Date of Conferral

4-30-2026

Degree

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

School

Health Sciences

Advisor

Miriam Ross

Abstract

Black women have been underrepresented in health care leadership, specifically at the senior level. The purpose of this integrative review was to identify strategies that could be implemented to increase representation for Black women in health care leadership, with emphasis on senior leadership. The review question centered on sustainable strategies and best practices that support an increased representation of Black women in health care leadership. Relational leadership theory (RLT) served as the theoretical framework, demonstrating that leadership advancement is influenced by relational networks. A comprehensive literature review identified 50 articles that were critically appraised using the John Hopskins evidence tools, and 23 peer-reviewed articles met the criteria and quality for thematic analysis, published between 2020 and 2025. Six main themes included cultivate equity-centered leadership, foster inclusive culture, create mentorship pathways, support transparent advancement, develop network development, and encourage leadership accountability. Twelve subthemes were identified, with key examples including: to promote inclusive leadership practices, implement belonging strategies, strengthen transparency, and implement accountability measures. Four recommendations emerged from the analysis: (a) implement structured mentorship and executive sponsorship programs, (b) establish transparent and equitable advancement systems, (c) develop an inclusive organizational culture that promotes psychological safety and belonging, and (d) develop systems for accountability to monitor and support equitable leadership outcomes. The findings indicated that adoption of the targeted strategies along with RLT can support stronger workforce engagement and contribute to positive social change for patients, their families, and health care organizations.

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