Hearing loss is a disability that affects thousands of people in the world. It is estimated that there is 400,000 people with hearing difficulties in New Zealand (New Zealand Audiological Society, 2007). People with hearing loss have the right to access to information and communication (United Nations Enable, 2003). Without access to information and communication, the hearing impaired may encounter problems with emotional and social functioning, and consequently suffer with decreased quality of life. Clinical experience and investigations have revealed success with assistive listening devices (ALDs) where use of hearing aids has been unsuccessful. ALDs are devices that improve the communication function for the hearing impaired. ALDs can be used with or without hearing aids to overcome the negative effects of poor room acoustics. Currently, in the literature, little is known about the use and maintenance of ALDs in community organizations. This study investigates the use and maintenance of ALDs in the Christchurch community of New Zealand. A list of community organizations that provide ALDs to the public of Christchurch was also made available to individuals who have hearing impairment. The study found there is a lack of ALDs within the Christchurch community. Also that current ALD technology within the Christchurch community is not necessarily compatible with current hearing aid technology and that most organizations rely too heavily on PA systems. PA systems do not necessarily meet the needs of the hearing impaired and an ALD specifically targeting their hearing loss would improve their speech perception. Community organizations are not advertising enough that they offer ALDs which adds to the lack of awareness in Christchurch. Results found that most ALDs in the Christchurch community are in working order, however, there is a need for organizations to be educated about their use and maintenance. Audiologists and other health professionals have a key role in providing appropriate recommendations in the use and benefits that ALDs have on speech perception. These will directly improve the listening situations that the hearing impaired have throughout their communities, thus improving their quality of life.

The purpose of this study was to gain a better understanding of the paternal experience of perinatal loss. Perinatal loss is a significant life experience for childbearing families and this study helped to reveal the meaning of the paternal experience, how meaning was constructed and what factors both contributed and/or hindered coping following the loss. Although extensive research in grief and loss has been conducted there existed a significant knowledge gap related to the experience of perinatal loss and even more of a paucity concerning the understanding of the paternal experience. A qualitative study with a phenomenological approach was conducted with a purposeful sample of seven fathers who had experienced a perinatal loss. These fathers helped provide a basis for understanding through partaking in interviews conducted in a venue chosen by fathers. Data analysis involved procedures with roots in Heideggerian traditions of phenomenology, to allow for meaning interpretation of the father's narratives. The analysis resulted in four shared meanings 1) Perinatal Loss - Unexpected Reality, 2) Acknowledgment and Remembrance, 3) Significance and Strength and 4) Crisis, which consisted of 12 themes (World Falling Apart, Absolute Shock, Stoicism, Wishing for Answers, Silent Shelter, Concern for Wife, Communication, Time Heals - Though Never Forgotten, Continued Support and Understanding, Life Changing Moment, Opportunity of Growth and Avoidable Choice). Results indicated that fathers felt ill prepared for this unexpected life event and that they needed to remain strong or to live up to perceived expectations. Although the loss was never forgotten, through reflection, communication and continued support and understanding healing transpired over time and crisis was an avoidable choice. Further exploration of the paternal experience of perinatal loss with varying socio-cultural backgrounds, younger aged population group as well as different religious and cultural backgrounds is recommended. Research is also indicated to explore: 1) educational interventions focusing on both short and long term supportive care to bereaved families, 2) the impact of substantive bereavement programs on healing and meaning-making, 3) the impact of a perinatal loss experience on other members of the family unit, and 4) the impact of recurrent perinatal loss to a family.

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