Date of Conferral

12-30-2025

Date of Award

December 2025

Degree

Ph.D.

School

Health Sciences

Advisor

Nazarene Tubman

Abstract

The lack of diversity in healthcare management is a social issue that can lead to increased implicit bias and adverse effects on patient care and quality. This study examined the underrepresentation of Black RNs in leadership roles within healthcare. The purpose of this qualitative descriptive study was to explore the perceptions of Black RNs in leadership regarding the opportunities and resources they need for advancement, as outlined in three research questions. A sample of 10 BSN nurses responded to 10 semi-structured interview questions, grounded in critical race theory. Codes were developed from responses, resulting in nine themes and 16 sub-themes, including racialized workplace dynamics, unequal treatment and expectations, experiences in leadership roles characterized by challenges and barriers related to racial inequality, equity in evaluation, access to professional growth, perceived inequities and bias, and unequal promotion opportunities. The effects of implicit bias on care quality were identified as a core element of the themes, informed by CRT, and demonstrated a negative impact on care quality. Consequently, the findings of this study have implications for healthcare professionals to recognize and unlearn their implicit biases. Recommendations for future practices in human services include establishing leadership models that encompass all nurses and creating policies to advance Black nurse leaders. The insights from this study can contribute to social change by closing diversity gaps and supporting the career growth of Black healthcare workers aspiring to leadership roles.

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