The purpose of this study was to explain the ways in which parents of children with hearing impairments access counseling services. In order to focus attention on these issues, a research question and objectives were formulated: In what ways did parents of children with hearing impairments in Zimbabwe access counseling services during the period 1999 to 2000? Five distinct but related major issues, in relation to parents of children with hearing impairments accessing counseling services in Zimbabwe during the period 1999 to 2000 emerged. This came from observation of practice, personal experiences, and discussions with parents. The objectives of the study were thus formulated as follows: · to find out who counseled parents of children with hearing impairments. · to investigate whether parents who received or did not receive counseling were aware of organizations that offered guidance and counseling. · to find out parents’ perceptions on whether or not counseling helped them to accept and cope with their children. · to establish the qualifications of the counselors who counseled parents of children with hearing impairments. · to explore recommendations by parents on ways in which counseling can be made more accessible in Zimbabwe. A pilot study was conducted in which two questionnaires that covered the research question and the five objectives were constructed and refined. Subsequently a survey was carried out on a sample of 300 parents of children with hearing impairments and 28 counseling service organizations. The questionnaires sought to find out: who counseled parents of children with hearing impairments, their views about the counseling they received, whether they were able to accept and cope with their children after counseling and their views on how counseling could be made more accessible. The questionnaire to service organizations sought to establish the qualifications of their counselors, the needs of parents of children with hearing impairments and their views on what they thought could be done to help parents access counseling services. Female and male parents were compared in terms of their sources of counseling, acceptance and coping with children of different genders and different age groups. Quantitative data on organizations and parents’ responses were analyzed using descriptive statistics. Qualitative analysis was used to analyze data from open-ended questions collected from parents of children with hearing impairments. Results from the study indicate that the majority of the parents received counseling from special schools, followed by individuals, then hospitals, churches, registered counseling organizations and friends. Slightly more than half of the parents were aware of registered organizations that offer counseling services. Most parents believed that counseling helped them and were able to cope with their children after counseling. The majority of the counselors who counseled parents of children with hearing impairments were not qualified. Most parents indicated that they faced difficulties in communication, financial constraints, societal attitude, lack of transport and lack of skills to teach children basic living skills. Parents suggested the use of parent support groups, workshops and advertisements as means of making counseling services more accessible. / Thesis (PhD (Learning Support, Guidance and Counceling))--University of Pretoria, 2004. / Educational Psychology / unrestricted

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Bakgrund: Att förlora ett barn är en stor sorg som uttrycks på olika sätt hos olika individer. Sorgen drabbar inte bara familjen utan även vårdpersonal som upplever att det får svårigheter att identifiera föräldrars behov och stödja dem i deras sorgeprocess. Därför är det viktigt att få reda på hur föräldrar upplever vårdpersonalens stöd efter att deras barn dött. Syfte: Syftet med litteraturöversikten var att beskriva föräldrars upplevelser av vårdpersonals stöd efter att deras barn dött. Metod: Studierna berör föräldrars upplevelser av vårdpersonals stöd efter att deras barn dött och valdes från databasen CINAHL complete och genom två manuella sökningar. Litteraturöversikten har utgått från Fribergs metod och presenterar resultat från tio vetenskapliga engelskspråkiga artiklar. Resultat: Resultatet innefattar tre huvudteman: Behovet av samtal och information, Behovet av kontinuitet och en god relation och Behovet av uppföljning och engagemang. Diskussion: Metoddiskussionen beskriver litteraturöversiktens styrkor och svagheter och vad som kan ha påverkat både utformningen och tillvägagångssättet. I litteraturöversiktens resultat diskuteras hur föräldrar vars barn dött på sjukhus upplevde vårdpersonalens stöd efter beskedet om barnets diagnos, vad som är viktigt vid dödsögonblicket samt efter det att barnet dött och hur uppföljning påverkar föräldrar. I resultatet diskuteras även vad föräldrar önskar av vårdpersonalen i de olika faserna. Resultatet diskuteras även utifrån Travelbees omvårdnadsteori med fokus på begreppet människa. / Background: Losing a child is a great sadness that is expressed in different ways by different individuals. Grief affects not only the family but also health professionals who describe difficulties identifying parents' needs for support. Therefore, it is important to explore how parents perceive the health care professionals support after their child died. Aim: The aim of this literature review was to describe the parents' perceptions of support from health care professionals after the death of their child. Method: The studies concern parental perceptions of health professionals’ support after their child died and was selected from the database CINAHL complete and through two manual searches. The literature review was based on Friberg’s method and presents results from ten English scientific research articles. Results: The result includes three main themes: The need for conversation and information, The need of continuity and a good relationship and The need of follow up and commitment. Discussion: Method discussion describes the literature reviews strengths and weaknesses and what may have influenced both the design and approach. The literature reviews results discusses how parents whose children died in hospitals experienced health care professionals support after information about the child's diagnosis, what is important at the moment of death and after the child died and how follow-up affects parents. The result also discusses what parents want from health care professionals in the different phases. The results are also discussed based on Travelbees nursing theory with focus on the concept of man.