Date of Conferral

2022

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Health Services

Advisor

Dr. Cheryl Cullen

Abstract

A healthy work environment for nurses is critical to staff recruitment, retention, patient safety, and the financial sustainability and viability of a healthcare organization. The specific research problem under study was whether a lack of advancement opportunity or a lack of good leadership has an impact on African American female nurses leaving the nursing profession. Researchers have investigated the impact of leadership and advancement opportunity on the general population, but there is a dearth of research specific to African American female nurses and their reason for leaving the profession. Secondary quantitative data analysis was performed using survey data from the National Sample Survey of Registered Nurses (n = 50,273 RNs). A statistically significant relationship was found between lack of advancement opportunities and reasons African American female nurses leave the profession, Pearson Chi2 41.536, p = .0001. A statistically significant relationship was found between the lack of leadership and reasons African American female nurses leave the profession, Pearson Chi2 41.536, p = .0001,. A moderate significance was found between the lack of advancement and lack of leadership, Pearson Chi2 22.605, p = .0001 and Cramer’s V .274. Increasing positive leader–member relationships with African American female nurses is necessary to retain them and improve their opportunities for advancement within the nursing profession. Further study is needed to understand and identify any additional barriers that may prevent retention and advancement opportunities for this population. This study could lead to positive social change by increasing retention of African American female nurses for greater racial diversity in healthcare delivery and nursing leadership.

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