Qualitative inquiry: perceptions of sexuality by African Americans experiencing haemodialysis
Article first published online: 10 OCT 2012
© 2012 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 69, Issue 8, pages 1704–1713, August 2013
How to Cite
2012) Qualitative inquiry: perceptions of sexuality by African Americans experiencing haemodialysis. Journal of Advanced Nursing 69(8), 1704–1713. doi: 10·1111/jan.12028(
- Issue published online: 11 JUL 2013
- Article first published online: 10 OCT 2012
- Manuscript Accepted: 8 SEP 2012
- American Nephrology Nurses Association
- adult nursing;
- cultural issues;
- holistic care;
- patient perspectives;
- qualitative approaches
To explore the influence of the haemodialysis regimen on African Americans' perceptions of sexuality.
Sexuality is defined as the quality of humans as males or females. Sexuality concerns are commonly reported for individuals receiving haemodialysis; yet, sexuality-related research for this population has been limited to a focus on altered physical sexuality characteristics.
Qualitative descriptive study.
This qualitative descriptive study used a middle-range model derived from Roy's adaptation model to explore a holistic viewpoint of African Americans' perceptions of physical sexuality, personal sexuality identity, family/social roles, and intimate/personal relationships since being on dialysis. Data were collected over a 9-month period in 2008–2009.
Semi-structured interviews were conducted with 19 African American men (N = 12) and women (N = 7) who were receiving haemodialysis treatment (mean age = 49·95 years). Perceptions of diminished sexuality were most associated with altered relationships, family and social roles for most participants, and were suggested to negatively influence adaptive processes. Perceptions of personal sexuality identity in male participants were found to be greatly influenced by endorsement of traditional masculinity ideology. In contrast, female participants' perceptions of sexuality were found to be influenced by multiple meanings of their identity as Black women.
These findings suggest that diminished perceptions of sexuality may negatively influence adaptive processes for patients receiving chronic treatment such as dialysis. In addition, findings support further research and the development of instruments to assess sexuality from a more holistic viewpoint.