This is a project that explores how design can integrate medical treatment and community support. The high prevalence of chronic disease is creating a national healthcare crisis. Chronic disease is the leading cause of death and disability in the United States. Consideration of a holistic sense of well-being that focuses on disease resistance, resilience, and self-management is necessary to realize and sustain health outcomes. Community engagement is imperative to improve adherence rates for lifestyle changes. This project aims to design a community wellness space that is focused on prevention, resilience and self-management. A new typology of a community-anchored wellness clinic could provide an environment to support positive change. This clinic will be a new model of care by combining the necessary access to fitness, healthy food and health care while fostering community, and providing patient education and emotional support.

The purpose of the study was to describe the personal experience of individuals undergoing cancer treatment in an outpatient clinic by examining their perceived supportive care needs. The theoretical basis of the study lies in Alfred Adler's holistic view of human beings as unique and indivisible (1927/1954). Six individuals recently diagnosed with cancer were recruited from the same regional outpatient cancer clinic located at a major university medical center. A semi-structured interview process with open-ended questions was utilized to understand how people individually and collectively experience cancer and cancer treatment. The 17 factors of the wellness model (Witmer, Sweeney, & Myers, 1998) were used to assess the perceived supportive care needs of the study's participants. Data were analyzed using Interpretative Phenomenological Analysis (Smith, 1998) to ascertain emergent themes and interpret the meanings of the perceptions patients have of their cancer experience. The data resulted in eight major themes being present including facing mortality; uncertainty about the future; understanding cancer diagnosis and treatment; reliance on faith; maintaining control; love and support from family; physical impact of cancer; and importance of self-care. These themes provide insight into the perceived supportive care needs that patients experience during cancer treatment. With the exception of cultural and gender domains, the holistic assessment process identified patients' needs. The factors of wellness appear to capture the experience of individuals during cancer treatment. As an approach to assessing the coping skills of cancer patients, the wellness model seems appropriate for use by clinical mental health counselors. Implications for counselor theory, training, and practice with this unique client population are discussed.

The thesis explores relations between members of the Church of Sweden and heterogeneous spirituality. More specifically heterogeneous spirituality is studied within the Church, a terrain understudied. The purpose statement, method and material are all bifurcated, following a mixed methods design. Prevalence and contents of heterogeneous spirituality are examined through statistical secondary analysis and semi-structured interviews. Common variables and questions are studied quantitatively and qualitatively. The examination is preceded by an underlying operationalization in which categories are determined as indicators of religion or spirituality, understood as ideal types corresponding to Paul Heelas' and Linda Woodhead's concepts life-as religion and subjective-life spirituality. The operational definitions enable a simultaneous exploration of three disparate theoretical perspectives. Two are associated with Heelas and Woodhead, namely the process of subjectivization and the spiritual revolution claim. The third is derived from Grace Davies works on believing and belonging, which predict growing heterogeneity in the religious landscape. The quantitative material consists of the extensive Enköpingsstudien and Medlem 2004. The secondary analysis' main contribution is tests of significance of variables previously overlooked, as well as a study of variables in detail previously explored as items within larger groups. The qualitative materials consist of semi-structured interviews with participants in spiritual networks within the Church of Sweden, exclusively recruited in the Diocese of Stockholm. The follow-up of identical questions quantitatively and qualitatively enables a dialogue between etic and emic perspectives. The interviews shed light over how etic indicators in fact can be interpreted by respondents in a given context. A premise for the spiritual revolution claim is conflict between religion and spirituality, manifest in the heartlands of the congregational domain and the holistic milieu. Expected consequences are negative association between variables characterizing life-as and subjective-life quantitatively, expressions of conflict or incompatibility qualitatively. Results supporting the claim were at large absent. Better fares Davies prediction of increasing heterogeneity, characterized by positive association as well as expressions of compatibility. Lastly, the informants' statements were permeated by signs of subjectivization. One conclusion is that Heelas' and Woodhead's implementation of life-as religion and subjective-life spirituality as distinct and rival milieus is unwarranted. Subjectivization seems to, contrary to Heelas and Woodhead, influence the congregational domain to a large extent.  This compromise use of the dichotomy religion and spirituality as largely distinct and differentiated phenomena. The overall tendency in the material is co-existence rather than conflict. Referring to Davie's phrase Believing without Belonging, I argue that Belonging and Believing Something Else better captures the members relationship to belief, belonging and heterogeneous spirituality.

The objectives in this study were to investigate dual career transitions experiences and the overall perception of the transition process of university student-athletes in a Swedish dual career program. Twenty-one interviews were conducted with student-athletes between 19-29 years (M=22.14, SD=2.52) at the end of their first study year, based on the holistic developmental model and the athletic career transition model. The interviews were analyzed based on the athletic career transition model (perceived demands, resources, barriers, coping strategies) as well as the overall perception, outcomes and personal meaning of the dual career transition of the first year. The results revealed that the student-athletes experienced simultaneous demands within the dimensions of life, and the biggest perceived demands  were the search of a dual career balance. The most mentioned resource was social support, and the student-athletes experienced the most barriers within the academic dimension. The most common coping strategy was coping with the athletic dimension. The overall perception resulted in perceived benefits, perceived challenges and lessons learned from their first year. The results for this study can be a part of the Swedish dual career research which can provide information in the development of Swedish guidelines on dual careers.

The National Curriculum Statement argues that it takes all of the different components of the individual into account when attempting to educate each learner. It states that one of the goals of the National Curriculum Statement is to promote the “holistic development of learners”, and within this area to take each learner’s emotions into account. This is a bold statement that has many practical implications for the learner, the educator, and the lecturers in teacher training programmes. There appears to be very little guidance provided in the National Curriculum Statement or teacher training programmes with regards to how one should take the “holistic development of learners”, and specifically the emotions into account. For this reason, this research focuses on whether it is possible to prepare teachers to take the “whole child” into account, with particular reference to the emotional dimension of the learner. The research also focuses on whether educators in schools feel adequately prepared to look at the emotions, and what different factors come into play when attempting to look at the both the emotions and the “holistic development of learners”. In order to do this, the current research focuses on Life Orientation, since it appears to be the subject that is most able to deal with the cognitive, spiritual, physical social and emotional needs of the learners. With the purpose of achieving the abovementioned objectives, the researcher conducted a qualitative research study which involved the interviews of six Life Orientation Educators from six different public schools in the Northern Suburbs of Johannesburg; as well as three lecturers who lecture Life Orientation at the University of the Witwatersrand. The findings of this research report indicate that most of the educators and lecturers who participated in the research feel inadequately prepared to take the emotions, and the holistic development of learners, into account in the teaching /learning process. There are a number of reasons for this. First, many participants felt that both the emotions and holism are implied within the curriculum. However, the participants felt that there is not an explicit explanation for what these elements of the individual are. As a result of the lack of a coherent explanation of the different elements of the individual, the participants felt that it is difficult to teach the non-cognitive aspects of the individual. Second, because the emotions and holism are implicit rather than explicit, it was felt that there are no clear indications provided by the National Curriculum Statement, or in the Life Orientation courses or workshops on how it is possible to teach or assess the whole child, and the emotions specifically.

Background: Many hearing impaired children present with one or more health-related conditions, in addition to hearing loss. Families and professionals are therefore faced with numerous challenges when a child presents with co-morbidities of hearing loss. The implications for assessment, management and educational placement of these children are numerous. Appropriate plans for holistic intervention and education are essential for the development of the child as well as improved life quality. This study therefore aimed to describe the co-morbidities that pre-school children with hearing loss present with at the Centre for Language and Hearing Impaired Children (CLAHIC), and its implications for management. Method: A descriptive, retrospective research design was employed for the purpose of this study. A non-probability, purposive sampling strategy was implemented to select the records of children diagnosed with a hearing loss, and who have attended CLAHIC from 1999 to 2010. The records of 62 children were reviewed. Results: The more prevalent co-morbidities identified in this study were fine motor delay, gross motor delay, visual motor integration disorder, bilateral integration disorder , apraxia of speech and attention deficit hyperactivity disorder. Further findings of the study indicated that the co-morbidities of hearing loss are independent of the degree of the hearing loss. It was however found that there is an increased risk for fine-motor difficulties across the sample. Implications: The findings of this research suggest that pre-school children with hearing loss, irrespective of degree of hearing loss, should be screened and or monitored for the risk of prevalent co-morbidities, such as fine and gross motor difficulties. A collaborative, holistic and multi-disciplinary team approach should be implemented to ensure that services are provided to improve the life quality and development of the hearing impaired child.

Thesis advisor: Callista Roy / Despite the concept of healing being central to nursing, there has been a lack of conceptual clarity. This study sought to understand how expert nurses in practice conceptualize healing and how this conceptualization affects their practice. The sample consisted of 50 practicing nurses from multiple practice settings in an academic health system in Western Massachusetts. The study used a mixed method design using an electronic adaptation of the Delphi method. Findings from the study suggested a high level of consensus about the concept of healing in nursing. Qualitative data from the open-ended questions of Round 1 were coded into items about healing on subsequent quantitative surveys in Rounds 2 and 3. Participants ranked their level of agreement or disagreement with these statements. Ultimately, 49 statements met the a priori criteria for consensus as to what healing means from a nursing perspective. The overarching themes of statements were comprised of Nursing Actions to Promote Healing, Theoretical Understanding of Healing, Nurse Attributes to Promote Healing, Other Factors that Promote Healing, Types of Healing and Assessment of Healing. This study adds to the literature an exclusively nursing perspective on healing. The nursing-specific concept of healing synthesized from the data could be described as progression towards wholeness, with subjective and objective outcomes, promoted by the actions of nurses. The clarification of the concept of healing can inform research to create measurements for healing. It also can improve practice by articulating an existent conceptual framework, allowing nurses and administrators to better promote healing both directly and indirectly. Lastly, the results of this study offer students a simple yet accurate way of prioritizing nursing interventions. / Thesis (PhD) — Boston College, 2015. / Submitted to: Boston College. Connell School of Nursing. / Discipline: Nursing.

Smärta är en subjektiv upplevelse som kan drabba och begränsa individen på olika sätt. Det är viktigt att använda sig av ett helhetsperspektiv, då en bibehållen smärta kan bero på andra faktorer än just de fysiologiska. Det är viktigt att som vårdgivare bemöta, framför allt unga smärtpatienter, med ett patientcentrerat och holistiskt synsätt. Detta för att tidigt fånga upp och identifiera smärtan för att undvika att smärtan kommer bli något långvarigt. Rätt behandling och ett bra bemötande kan även vara av värde gällande individens syn på sin egen smärta och framtiden. Syftet med denna studie var att undersöka hur unga mellan 18-30 år med långvarig icke-specifik smärta upplever sin smärta i relation till sin vardag, arbetsliv och bemötandet från vården. Metoden är en kvalitativ intervjustudie, med tre deltagare som lever med långvarig smärta. Efter gjorda intervjuer bearbetades materialet via en kvalitativ innehållsanalys. Resultatetav studien resulterade i fyra huvudkategorier; långvarig smärta, att bli bemött som ung smärtpatient, betydelsen av en diagnos och framtiden.  Det visade sig att smärtan har en stor påverkan i informanternas vardag. En bekräftelse från vården hade kunnat bidra till en ökad acceptans hos informanterna gällande sitt tillstånd. Konklusionen i denna studieär att smärtan påverkar livet i stort och är en subjektiv upplevelse som alltid är sann och den ska alltid tas på allvar trots att det inte finns någon fysiologisk förklaring till den. / Pain is a subjective experience that affects and limits the individual in different ways. It is important to make use of a holistic perspective, as a sustained pain may be due to factors other than the physiological ones. It is important as a caregiver to respond, especially to young pain patients, with a patient-centered and holistic approach. This is to early identify the pain in order to avoid the pain becoming chronic. The right treatment can also be of value for the individual's view of their pain and the future. The aim of this study was to investigate how young people between 18-30 years with long-term, non-specific pain experience their pain in relation to their everyday life, working life and the treatment from the care. The method is a qualitative interview study, with three participants living with long-term pain. After interviews, the material was processed with a qualitative content analysis. The result of the study resulted in four main categories; long-term pain, be treated as young patients, the importance of a diagnosis, the future and a number of sub-categories. It turned out that the pain has a great impact on the informants' everyday life. A confirmation from the health service could have contributed to an increased acceptance of the informants condition. The conclusion is that the pain is always true and have a great impact on life in general and should always be taken seriously, even though there is no physiological explanation for it.

O objetivo deste trabalho foi estudar a incorporação de temas societais à orientação para o mercado de uma organização, buscando discutir como a orientação das empresas em marketing pode evoluir para o conceito de marketing holístico. Por meio da revisão bibliográfica buscou-se fazer uma análise de vários temas ligados ao comportamento estratégico de uma organização, trazendo uma reflexão sobre a evolução das orientações adotadas possíveis, destacando, em especial, a orientação para o mercado, com sua análise em clientes e concorrentes. Também foram discutidos conceitos ligados à atuação responsável das organizações como a responsabilidade social corporativa, o marketing societal, a análise de públicos interessados, além da teoria dos stakeholders e governança corporativa. Foi realizada uma pesquisa empírica exploratória, do tipo estudo de caso, na qual se buscou verificar como uma organização orientada para o mercado pode trabalhar os demais conceitos discutidos na revisão bibliográfica em seu posicionamento. Além disso, foi feito um estudo de quão alinhada ao conceito de marketing holístico a organização está. O trabalho contribui para verificar que, no caso estudado, conceitos societais e de atuação socialmente responsável podem coexistir com a orientação para o mercado, contribuindo para a entrega de valor superior ao cliente e a avaliação positiva por sua parte da atuação da empresa. A pesquisa também evidenciou que as dimensões do marketing holístico estão presentes na organização estudada, mostrando alinhamento com o questionamento proposto neste trabalho. / The purpose of this work was study the association of societal themes to the market orientation of an organization, discussing how the companies marketing orientation can evolve to the concept of holistic marketing. The theory included in this study supported an analysis of several themes related to the strategic behavior of an organization, allowing a deeper thought about the evolution of the adopted orientations, especially market orientation. Furthermore, some concepts related to the responsible acting of the companies were discussed, as corporate social responsibility, societal marketing, analysis of publics of interest, as well as stakeholder theory and corporative governance. An exploratory research was made – a case study – aiming to verify how a market-driven organization can apply in its market positioning the others topics discussed in the present study. Besides, it was made a study of how much aligned the organization is to the marketing holistic theory. The research showed that, in the case studied, the societal concepts and the socially responsible behavior coexist with the market orientation positioning, helping to provide superior value to the customers and to improve their positive evaluation of the organization. The research also proved that the holistic marketing dimensions exist at the studied company, showing alignment with the questioning of this study.

With passage of the Patient Protection and Affordable Care Act (PPACA) and the publication of the Institute of Medicine’s report on the future of nursing, nurses are slated to take on an expanded role in primary healthcare delivery in the near future. Nurse practitioners, in particular, will be instrumental in filling the gap in primary care availability engendered by the increasing specialization of physician practice and increased access to healthcare made possible by the provisions of the PPACA. The need for this study was identified through gaps in the literature related to nurse practitioner practice; specifically, the paucity of quantitative research regarding patients’ perspectives of core holistic nursing values in nurse practitioner care, and, since nursing care is by definition and tradition holistic in nature, this inquiry attempted to quantify the degree to which nurse practitioner care upholds and preserves core holistic nursing values. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2014. / FAU Electronic Theses and Dissertations Collection