Critical Thinking in African American Mothers Who Care for Adult Children with HIV: A Cultural Analysis

Abstract

This research study defines critical thinking in nursing and examines the thinking processes revealed by 15 African American mothers who are caregivers to adult children with HIV. The purpose of this cultural analysis was to compare the mothers’ decision-making processes with their critical-thinking processes. Their culture, heritage, faith, and value of family influenced caregivers in this study. Their testimony revealed the patterns of creating a different path of care, weaving together resources, choosing among negative alternatives, and selecting stories to tell. Mothers’ decisions were based on complex and holistic knowledge of their situations and culture and could be termed multilogical, a type of thinking considered necessary for managing complex situations. Health providers can benefit from an understanding of these decision-making processes.

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References

Alexander, M. K. , & Giguere, B. (1996). Critical thinking in clinical learning: A holistic perspective. Holistic Nursing Practice, 10, 15-22.

Bandman, E. L. , & Bandman, B. (1995). Critical thinking in nursing (2nd ed.). Norwalk, CT: Appleton & Lange.

Bittner, N. P. , & Tobin, E. (1998). Critical thinking: Strategies for clinical practice. Journal for Nurses in Staff Development, 14, 67-306.

Boyle, J. S. , Hodnicki, D. R. , & Ferrell, J. A. (1999). Patterns of resistance: African American mothers and adult children with HIV illness. Scholarly Inquiry for Nursing Practice, 13, 111-133.

Boyle, J. S. , Hodnicki, D. R. , Ferrell, J. A. , & Muller, R. B. (1997). Going home: African American caregiving for adult children with human immunodeficiency virus disease. Holistic Nursing Practice, 11, 27-35.

Brookfield, S. D. (1987). Developing critical thinkers: Challenging adults to explore alternative ways of thinking and acting. San Francisco: Jossey-Bass.

Collins, P. H. (2000). Black feminist thought (2nd ed.). New York: Routledge.

Duchscher, J. E. (1999). Catching the wave: Understanding the concept of critical thinking. Journal of Advanced Nursing, 29, 577-583.

Hine, D. C. , & Thompson, K. (1998). A shining thread of hope. New York: Broadway.

10.

Leigh, W. A. (1995). The health of African American women. In D. L. Adams (Ed.), Health issues for women of color (pp. 113-133). Thousand Oaks, CA: Sage.

11.

Leonard, V. W. (1996). Mothering as a practice. In S. Gordon , P. Benner , & N. Noddings (Eds.), Caregiving (pp. 124-140). Philadelphia: University of Pennsylvania Press.

12.

McBarnette, L. S. (1996). African American women. In M. Bayne-Smith (Ed.), Race, gender, and health (pp. 43-67). Thousand Oaks, CA: Sage.

13.

Nelms, T. P. (2000). The practices of mothering in caregiving an adult son with AIDS. Advances in Nursing Science, 22, 46-57.

14.

Paul, R. W. (1984, September). Critical thinking fundamental to education for a free society. Educational Leadership, 42, 4-14.

15.

Seidel, J. V. (1994). Ethnograph (Version 4.0) [Computer software]. Corvallis, OR: Qualis Research Associates.

16.

Taylor, J. Y. (1998). Womanism: A methodologic framework for African American women. Advances in Nursing Science, 21, 53-64.

17.

Taylor, J. Y. (1999). Colonizing images and diagnostic labels: Oppressive mechanisms for African American women’s health. Advances in Nursing Science, 21, 32-45.

18.

Thorne, S. (1994). Secondary analysis in qualitative research: Issues and implications. In J. Morse (Ed.), Critical issues in qualitative research methods (pp. 263-279). Thousand Oaks, CA: Sage.

19.

Videbeck, S. L. (1995). Critical thinking as an outcome measure in baccalaureate schools of nursing. Aimes: Iowa State University.