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.
","abstract_html":"<p>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.</p>","abstract_has_math":false,"creators":["NWOSU, CHISOM"],"institution":null,"degree_name":"DBA Doctorate in Business Administration","degree_level":"Dissertation - Public Access","degree_discipline":"Business Administration","degree_department":null,"school":null,"contributors":["Marguerite Chabau","Suzanne Anderson","David San Filippo"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025-08-01T07:00:00Z","date_published":"2025-08-01T07:00:00Z","updated_at":"2026-07-24T03:21:38Z","subjects":["Cultural competence","Black immigrant healthcare","Leadership","Patient care","and Communication.","Business Administration, Management, and Operations","Business and Corporate Communications","Entrepreneurial and Small Business Operations","Gender, Race, Sexuality, and Ethnicity in Communication","Health and Medical Administration","Health Communication","Organizational Behavior and Theory","Organizational Communication","Public Health","Technology and Innovation"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://digitalcommons.nl.edu/diss/926","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Marguerite Chabau","Suzanne Anderson","David San Filippo"]},{"key":"dc:creator","label":"Author","values":["NWOSU, CHISOM"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2025-09-05T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Business Administration"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation - Public Access"]},{"key":"thesis:degree_name","label":"Degree Name","values":["DBA Doctorate in Business Administration"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Cultural competence","Black immigrant healthcare","Leadership","Patient care","and Communication.","Business Administration, Management, and Operations","Business and Corporate Communications","Entrepreneurial and Small Business Operations","Gender, Race, Sexuality, and Ethnicity in Communication","Health and Medical Administration","Health Communication","Organizational Behavior and Theory","Organizational Communication","Public Health","Technology and Innovation"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://digitalcommons.nl.edu/diss/926"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["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.
"]},{"key":"dc:title","label":"Title","values":["The Impact of Culture and Language on Internal Communication and Patient Care in Small to Medium-Sized Black Immigrant-Owned Healthcare Practices in Texas."]}]}],"canonical_facts":{"dc:contributor":["Marguerite Chabau","Suzanne Anderson","David San Filippo"],"dc:creator":["NWOSU, CHISOM"],"dc:date.available":["2025-09-05T07:00:00Z"],"dc:description.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.
"],"dc:identifier":["https://digitalcommons.nl.edu/diss/926"],"dc:subject":["Cultural competence","Black immigrant healthcare","Leadership","Patient care","and Communication.","Business Administration, Management, and Operations","Business and Corporate Communications","Entrepreneurial and Small Business Operations","Gender, Race, Sexuality, and Ethnicity in Communication","Health and Medical Administration","Health Communication","Organizational Behavior and Theory","Organizational Communication","Public Health","Technology and Innovation"],"dc:title":["The Impact of Culture and Language on Internal Communication and Patient Care in Small to Medium-Sized Black Immigrant-Owned Healthcare Practices in Texas."],"thesis:degree_discipline":["Business Administration"],"thesis:degree_level":["Dissertation - Public Access"],"thesis:degree_name":["DBA Doctorate in Business Administration"]},"updated_at":"2026-07-24T03:21:38Z"}