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High school noncompleters are those who did not earn a high school diploma. Before their early departure from high school, noncompleters often struggled with challenges (poverty, mental health, addiction, and emotional and physical abuse). Some enter remedial education to earn their equivalency credential. However, in this setting, they experience additional challenges, such as increased responsibility, stress, and anxiety. The problem surrounding the experiences of noncompleters has implications for counseling due to the limited use of and access to counseling as well as the disproportionate amount of mental health concerns and adversity among noncompleters. Current literature informs of the challenges noncompleters face, however more in-depth information on their experiences is still needed. The purpose of this hermeneutic phenomenological study was to address this gap and explore how adult remedial learners experience emotional and psychological challenges before dropping out and while enrolled in an equivalency program. Semi-structured interviews were conducted with 7 noncompleters ages 18-25 who were enrolled in adult remedial education classes in Hawaii, spoke English as their primary language, and self-reported experiencing emotional and psychological challenges. Data analysis through the hermeneutic circle yielded 11 themes: external adversity; interpersonal, emotional, psychological, and school struggles; maladaptive behaviors; high school equivalency is positive; external and internal protective factors; counseling is positive; and counseling limitations. From a social change perspective, results can be used to improve counseling services, reduce adversity, and improve outcomes for noncompleters.

Hjärtstopp uppstår när hjärtaktiviteten plötsligt upphör och kroppens olika organsystem  inte längre försörjs med blod. Om inte hjärt- och lungräddning samt andra åtgärder vidtas omedelbart kan detta tillstånd leda till plötslig död. I Sverige drabbas cirka 10 000 individer av hjärtstopp utanför sjukhus varje år, ungefär en av tio överlever. Tack vare “överlevnads kedjan” har antalet överlevande ökat. Sjuksköterskan kommer möta dessa patienter i olika vårdenheter, därför är det av betydelse att hen etablerar ett personcentrerat förhållningssätt i bemötandet eftersom hjärtstoppöverlevande uppvisar både fysiska och psykiska besvär till följd av hjärtstoppet som behöver uppmärksammas. Syftet med studien är att sammanställa och beskriva evidens om patienters upplevelser av att överleva ett hjärtstopp utanför sjukhus. Val av metod är en litteraturöversikt som grundar sig i elva studier av empirisk forskning med både kvalitativ och kvantitativ studiedesign. Resultatet genererade tre huvudteman och nio subteman. Slutsatsen är att hjärtstoppet upplevs som en traumatiserande och omvälvande händelse för den drabbade individen, eftersom den orsakar långvariga fysiska och psykiska funktionsnedsättningar. Den drabbade står inför existentiella utmaningar som ger upphov till psykiska besvär såsom ångest, depression och posttraumatisk stressyndrom. Hjärtstoppspatienter uttryckte att omställningen till vardagslivet var påfrestande på grund av informationsbrist som skulle ha hjälpt de att bättre förstå och hantera sina symtom. De efterfrågade en bättre individanpassad vård och uppföljning som tar större hänsyn till deras psykiska lidande eftersom detta kan bidra till snabbare återhämtning. Sjuksköterskan kan genom en personcentrerad vård uppenbara patientens behov och i samverkan med denne och sin närstående finna strategier som underlättar återhämtningen och ökar välbefinnandet. / Cardiac arrest occurs when the heart's activity suddenly stops, and the body's various organ systems are no longer supplied with blood. If cardiopulmonary resuscitation and other measures are not taken immediately, this condition can lead to sudden death. In Sweden, approximately 10,000 individuals suffer cardiac arrest outside of a hospital each year, approximately one in ten survives. Thanks to the "chain of survival", the number of survivors has increased. The nurse will meet these patients in different care units, therefore it is imperative that they establish a person-centered approach in the treatment because cardiac arrest survivors exhibit both physical and psychological problems as a result of the cardiac arrest that needs attention. The aim of the study is to compile and describe evidence about patient’s experiences of surviving a cardiac arrest outside a hospital. Choice of method is a literature review based on eleven studies of empirical research with both qualitative and quantitative study design. The results generated three main themes and nine subthemes. The conclusion is that cardiac arrest is experienced as a traumatizing and upheaval event by the affected individual, as it causes long-term physical and mental impairments. The sufferer faces existential challenges that give rise to psychological problems such as anxiety, depression, and post-traumatic stress disorder. Cardiac arrest patients expressed that the transition to everyday life was stressful due to a lack of information that would have helped them better understand and manage their symptoms. They requested better individualized care and follow-up that takes greater account of their mental suffering because this can contribute to faster recovery. Through person-centred care, the nurse can identify the patient's needs and, in collaboration with the patient and their loved ones, find strategies that facilitate recovery and increase their well-being.

This study focuses on the psycho-social challenges faced by HIV/AIDS lay counsellors at a Voluntary Counselling and Testing (VCT) site in Tshwane, South Africa. A qualitative approach was employed by using semi-structured interviews with open-ended questions to obtain information from four lay counsellors, who provide pre- and post-test counselling at a VCT site. The results indicate that the management of clients’ emotions and needs pose enormous challenges to HIV/AIDS lay counsellors who do not receive any formal psycho-social support at VCT sites. The research participants in this study resort to their own coping mechanisms to deal with the challenges – with varying degrees of success. The recommendation is made that a formal support programme should be put in place at VCT sites, which will allow HIV/AIDS lay counsellors to respond to the many demands placed on them. Such a programme can help prevent burnout and a high turnover in lay counsellors. / Social Work / M. A. (Social Behaviour Studies in HIV/AIDS)

This study focuses on the psycho-social challenges faced by HIV/AIDS lay counsellors at a Voluntary Counselling and Testing (VCT) site in Tshwane, South Africa. A qualitative approach was employed by using semi-structured interviews with open-ended questions to obtain information from four lay counsellors, who provide pre- and post-test counselling at a VCT site. The results indicate that the management of clients’ emotions and needs pose enormous challenges to HIV/AIDS lay counsellors who do not receive any formal psycho-social support at VCT sites. The research participants in this study resort to their own coping mechanisms to deal with the challenges – with varying degrees of success. The recommendation is made that a formal support programme should be put in place at VCT sites, which will allow HIV/AIDS lay counsellors to respond to the many demands placed on them. Such a programme can help prevent burnout and a high turnover in lay counsellors. / Social Work / M. A. (Social Behaviour Studies in HIV/AIDS)