Living with HIV disease: A phenomenological study of a group of older Black/African American women
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Judith C. James-Borga, PhD, MS, BSN, Associate Professor
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- Epsilon Kappa
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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.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3612324; ProQuest document ID: 1507461871. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Phenomenology |
Research Approach | Qualitative Research |
Keywords | African-American Women; Older Women; HIV; Self-Transcendence |
Grantor | The City University of New York |
Advisor | Frederickson, Keville; Nokes, Kathleen M.; Baumann, Steven; Buckley, Tamara R.; Holzemer, William L. |
Level | PhD |
Year | 2013 |
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