Thesis (Ph. D.)--University of Hawaii at Manoa, 2004. / Includes bibliographical references (leaves 111-120). / Also available by subscription via World Wide Web / xii, 120 leaves, bound ill. 29 cm

Typescript. / Thesis--University of Hawaii, 1963. / Bibliography: leaves 121-126. / xi, 219 leaves mount. col. ill., mount. maps, mount, diagrs., tables (part fold.)

Thesis (M.S.)--University of Hawaii at Manoa, 2007. / Includes bibliographical references (leaves 65-71). / xii, 71 leaves, bound ill. (some col.), maps 29 cm

Thesis (M.S.)--University of Hawaii at Manoa, 2007. / Includes bibliographical references (leaves 170-179). / vii, ii, ii-iii, 193 leaves, bound ill., map 29 cm

Transition to motherhood is an on-going developmental process that requires adaptation or change in restructuring behavior and role identity. When living in a foreign culture, women's challenges are increased exponentially because of bi-cultural conflicts and the presence of limited support. The purpose of this study was to describe the essential structure of the lived experience of the childbirth experience in Hawaii for expatriate Japanese women who were transitioning to motherhood. The research design was descriptive, using a phenomenological approach reflected in Colaizzi's method. A sample consisted of 10 Japanese expatriate women. Major findings of this study consisted of four Theme Categories: Challenges Living Overseas, Challenges of Motherhood, Reaching the Goal of Motherhood, and Relationship with Others. In the essential structure of the lived experience ofthe childbirth in Hawaii, the expatriate Japanese women experienced difficulties in their childbirth process, but as a result they understood their parents' values and also identified themselves as worthwhile individuals through the separation from family during the childbearing process. The new contribution of this study to nursing knowledge was the importance of family for women giving birth in a foreign country. The results of this study reflected the conceptual orientation, transition: a middle-range theory. The experience provided an opportunity for them to reflect their lives and to find the direction needed for their growth and transformation to successful parents. The women rebuilt the relationships with their husbands and further deepened their marital bonds.

This study evaluates whether a hands-on educational intervention makes a significant difference in the proper use of an infant passenger restraint by a parent. The sample was chosen from parents who were at least seven months pregnant and who planned to transport their infants in passenger motor vehicles. Each participant was randomly placed in one of two groups. All participants received a free infant car seat and a standardized education session on the safety and use of infant passenger restraints. The experimental group received an additional component consisting of a hands-on demonstration and return demonstration of correct installation and use in their own vehicle. All hands-on teaching was done by RNs who were nationally certified Child Passenger Safety Technicians. Follow up observations of correctness of use was done by appointment several months after birth using a standardized observation tool. The total sample consisted of 111 parents. There were 56 in the intervention group and 55 in the control group. Participants ranged in age from 19 to 53 years, with the majority in their 30's. Most were women. They were well educated, with above average incomes. A high number were of Asian ethnicity. A total of24 (22%) had correct use. Of these, 18 (32%) were in the intervention group and 6 (11%) were in the control group. The intervention group was 4 times more likely to have correct use than the control group (odds ratio 4.3, P value=0.0074). The number of errors per person was 0 to 7, with most having 0 to 2. The rates of errors were 33% less in the intervention group (ratio of 0.67). There were few serious errors. Secondary variables tested in regression analysis were age, education, income, and help from others. None of these variables was found to have a significant effect on the outcome. The hands-on educational intervention made a significant difference in the proper use of a child passenger restraint by a parent. This study demonstrates the value of hands­ on teaching for parents to learn how to install and use a child car seat. Everyone who transports a child in a motor vehicle should have access to this type of education. Nurses, physicians, and others working with families should encourage them to seek out this kind of teaching, and should advocate for more programs which offer this service.

Dans l'intention de parfaire notre compréhension des conditions de (sur)vie liées à l'itinérance féminine à O'ahu, ce mémoire empirique cherche à observer les vécus objectifs et subjectifs de ces femmes à l'aide d'entretiens qualitatifs semi-dirigés. Cette étude s'attarde spécifiquement à l'itinérance des femmes autochtones hawaiiennes afin de mettre en lumière certains éléments de réponses aux questions suivantes : Qui sont les femmes Kanaka Maoli en situation d'itinérance? Quelles sont leurs conditions objectives et subjectives de (sur)vie? Quelles sont les diverses formes de marginalisation vécues par celles-ci et comment peuvent-elles être comprises à partir des fondements sociologiques? Ce désir de compréhension s'insère dans une observation plus large des mécanismes sociaux ayant des répercussions sur les femmes rencontrées, notamment en ce qui a trait à l'exclusion, à la marginalisation et à la violence. L'étude des marges est utilisée afin d'observer comment la culture, les rôles sociaux et l'orientation normative de l'action affectent le vécu de ces femmes. Dans le cadre de cette étude, des entretiens furent réalisés auprès de vingt-neuf femmes vivant dans la communauté de Pu'uhonua O' Wai'anae, une communauté itinérante autogérée établie dans l'Ouest de l'île d'O'ahu. L'exploration de ces phénomènes nous permet d'interpréter la criminalisation de l'itinérance et la sanction sociale comme étant des conséquences des processus de marginalisation et d'exclusion auxquels ces femmes sont confrontées. Les résultats indiquent que le vécu au sein de cette communauté permettrait aux femmes de diminuer les effets de plusieurs processus sociaux vécus à l'extérieur de la communauté, tels que l'exclusion, la pauvreté de pouvoir et l'invisibilité sociale. La communauté indépendante de Pu'uhonua O' Wai'anae se révèle donc être un modèle alternatif afin de répondre aux besoins des personnes en situation d'itinérance. En s'installant dans la communauté, elles découvrent un lieu sécuritaire où elles peuvent user de leur agentivité sociale. Plutôt que de subir de l'exclusion sociale, elles créent des relations et une communauté inclusive leur permettant d'être reconnues comme des citoyennes. / Our intention for this study was to further our understanding of the living and survival conditions associated with female homelessness in O'ahu. This empirical research aim to observe the objective and subjective experiences of these women through semi-structured qualitative interviews. More specifically, we focused specifically on the homelessness of Native Hawaiian women to answer the following questions: who are the Kanaka Maoli women experiencing homelessness? What are their living and survival conditions? How do social values, norms and social representations affect the social exclusion and marginalization experienced by them and how can it be understood from a sociological perspective? This desire for understanding is part of a broader observation of the social mechanisms that have an impact on the women we meet, more specifically with consideration for the exclusion, marginalization and violence. The margins studies are used to observe how culture, social roles and the normative orientation of action affect the lives of these women. As part of this study, interviews were conducted with twenty-nine women living in the community of Pu'uhonua O' Wai'anae, a self-managed homeless community in the West part of O'ahu. The exploration of these phenomena allows us to interpret the homelessness criminalization and social sanction as consequences of the processes of marginalization and exclusion these women face. The results indicated that living in this community would allow women to diminish the effects of several social processes experienced outside the community, such as exclusion, powerlessness and social invisibility. The self-managed community of Pu'uhonua O' Wai'anae is therefore proving to be an alternative model that meets the needs of people experiencing homelessness. By settling in the community, they discover a safe place where they can use their social agency. Rather than suffering from social exclusion, they create relationships and an inclusive community that allows them to be recognized as citizens.

Typescript. / Bibliography: leaves 64-69. / ix, 75 leaves ill., maps

Thesis (D.P.H.)--University of Hawaii at Manoa, 1995. / Includes bibliographical references (leaves 176-183). / Microfiche. / xv, 183 leaves, bound ill. 29 cm

Typescript. / Bibliography: leaves 130-136. / xiii, 136 leaves ill., maps