Purpose: The purpose was to understand how African American children with asthma and their families living in underserved urban areas experience and perceive asthma.

Design And Methods: A narrative inquiry design with metaphorical analysis was used in this study with 20 African American children and their 10 families.

Results: Participants metaphorically viewed the family system as a functioning healthcare facility. Children didn't find their asthma abnormal but did use asthma symptoms to their advantage. Caregivers were viewed as first-line medical responders but often made errors in delivering medical treatment. Lack of knowledge relating to appropriate asthma interventions led to insufficient asthma care.

Practice Implications: Results provide evidence to improve patient-nurse interactions for this vulnerable patient group.

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http://dx.doi.org/10.1111/jspn.12045DOI Listing

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