Graduation Semester and Year
Summer 2024
Language
English
Document Type
Dissertation
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Diane Ross
Abstract
The United States is a nation marked by its growing diversity, with ethnically marginalized groups constituting 31% of the population in 2000, 37% in 2012, and projected to reach 50% by 2043 (Carter et al., 2015). In 2018, California had 8,000 registered nurses, with significant ethnic diversity: 40.7% White/Caucasian, 5.5% Black/African American, 11.3% Hispanic/LatinX, 18.7% Filipino, 12.8% Asian/Pacific Islander (excluding Filipino), 3.3% Other, and 7.7% unknown (Spetz et al., 2018). In Los Angeles, the demographics of employed R.N.s were similarly diverse. However, this increase in ethnically marginalized populations presents an ongoing challenge for healthcare organizations, emphasizing the need for sustained attention to workforce diversity.
A 2010 survey by the Journal of Nursing Management revealed a significant lack of diversity among nurse leaders in the U.S., with only 6.3% Black, 7.8% Asian, 2.3% Hispanic/Latinx, and 82.3% White leaders. Similarly, a 2020 survey by the California Board of Nursing found a gap in demographic data for nursing leadership in California and Los Angeles, highlighting an urgent need to promote diversity, equity, and inclusion within nursing leadership (Chu & Spetz, 2023).
At an academic healthcare organization, in California, the inpatient nursing division comprises approximately 2,800 nurses, including 77 nurse leaders. The current composition of nursing leadership is 45% Asian, 38% White, 7% Hispanic/Latino, 5.63% Black/African American, 2.8% Native Hawaiian/Other Pacific Islander, and 1.4% from two or more racial backgrounds. This Doctor of Nursing Practice (DNP) project aims to develop a guideline to improve diversity, equity, and inclusion within nursing leadership. The guideline seeks to support and advance nurses from historically underrepresented and marginalized ethnic backgrounds into leadership roles. This proposed guideline has received approval from nursing leadership.
Keywords
diversity, equity, inclusion, nursing leadership
Disciplines
Business | Education | Human Resources Management | Medicine and Health Sciences
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Desvignes, Kimako, "Raising the Bar: Guideline to Improving Diversity, Equity, and Inclusion in Nursing Leadership" (2024). Doctor of Nursing Practice (DNP) Scholarly Projects. 80.
https://mavmatrix.uta.edu/nursing_dnpprojects/80
Included in
Education Commons, Human Resources Management Commons, Medicine and Health Sciences Commons
Comments
Acknowledgments:
Faculty Advisor: Dianne Ross, RN, PhD
Statistician: Yungfei Kao, PhD
Contact Information:
Kimako Desvignes, DNP, MSN, RN, NE-BC
kxd1876@mavs.uta.edu