Purpose: To describe how some Black Americans view advance directives. Current literature revealed that most prior studies used quantitative methods with force-choice questions and had few Black subjects. Design: Interviews were conducted with 17 Black Americans. Transcripts of the interviews were subjected to content analysis. Findings: Three major categories of themes were identified: Threats to dignity, family relationships, and spirituality. Black Americans in this study did not desire unconditional end-of-life treatment. Conclusions: This sample had a positive attitude toward the utility of advance directives. Legally generated directives were not seen as necessary. Implications for practice: The alternative ways that Black Americans may conduct advance directing should be recognized.
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