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

Joyceen S. Boyle, PhD, RN, FAAN

Medical College of Georgia

Sheila M. Bunting, PhD, RN

Medical College of Georgia

Donna R. Hodnicki, PhD, RN, CS, FNP, FAAN

Georgia Southern University

Jim A. Ferrell, PhD, RN

University of South Carolina, Spartanburg

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.

Journal of Transcultural Nursing, Vol. 12, No. 3, 193-202 (2001)
DOI: 10.1177/104365960101200303
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