing on the edge’ captures the multiple understandings of how registered nurses impact the experiences of hope and hopelessness. Findings from this research explicate the unique struggles, strengths, capacities, values, and beliefs of women who are homeless. Furthermore, the findings shed light on the delicate balance of hope and how easily, often without thought and attention, registered nurses can upset this balance. These findings have implications for nursing practice and nursing education and provide considerations for policy development and future research. / Graduate / 0453 / 0569

This is a qualitative study of 13 homeless African American women living in several shelters in the semi-rural South. The study focuses on their powerful stories of their lives and the trauma, abuse, substance abuse and economic problems that led them into homelessness. The study began as an ethnographic study after the model described in Leininger‟s „Stranger to Trusted Friend Enabler‟ and evolved into a creative mixed methodology of Interpretive Description that integrated elements of Ethnography, Phenomenology and Narrative. „Darkness‟ and „Turning to Light‟ is a synthesis of the participants‟ vivid narratives presented in two major themes. Darkness explores the participants‟ spiral downward into depression, drug use, abuse (physical, sexual, psychological) and economic loss to the Darkness of „Rock Bottom‟. Turning to Light follows their struggle back to „the light of life‟; becoming independent, regaining their children and their health, desiring to “help someone” and building their futures. The major theme heard as the women tell their stories is how they rely on their spiritual beliefs and practices, no matter how dark life becomes. They expressed that their spiritual connection to God nourished their soul and gave them a sense of well being and hope. Previous research cited supports the contention that their spirituality improves the prospects of healing and promotes positive health care outcomes. Understanding difficult life experiences through the homeless African American women‟s eyes provides a framework from which environments of care and interventions of change regarding social, political, religious or healthcare programs can be developed. The recognition of spirituality can lead to programs that further strengthen this source of support, hope and resilience. Nurses are in a unique position to influence the lives of these people. They meet them in emergency rooms when they are injured, in clinics when they are ill and in mental health clinics when life is overwhelming. The women identified helpful nursing characteristics: 1) respect for the patient‟s humanness, the impact of her life experiences on her current situation and prospects of healing, 2) respect for the patient‟s spirituality regardless of the nurse‟s personal beliefs, 3) acknowledgement of the humanness of the patient by being fully present during the time of the patient‟s vulnerability, and 4) holistic care.

This thesis is primarily concerned with the meanings that are produced when women become visible amongst the homeless through photographic representations. While there have always been homeless women, unlike their male counterparts, they have remained largely invisible to the public and government policy makers.Social documentary photography has acted as one of the main avenues through which homeless women have, literally, been rendered visible. Driven by, and implicated in complex sociocultural and political circumstances, socially concerned photographs draw on the real and the fictional to generate truth/power effects.Thus, the thesis re/traces the representation of homeless women in a range of visual texts and ask how this construct has been discursively produced and deployed. In order to explore how socially concerned photography has contributed to, and made use of the idea of homeless, or destitute woman, examples are drawn from a range of photographic genres. These include traditional social documentary, public collections of photographs, photojournalism and publicity materials.The selected images, the circumstances out of which they emerge, and those in which they are read, are interrogated along, and with the consideration of the interconnections between axes of gender, genre, race, class and power. The inquiry does not aim to establish a unitary source, or coherent trajectory of the visual representation of the homeless woman, because origins, particularly of ideas, are always contestable. Rather, a primary aim is to expand the field of possibilities for the visual portrayal of women's experiences of homelessness. / Doctor of Philosophy (PhD)

Homelessness has increased in the United States over the last 15 years, but one of the most distressing trends has been the increase of homeless families. Current literature suggests that healthcare services for the homeless family may be fragmented and difficult to access. Rationale for this study was to gain understanding of homeless families, and therefore increase the effectiveness of nurses working with homeless families.This qualitative study used a Heideggerian hermaneutical phenomenological approach as the philisophical framework. A script of questions and information about the study was presented to mothers at a shelter in a group meeting. The researcher then contacted each mother to learn of the mother's desire regarding participation. Seven mothers participanted. Shelter residents were informed that they may refuse participation or withdraw from the study at any time without prejudice from the researcher. Audio-taped interviews will took place in a private vacant office at the shelter. The researcher transcribed the interviews, eliminating any information (names, cities, agencies, relatives, etc.) that could identify the participants. Transcribed interviews were analyzed for common themes identified by the mothers. Audio-tapes were destroyed after data analysis.Risks involved included possible discomfort as residents discuss issues in their past. Should a mother become emotionally distressed in the interview, the researcher was prepared to assist her to identify coping resources. i ne motners were also iniormeu that, in one unlikely event information was shared that may indicate child abuse, the researcher was required to report child abuse to the State of Indiana. Benefits included ability to express feelings in a confidential setting. A $20 item of jewelry or a household commodity was presented to participants as an honorarium after completion of the interview.The lived experience of being a homeless mother with a family can only be fully understood by the mother who has lived the experience. Six common themes were identified by the mothers who participated in this study. Lack of assistance from biological fathers, or "I can't count on him" was a contributing factor towards the mothers' circumstances. Experience of a recent traumatic event without sufficient coping skills or resources emerged as a second theme, and was described by the quote "I don't know what to do." The third theme regarding the mother's concern for meeting the needs of their children was summarized by the insight "And kid's time don't stop." The perception of ineffective or demeaning treatment by helping agencies or "They really didn't care for me" was the fourth theme. The difficulty of carrying on family life was described in the fifth theme as "Things that are hard". And finally, the sixth theme described the difficulty in finding a residence as the mothers were told by landlords repeatedly, "I really don't have anything right now."The conclusion from the study was that homeless mothers and their familys have many needs not yet met by healthcare and helping agencies. This population is overwhelmed by the stresssors they face, and principles of crisis intervention are not adequately used to assist them. At the same time, these mothers demonstrate a great deal of concern and determination to care for their children.Through this study, nurses can learn of the obstacles common to homeless mothers, and the strengths that assist homeless mothers to persist and meet the needs of their family. By better understanding homeless families, nurses can adopt a more comprehensive approach to address their healthcare needs. / School of Nursing

Thesis (Ph. D.)--Georgia State University, 2007. / Title from file title page. Sarah L. Cook, committee chair; Jim Emshoff, Lisa Armistead, Julia Perilla, committee members. Electronic text (122 p. : ill.) : digital, PDF file. Description based on contents viewed Nov. 14, 2007. Includes bibliographical references (p. 90-107).

Thesis (Ph. D.)--Rutgers University, 2008. / "Graduate Program in Social Work." Includes bibliographical references (p. 196-207).

Abstract BACKGROUND: The number of homeless pregnant women is continuing to increase around the world. Homeless women are experiencing difficulties with their pregnancy that others may not face, including birth abnormalities and not seeking appropriate care due to cost and stigmatization. Nurses need to educate homeless pregnant women on what is needed for a healthy pregnancy and childbirth. OBJECTIVE: This exploratory research describes the needs for advocacy in women who are experiencing homelessness while pregnant and how homelessness affects pregnancy, childbirth, and postpartum care. LITERATURE REVIEW: The search methods used was CINAHL and ETSU Library. Keywords: homelessness, childbirth, homeless women, nursing. There were ten studies established all together. FINDINGS: Homeless pregnant women are not educated on contraceptives and what they need to do to have a healthy pregnancy. For example, they don’t know that being homeless and absence of proper care results in abnormalities such as low birth weights, longer NICU stays, and premature childbirths. CONCLUSION: We conclude that homeless pregnant women should be advocated for in hopes they will feel comfortable and seek proper care for a safe pregnancy. Keywords: homelessness, childbirth, homeless women, nursing

Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2007 / Thesis submitted in partial fulfillment for the degree of Master of Social Work. Includes bibliographical references (leaves 63-68).