The implantable cardioverter defibrillator (ICD) is an electronic medical device that was invented by Dr. Michael Mirowski and his team in 1980. The purpose of the ICD, which is implanted in a person's chest, is to sense and shock the heart when detecting a lethal cardiac arrhythmia into a rhythm that can sustain life. While the ICD saves lives, it also has the potential to deliver painful shocks when it is activated. The ICD was initially inserted in people who had survived a sudden cardiac arrest; the device is now being implanted in older adults with heart failure and no known history of cardiac arrhythmias. When talking with patients and personal family members who had an ICD, it was unclear what influenced their decision to have an ICD implanted. Understanding the experience of decision-making for older adults who had an ICD has added to nursing knowledge, practice, and education when working with people who had an ICD inserted. To understand the lived experience, the researcher conducted a phenomenological research study, guided by the theoretical lens of Paterson and Zderad's (1976/1988) humanistic nursing and analyzed the data as outlined by Giorgi (2009). The results of the study indicated the participants' lived experience of decision-making for older adults who had an implantable cardioverter defibrillator inserted was influenced by the following : trust in their physician's decision; accepting the device was necessary; the decision was easy to make; and hope and desire to live longer. / by Louise A. Lucas. / Thesis (Ph.D.)--Florida Atlantic University, 2011. / Includes bibliography. / Electronic reproduction. Boca Raton, Fla., 2011. Mode of access: World Wide Web.

This descriptive, phenomenological case study presents the perspectives of small-scale coffee producers in Guatemala regarding cooperative membership, sustainable coffee certification programs and the role of ANACAFE. The viewpoints of two producer cooperatives are described based on participant observation, semi-structured interviews and focus groups. Through content analysis the transcribed data were categorized and summarized, and emergent themes are discussed. Advantages to cooperative membership include access to finances, information, cost sharing and expanding direct-trade relationships. Challenges identified are securing finances and attracting new membership. Certification programs may be desirable, but access to information regarding program types is limited. Participants feel that standards do not reflect cultural differences, and the producers question who actually receives the advertised price premiums. The use of best-practices incorporating the social, environmental and economic principles of certification programs is preferred. ANACAFE is a source of technical information and funding but resource access is selective and limited.

Text in Afrikaans / Die doel van die navorsing is om die individu se aanpassing tydens integrasie te ondersoek. 'n Gedragsprofiel vir aanpassing word in die literatuuroorsig voorgestel volgens sin van koherensie as konstruk van die salutogenese paradigma. Empiries word die lewensorientasievraelys as psigometriese instrument gebruik om sterkte van sin van koherensie te bepaal. K walitatiewe onderhoude, gegrond op fenomenologiese beginsels, word gebruik om aanpassing kwalitatief te evalueer. In die navorsingsontwerp is daar sprake van verkennende, beskrywende en verklarende navorsing en nie-waarskynlikheidsteekproeftrekking word gebruik. Kwantitatiewe en kwalitatiewe resultate word gekoppel ten einde inteme geldigheid op kontekstuele vlak te verseker. Bevindinge toon dat betekenisvolheid van die integrasieproses die vemaamste verskil maak tussen aanpassing en nie-aanpassing. Verstaanbaarheid binne grense van die onmiddellike omgewing en hantering van instrumentele eise sonder om die fokus op emosionele parameters te plaas, fasiliteer verdere aanpassing. Relevante sleutelwoorde is aanpassing, stres, patogenese, salutogenese, sin van koherensie, verstaanbaarheid, hanteerbaarheid, betekenisvolheid, fenomenologie en triangulasie. / The aim of this research is to study individual coping during integration. A behavioural profile for coping is proposed in the literature study based on sense of coherence, a construct of the salutogenesis paradigm. Empirically the psychometric instrument, orientation to life questionnaire, is used to determine the strength of sense of coherence. Qualitative interviewing, based on phenomenological principles, is used to evaluate coping qualitatively. In the research design there are signs of exploratory, descriptive and explanatory research and nonprobability sampling is used. Quantitative and qualitative results are combined to ensure internal validity on a contextual level. Findings showed that meaningfulness of the integration process is the major difference between coping and not coping. Comprehensibility within the boundaries of the immediate environment and the management of instrumental demands without focusing on the emotional parameters, facilitate further coping. / Industrial Psychology / M.A. (Industrial Psychology)

Indiana University-Purdue University Indianapolis (IUPUI) / Using Heideggerian interpretive phenomenology, this study illuminates the lived experience of an adapted dance program for individuals with Down syndrome and their family members. The overall pattern from both dancers and family members was adapted dance: connecting mind, body and soul. The primary theme from dancer interpretations was expressing a mosaic of positive experiences, and the primary theme from family member interpretations was experiencing pride in their loved ones. The dance program provided dancers an opportunity to express their authentic self while experiencing moments of full embodiment in the connection of their mind, body and soul. While dancers experienced the connection of mind-body-soul, family members recognized the importance of this connection in their loved one. This research is instrumental in advocating for opportunities for individuals with Down syndrome to experience dance as a social, physical and intellectual activity that results in learning and increasing social interactions. The research findings from this study can support future initiatives for dance programs that may influence a population that has limited access to physical activity and dance. The study’s teaching strategies, dance activities, class procedures and sequences, and feedback techniques can be used by other professionals who teach individuals with intellectual disabilities.

Thesis (M.Nurs.)(Hons)--University of Western Sydney, Nepean, 1996. / Title from electronic document (viewed 25/5/10) Includes bibliography.

Indiana University-Purdue University Indianapolis (IUPUI) / 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.