The Strong Black Woman: Insights and Implications for Nursing

This discussion paper describes the intricacies of the strong Black woman (SBW) construct and how understanding this construct is significant and relevant within nursing.

This article is a discussion piece that provides a succinct conceptual and historical overview of the SBW construct. It then describes the impacts of this construct before presenting implications as they relate to nursing practice, education, policy, and research.

The SBW construct is exclusively and routinely applied to Black women. Typically, the SBW construct encompasses five components, which center on independence, caring, and strength. These five components include the obligation to (1) always maintain and present an image of strength, (2) suppress emotion, (3) be self-reliant, (4) succeed despite all odds, and (5) always place the needs [especially comfort] of others above those of oneself. Moreover, the SBW construct posits Black women as possessing superhuman capabilities. The nature of this construct is complex, with some Black women using it as a survival mechanism, and others finding empowerment through this image. Nevertheless, recent research has revealed the harms associated with this image including detriment to physical, mental, and spiritual well-being, with the implications extending to Black families and communities.

Understanding this topic is essential in providing support to all Black women in health care and within the Black community-including patients, nurses, faculty, staff, and students. Recognizing the implications of the SBW construct is essential toward ensuring that our care, practices, and policies are not only supportive but also antiracist.