With the unprecedented growth in the African American elderly population, there exists an urgent need to prepare nurses to deliver culturally competent care. The purpose of this study was to increase the knowledge available about the cultural heritage, worldviews, and life experiences of African American elders. Reminiscence interviews were conducted with African American elders living in a medium-sized northeast urban community. Data were analyzed using Spiegelberg’s phenomenological method. The following themes emerged: (a) nobody ever asked me before, (b) stories of discrimination, (c) coping with discrimination, (d) the hurt of discrimination, and (e) self-discoveries. Nurses, through the use of reminiscence, can gain insight into the cultural heritage, worldviews, and life experiences of African American elders and improve their ability to deliver culturally competent care to this population.
Bernal, H. (1996). Delivering culturally competent care. In P. D. Barry (Ed.), Psychosocial nursing care of physically ill patients and their families (3rd ed., pp. 78-99). Philadelphia: Lippincott-Raven.
2.
Bernal, H., & Froman, R. (1987). The confidence of community health nurses in caring for ethnically diverse populations. Image: Journal of Nursing Scholarship, 19(4), 201-203.
3.
Blendon, R., Scheck, A., Donelan, K., Hill, C., Smith, M., Beatrice, D., et al. (1995). How White and African-Americans view their health and social problems: different experiences, different expectations. Journal of the American Medical Association, 273, 341-346.
4.
Boulware, L., Cooper, L., Ratner, L., LaVeist, T., & Powe, N. (2003). Race and trust in the healthcare system. Public Health Reports, 118, 358-365.
5.
Buerhaus, P., & Auerbach, D. (1999). Slow growth in the United States of the number of minorities in the RN workforce. Image: Journal of Nursing Scholarship, 31(2), 179-183.
6.
Burnside, I., & Haight, B. (1994). Reminiscence and life review: Therapeutic interventions for older people. Nurse Practitioner, 19(4), 55-61.
7.
Caliandro, G., & Hughes, C. (1998). The experience of being a grandmother who is the primary caregiver for her HIV-positive grandchild. Nursing Research, 47(2), 107-113.
8.
Fishman, S. (1992). Relationships among an older adult’s life review, ego integrity, and death anxiety. International Psychogeriatrics, 4, 267-277.
9.
Freedman, T. (1998). Why don’t they come to Pike St. and ask us?: Black American women’s health concerns. Social Science Medicine, 47(7), 941-947.
10.
Geissler, E. M. (1992). Nursing diagnoses: A study of cultural relevance. Journal of Professional Nursing, 8(5), 310-317.
11.
Gibson, R. C. (1982). Blacks at middle and late life: Resources and coping. American Academy of Political and Social Science, 464, 79-90.
12.
Giger, J., & Davidhizar, R. (1997). Reflections on the elderly African American in health care. Journal of Cultural Diversity, 4(3), 88-93.
13.
Guba, E., & Lincoln, Y. (1985). Naturalistic inquiry. Beverly Hills, CA: Sage.
14.
Haight, B. (1988). The therapeutic role of the life review in homebound elderly subjects. Journal of Gerontology, 43, 40-44.
15.
Haight, B. (1992). Long-term effects of a structured life review process. Journal of Gerontology, 47, 312-315.
16.
Haight, B., & Hendrix, S. (1995). An integrated review of reminiscence. In B. Haight & J. Webster (Eds.), The art and science of reminiscing: Theory, research, and applications (pp. 3-21). Washington, DC: Taylor & Francis.
17.
Haight, B., & Webster, J. (Eds.). (1995). The art and science of reminiscing: Theory, research, and applications. Washington, DC: Taylor& Francis.
18.
Husserl, E. (1962). The crisis of European science (D. Carr, Trans.). Chicago: Northwestern University Press.
19.
Jennings, A. (1999). Who supports elderly African-Americans in adhering to their healthcare regimen?Home Healthcare Nurse, 17(8), 519-525.
20.
Kingsolver, B. (1990). Animal dreams. New York: HarperCollins.
21.
Lassiter, S. M. (1987). Coping as a function of culture and socioeconomic status for Afro-Americans and Afro-West Indians. Journal of the New York State Nurses Association, 18, 18-30.
22.
Lee, M., Lin, S., Wrensch, M., Adler, S., & Eisenberg, D. (2000). Alternative therapies used by women with breast cancer in four ethnic populations. Journal of the National Cancer Institute, 92(1), 42-47.
23.
Leininger, M. (1991). Becoming aware of types of health practitioners and cultural imposition. Journal of Transcultural Nursing, 2(2), 32-39.
24.
Moore, R. J. (2001). African American women and breast cancer: Notes from a study of narratives. Cancer Nursing, 21(1), 35-42.
25.
Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of American Geriatrics Society, 23, 433-441.
26.
Rooda, L. (1993). Knowledge and attitudes of nurses toward culturally different patients: Implications for nursing education. Journal of Nursing Education, 32(5), 209-213.
Semar, D. (2000). Making my own acquaintance: A phenomenological study of taking antipsychotic medication for schizophrenia. Unpublished doctoral dissertation, University of Connecticut, Storrs.
29.
Spiegelberg, H. (1965). The essentials of the phenomenological method. In H. Spiegelberg (Ed.), The phenomenological movement: A historical introduction (2nd ed., pp. 653-701). The Hague, the Netherlands: Martinus Nijhoff.
30.
Spiegelberg, H. (1970). On some human uses of phenomenology. In F. Smith (Ed.), Phenomenology in perspective (pp. 16-31). The Hague, the Netherlands: Martinus Nijhoff.
31.
Spiegelberg, H. (1975). Doing phenomenology: Essays on and in phenomenology. The Hague, the Netherlands: Martinus Nijhoff.
32.
St. Clair, A., & McKenry, L. (1999). Preparing culturally competent practitioners. Journal of Nursing Education, 38(5), 228-234.
33.
Stevens-Ratchford, R. (1993). The effect of life review reminiscence activities on depression and self-esteem in older adults. American Journal of Occpational Therapy, 47, 413-420.
34.
U.S. Bureau of the Census. (1999). Statistical abstracts of the United States: 1999 (112th ed.). Washington, DC: Author.
35.
Watt, L., & Wong, P. T. (1991). A taxonomy of reminiscence and therapeutic implications. Journal of Mental Health Counseling, 12, 270-278.
36.
Williams, D., & Williams-Morris, R. (2000). Racism and mental health: The African-American experience. Ethnicity and Health, 5(3/4), 243-268.
37.
Wykle, M., & Ford, A. (1999). Serving minority elders in the 21st century. New York: Springer.
