greatest increase in diversity is currently seen in the health care industry.” Service
workers, such as food service workers, aides, attendants, housekeepers, and maintenance
workers are often the most multiracial and culturally diverse components of a health
institution (McConnell, 2010,p.252). Gathers (2003) mentions that although, the
percentage of minority workers has increased in the health care workforce, a
corresponding increase in minorities in executive ranks has failed to take place. Thus, for
example, he reports that African Americans occupy about 5 percent of healthcare
executive positions. The Institute of Diversity in Health Management, maintains that only
1 percent of CEOs in health services organizations are minorities (Gathers, 2003).
Weech-Maldonad, (2012) believes that these changes have created a more diverse
workforce and clientele. Voutsas (2011) believes that the workforce would continue to be
diverse in terms of culture, ethnicity, gender, and age. As the population becomes even
more diverse, health care organizations will be required to respond appropriately. Brown
and Mack (2011) states that “in order for American industry to out-innovate the rest of
the world diversity matters”. Gathers (2003) is of the opinion that organizations should
mirror the communities and societies that they represents. Therefore, organizations must
adjust their missions, visions, goals, values, strategies, and cultures in order to reflect the
diversity of their communities and play an active role in preparing their employees for
these changes. Due to these major changes in the U.S population, health care
organizations must be culturally competent. According to Weech-Maldonado,
Dreachslin, Dansky, De Souza, and Gatto (2012) cultural competency is define as the
“ongoing commitment or institutionalization of appropriate practice and policies for
diverse population”. Cultural competency also involves linking “professional knowledge