African American couples merging strengths to successfully cope with breast cancer.
OBJECTIVE
To explore the process of coping with breast cancer among African American women and their spouses.


METHODS
Exploratory, qualitative study using grounded theory methods.


METHODS
Large metropolitan area in the mid-Atlantic United States.


METHODS
12 African American couples (N = 24).


METHODS
African American women and their spouses were asked to complete a background data sheet and participate in a face-to-face semistructured interview. Qualitative data were audiotaped and transcribed verbatim. Themes were identified using the constant comparative method. Quantitative data were analyzed with descriptive statistics.


METHODS
The process of coping with breast cancer among African American couples.


RESULTS
The basic social concern was living through and beyond a breast cancer diagnosis. The core variable was merging strengths to cope with and survive a breast cancer diagnosis. Six main categories emerged to describe how African American couples actively worked together to cope with a breast cancer diagnosis: walking together, praying together, seeking together, trusting together, adjusting together, and being together.


CONCLUSIONS
African American couples described the importance of combining their strengths and working together as a couple to cope with a breast cancer diagnosis.


CONCLUSIONS
Nurses must understand the importance of developing culturally sensitive and culturally relevant interventions to assist African American couples with effectively coping with a breast cancer diagnosis. When providing care to African American couples, nurses should incorporate the six categories of walking, praying, seeking, trusting, adjusting, and being together to help couples cope with the various phases of the breast cancer experience.
Morgan
Phyllis D
PD
Department of Nursing, Fayetteville State University, North Carolina, USA. pmorgan@uncfsu.edu
Fogel
Joshua
J
Rose
Linda
L
Barnett
Kim
K
Mock
Victoria
V
Davis
Bertha Lane
BL
Gaskins
Melvin
M
Brown-Davis
Carolyn
C
D000223:Adaptation, Psychological; D001741:Black or African American / Q000523:psychology*; D001943:Breast Neoplasms / Q000208:ethnology* / Q000523:psychology*; D003299:Cooperative Behavior; D004644:Emotions; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008393:Marriage / Q000208:ethnology* / Q000523:psychology*; D008873:Mid-Atlantic Region; D008875:Middle Aged; D036301:Qualitative Research; D011788:Quality of Life; D012944:Social Support; D029181:Spirituality