Living with hiv disease: A phenomenological study of a group of older black/African American women
Item
-
Title
-
Living with hiv disease: A phenomenological study of a group of older black/African American women
-
Identifier
-
d_2009_2013:9fe6e5b77b0c:12064
-
identifier
-
12517
-
Creator
-
James-Borga, Judith C.,
-
Contributor
-
Keville Frederickson
-
Date
-
2013
-
Language
-
English
-
Publisher
-
City University of New York.
-
Subject
-
Nursing | African American studies | Womens studies | HIV | Living with HIV disease | Older African American women | Older Black/African American women living with HIV disease | Phenomenological approach | Self-Transcendence
-
Abstract
-
Black/African American women are disproportionately affected by human immunodeficiency virus (HIV) disease. The purpose of this study was to gain an in-depth understanding of the experiences of a group of lower socioeconomic, older Black/African American women, who were living with HIV disease. A purposive sample of ten participants was obtained and data was collected through unstructured interviews. Using the phenomenological stance of Merleau Ponty, and guided by van Manen's methodological processes, seven essential themes emerged: transcending adversity and becoming; using knowledge as empowerment; dealing with HIV stigma; concealing and revealing; tending to their emotional life; and caring for others while they themselves were being cared for. The meaning of living with HIV disease is a dynamic interrelated patterning process of these essential themes. The findings support Pamela Reed's theory of Self-Transcendence. Implications for nursing include: the urgent need for a paradigm shift that acknowledge the strengths of older Black/African American women; the need for the integration of sexual assessment and education on risk reduction and medication adherence into routine healthcare encounters; and for further research to expand the data base on strategies that older Black/African American women use to overcome diversity and live with HIV disease. Key Words: HIV; older Black/African American women; self-transcendence.
-
Type
-
dissertation
-
Source
-
2009_2013.csv
-
degree
-
Ph.D.
-
Program
-
Nursing Studies
