Date of Conferral

2022

Degree

Ph.D.

School

Nursing

Advisor

Carolyn Sipes

Abstract

Hypertensive disorder of pregnancy (HDP) is the leading cause of maternal deaths in the US and Black women are at significantly greater risk than other ethnicities. The purpose of this study was to develop a deeper understanding of what the Black pregnant women with HDP experience that may have contributed to their illness. The self-care nursing theory (SCNT) and the health belief model (HBM) were used as this study's conceptual framework. This research used a hermeneutic phenomenological qualitative approach. The research question is; "What are the experiences of Black women with a history of HDP regarding self-care practices. A purposive sampling strategy was used to recruit 10 participants who are Black and have experience with HDP. Semi-structured interviews were used to collect data. Data analysis took the form of an interpretative phenomenological analysis (IPA). A transcription service was used to transcribe the interviews verbatim. Hand coding was used to identify the following themes; (a) education, (b) self-care, (c) severity, (d) predisposition, (e) awareness, and (f) support and treatment. The study revealed that women were not effectively engaging in self-care practices. This study has revealed challenges that have led to Black women being affected significantly by HDP. The study recommendation is for women to be educated more about their self-care before and during pregnancy. This study results revealed implications for social change that includes, if Black women are more knowledgeable regarding their self-care, they will engage in health promotion behaviors that will improve their pregnancy outcomes.

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