Balancing Resilience and Vulnerability: An Integrative Review of the Strong Black Woman Schema in Nursing Education and Leadership

AIM: This integrative review examines the dual role of the Strong Black Woman schema which may provide insights as both a source of resilience and a contributor to systemic and individual challenges for Black professional nurses, educators, and leaders. DESIGN: This study is an integrative review of literature. METHODS: Using Whittemore and Knafl's methodology, an integrative review of peer-reviewed literature published between 2000 and 2024 was conducted across multiple databases. Thirty-three studies meeting inclusion criteria were synthesised through processes of data reduction, data display, data comparison, and conclusion drawing. FINDINGS: Four major themes were identified: historical and sociocultural roots, health and psychological implications, professional and leadership outcomes, and the balance between resilience and vulnerability. The schema promotes resilience and leadership potential but also exacerbates psychological distress, workplace isolation, and inequities. CONCLUSIONS: The Strong Black Woman schema encompasses resilience, caregiving, and emotional suppression-traits rooted in historical survival strategies of Black women. While these traits have been associated with professional success, the existing literature primarily highlights their impact on mental and physical health. Although only a minority of reviewed studies directly addressed nursing contexts, the schema's relevance warrants further investigation. Conceptual insights from this review suggest the need for systemic reforms, culturally responsive leadership training, and integrating vulnerability into professional frameworks. These directions can guide future research and potentially inform efforts to support the holistic well-being and equity of Black women in nursing education and leadership. PUBLIC CONTRIBUTIONS: There was no patient or public contribution.