The Impact of Culture and Language on Internal Communication and Patient Care in Small to Medium-Sized Black Immigrant-Owned Healthcare Practices in Texas.

<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>

Name thesis:degree_name

DBA Doctorate in Business Administration

Level thesis:degree_level

Dissertation - Public Access

Discipline thesis:degree_discipline

Business Administration

Year dc:date.available

2025

Author dc:creator

• NWOSU, CHISOM

Contributors dc:contributor

• Marguerite Chabau
• Suzanne Anderson
• David San Filippo

• 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

Repository record dc:identifier

https://digitalcommons.nl.edu/diss/926

OAI identifier oai:identifier

oai:digitalcommons.nl.edu:diss-1993