The specific problem under study results from the growth of multinational workforces in U.S. hospitals and the gap in the literature explaining how the presence of these workforces impacts hospital leadership, decision-making, and financial performance. The purpose of this qualitative embedded multi-case study was to discover and describe hospital nursing leader’s beliefs from their experiences about how having employees from multiple national cultures affects nursing leadership, decision-making, and departmental financial performance in the hospital. The challenge faced by many hospitals is that the U.S. workforce is becoming culturally diverse as the global workforce increases its geographical mobility. The current research was important because results revealed nurse leaders’ beliefs about a link between the cultural dimensions of a multinational workforce and the decision-making, financial performance, and patient care within a hospital nursing department. The sample included eight nursing leaders from seven hospitals where the workforces are multinational and culturally diverse. The cultural dimensions by Hofstede were used to study the impact of a multinational workforce on the organizational practices of a nursing department in a hospital setting. Results revealed nine core themes, expected from the literature, and two emerging themes provided answers to the research questions. The nine core themes were Hofstede’s cultural dimensions, workforce values, nursing organization impact, immigration/migration, nursing leadership, nursing workforce, organization culture, change, and develop multicultural organization attributes. The two emerging themes were familismo (family loyalty influences multinational workforce decision making) and hospital refusal to hire multicultural nurses whose national culture conflict with the organization’s culture.
|School:||University of Phoenix|
|School Location:||United States -- Arizona|
|Source:||DAI-A 77/04(E), Dissertation Abstracts International|
|Subjects:||Cultural Resources Management, Management, Nursing|
|Keywords:||Culture, Health care, Leadership, Management, Multinational workforce, Nursing|
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