Degree Date
8-2025
Document Type
Dissertation - Public Access
Degree Name
DBA Doctorate in Business Administration
Academic Discipline
Business Administration
First Advisor
Marguerite Chabau
Second Advisor
Suzanne Anderson
Third Advisor
David San Filippo
Abstract
This qualitative phenomenological study explored how cultural competency in small to medium-sized Black immigrant-owned healthcare practices in Texas affects internal communication and patient care. Through semi-structured interviews with nine clinical and administrative leaders in Dallas and Houston, five themes emerged: culturally competent leadership, intentional communication structures, language and interpretation practices, patient-centered cultural sensitivity, and the use of technology for adaptation. Findings suggest that culturally aware leadership and inclusive communication strategies foster team cohesion and improve patient trust and care. Participants reported adapting workflows to meet religious, language, and communication needs through human and technological tools. The study underscores embedding cultural competence in leadership and communication frameworks, even in resource-limited settings. Future research could benefit from including patients and frontline staff, observational methods, and assessment of training and tech interventions.
Recommended Citation
NWOSU, CHISOM, "The Impact of Culture and Language on Internal Communication and Patient Care in Small to Medium-Sized Black Immigrant-Owned Healthcare Practices in Texas." (2025). Dissertations. 926.
https://digitalcommons.nl.edu/diss/926
Included in
Business and Corporate Communications Commons, Entrepreneurial and Small Business Operations Commons, Gender, Race, Sexuality, and Ethnicity in Communication Commons, Health and Medical Administration Commons, Health Communication Commons, Leadership Commons, Organizational Behavior and Theory Commons, Organizational Communication Commons, Public Health Commons, Technology and Innovation Commons