Date of Conferral



Doctor of Business Administration (D.B.A.)


Business Administration


Marilyn Simon


Health care leaders who lack strategies to manage workers from diverse ethnic and cultural backgrounds face high employee turnover. High employee turnover can jeopardize the health of patients and the financial stability of their organization. Grounded in the cognitive diversity theory, the purpose of this qualitative multiple case study was to explore strategies eight health care leaders in Iowa use to manage diverse employees. Data sources were semistructured interviews, researcher notes, and a review of the diversity policies of each facility. Five themes identified through thematic analysis included leaders using recruitment strategies to promote diversity, leaders encouraging and using communication/feedback, leaders conducting diversity training to encourage diversity, leaders providing suitable working conditions to promote diversity, and leaders encouraging and engaging in teamwork and collaboration. A key recommendation for health care leaders is to conduct diversity training that encourages teamwork and collaboration amongst employees with diverse cultures and backgrounds. The implications for positive social change include the potential for health care leaders to build a more inclusive culture that can lead to lower turnover in staff and improve the quality of healthcare for patients.