Advancing Diversity and Inclusion Management Consulting in Hospital Settings

Advancing Diversity and Inclusion Management Consulting in Hospital Settings

Amalisha S. Sabie-Aridi, Darrell Norman Burrell, Kevin Richardson, Eugene Lewis, Jorja B. Wright, Roxanne Elliott Kemp
DOI: 10.4018/IJPPPHCE.308296
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Abstract

This analysis takes a deep dive into how a U.S. hospital, at risk of losing millions of dollars from a contract because of unfair hiring practices and discriminatory promotion practices among racial minorities. The hospital is also facing a class-action nursing discrimination lawsuit. The employee perception is that the organization is biased against African American, Native American, and Latino nurses with hiring, promotions, bonuses, training opportunities, and management job opportunities. These groups have representation numbers in their nursing workforce of less than 5 percent. The focus of the study is an exploration of the consequential impact of a non-diverse and inclusive workplace. An action research approach used included fact-finding interviews, barrier analysis, company policy assessments, content analysis of the problem in the literature, and recommendations based on the amalgamation of the triangulated data.
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Overview

Western Hospital is a fictitious name used for the actual U.S. hospital to protect the hospital's privacy. Western Hospital reported a high nursing turnover of more than 50% of the national average. The hospital is on the verge of losing a multimillion-dollar government research project due to current discrimination complaints. The government research project is to research COVID-19 health disparities in rural and minority communities. The hospital is also facing a class-action nursing discrimination lawsuit. The employee perception is that the organization is biased against African American, Native American, and Latino nurses with hiring, promotions, bonuses, training opportunities, and management job opportunities. These groups have representation numbers in their nursing workforce of less than 5 percent. There are no minority nurses in the nursing management and no senior managers in the hospital that are minorities. The hospital also does not have a diversity office or a director of diversity. These inequalities and injustices drove the employees to place various lawsuits against the facility and its leadership. Unfortunately, the lawsuits and personnel shortage drove Western Hospital to pause work on its research project dealing with health disparities during disasters and pandemics. In order to explore and resolve this organization's issues, the organization is using a management consultant to evaluate the problems and make recommendations.

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Literature Review

Open Systems Theory

Issues concerning organizational cultures that are not inclusive represent some complex organizational challenges. The crux of open systems theory (OST) emphasizes that due to the complexity of organizations, countless interactions within the organization can help or hinder organizational efforts. Organizations do not provide services and create products in a vacuum but in a complex system of workers, managers, tools, materials, office space, and environment. Wang and Hong (2009) emphasized that open systems interact with the environment and, as such, changes in an open system can have an impact that is greater than intended or in the opposite direction due to unexpected interactions in the system. Hammer, Edwards, and Tapinos (2012) explained that organizational systems are constantly evolving and changing due to positive and negative feedback cycles within the organization and the continuous and evolving interactions between people, tasks, the environment, and other systems. OST demonstrates how an organizational development (O.D.) intervention may have unintended and potentially harmful consequences in the workplace. To maximize the benefit of an O.D. intervention, it is essential to consider, concerning OST, the potential side effects of the intervention. Considering these unintended consequences makes it possible to control them and correct them.

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