Date of Award


Document Type


Degree Name

Doctor of Education (EdD)


Executive Leadership

First Supervisor

Dr. Loretta Quigley, Ed.D., RN, CNE

Second Supervisor

Dr. Daniele Lyman-Torres, Ed.D.


The purpose of this study was to gain the perspectives of nursing home administrators on the quality of life experienced by Black nursing home residents in the Capital Region of New York. Semi-structured 1-hour interviews were the primary source for data collection capturing the perspectives of current nursing home administrators in the Capital Region of New York. Other instruments to collect data were: (a) a qualifying participant survey, (b) interview questions, (c) field notes, (d) journal, and (e) the researcher. From this process five categories emerged: (a) cultural competence, (b) well- being, (c) quality of life, (d) environment, and (e) social culture. Associated themes emerged: (a) respect for cultural differences, (b) organizational culture of quality, (c) show compassion and caring, (d) there’s no place like home, and (e) family matters. This study revealed that although the nursing home leadership acknowledges the ethnic and cultural differences in the residents of their nursing home, they are reticent in articulating and addressing the culturally specific needs of Black residents. The nursing home administrators would rather not see color in carrying out the duties of providing service to their residents. This lack of acknowledgement subsequently impacts the residents’ quality of life. The fiscal impact of providing a culturally congruent quality of life for Black nursing home residents is a consideration of nursing home administrations who are mandated to generate a profit, or at the very least, not to create additional expenses. The study results offer suggestions to nursing home leadership and policy makers which can prepare them for the growing diversity of the nursing home population in the Capital Region of New York. Ultimately knowledge uncovered in this study can advance training and development of culturally competent leadership and staff and the delivery of culturally congruent care in long-term care facilities throughout New York State.

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