Date of Conferral

2023

Degree

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

School

Health Services

Advisor

Sally Willis

Abstract

Underrepresentation is a significant issue for Black female nurses to secure nurse leadership positions in healthcare facilities. Leadership by Black female nurses is needed to provide culturally appropriate quality of care, to have a more diverse workplace, and to ensure that the needs of diverse patient populations are met. The purpose of this quantitative study was to explore the barriers and challenges faced by Black female nurses who failed to achieve their advancement goals into leadership roles.Using the National Sample Survey of Registered Nurses (NSSRN) database, the independent variables used were interpersonal differences with colleagues or supervisors, lack of good management or leadership, and leaving their primary nursing position. The dependent variable was leaving their primary nursing position. The study was guided by the Intersectional Theory and used a sample size of 50,273. A logistics regression analysis found that “Lack of Good Management or Leadership” was an indicator for Black nurses leaving their primary position as well as significant relationships among (a) lack of advancement opportunities, (b) lack of good management or leadership, (c) interpersonal differences with colleagues or supervisors, (c) career advancement or promotion opportunities, and (d) leave the primary nursing position. Findings from this study contribute to positive social change by improving the understanding of experiences and perspectives to develop strategies and advancing careers of aspiring Black female nurse leaders. In addition, as organizational leaders become more culturally aware, they can promote diversity in nurse leadership positions by guiding decision makers in the healthcare system to implement policies that encourage diverse approaches.

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