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Articles 61 - 90 of 1417

Full-Text Articles in Organizational Behavior and Theory

Design Thinking For Corporate Social Responsibility Program Proposal Creation, Michelle "Mindy" D. Danovaro Jan 2026

Design Thinking For Corporate Social Responsibility Program Proposal Creation, Michelle "Mindy" D. Danovaro

University of the Pacific Theses and Dissertations

This qualitative study used action research to explore how the use of design thinking engaged employees in the creation of a corporate social responsibility (CSR) program proposal in a small- to medium-enterprises (SME) in the Sacramento region of California. The purpose of the study was to assess whether employee participation in a design thinking exercise could improve employee perception of engagement, inclusion, and reciprocity during the CSR program proposal creation. The study was grounded in social exchange theory, stakeholder theory, and design thinking methodologies. The iterative research process followed action research cycles (i.e., plan, act, observe, and reflect) integrated with …


Empowering Equity: Latinas In Leadership – Navigating Work-Life Balance In The Post-Pandemic Era, Teresa Excinia Jan 2026

Empowering Equity: Latinas In Leadership – Navigating Work-Life Balance In The Post-Pandemic Era, Teresa Excinia

University of the Pacific Theses and Dissertations

This dissertation explored the lived experiences of Latina leaders as they navigated how cultural expectations influenced work–life balance in the post-pandemic era. The COVID-19 pandemic reshaped workplace dynamics, blurring boundaries between professional responsibilities and personal life. For Latinas, these challenges were compounded by cultural expectations that shaped their roles both at home and in the workplace. The purpose of this study was to understand how Latina leaders managed the dual pressures of balancing career demands with cultural and familial obligations. Using Testimonio as the methodological framework, this study captured the voices and narratives of Latina leaders across industries, offering an …


Developing A System Dynamics Framework For Sustained Digital Transformation, Quintal Battle Jan 2026

Developing A System Dynamics Framework For Sustained Digital Transformation, Quintal Battle

Graduate Studies Theses and Dissertations 2026

Despite significant organizational investments, more than 70% (Ellmer et al., 2025) of digital transformation initiatives fail. The existing literature evaluates transformation mechanisms as separate factors rather than as interacting, evolving feedback systems. This dissertation addresses this gap by developing and validating a system dynamics framework for sustained digital transformation. Guided by three research questions, the study examined the mechanisms that enable or constrain transformation, identified mechanisms distinctive to digital transformation contexts, and evaluated how existing change management frameworks guide transformation efforts. The study followed a six-phase methodology that combined a systematic literature review of peer-reviewed studies, empirical cases, causal loop …


Cultivating Workplace Happiness In Technology Workers, Cherie A. Herrin Jan 2026

Cultivating Workplace Happiness In Technology Workers, Cherie A. Herrin

Graduate Studies Theses and Dissertations 2026

Technology workers are central to the innovation and performance of modern organizations and retaining them is a persistent challenge for modern organizations. One important aspect of retention in many contexts is Workplace Happiness, which has been argued to improve worker performance and reduce turnover; however, there is little empirical evidence of the effectiveness of these interventions for technology workers. This dissertation develops a model in which two affective states, Workplace Happiness and Workplace Distress, mediate the relationships between six socio-technical work conditions and two behavioral outcomes: Turnover Intent and Work Execution (i.e., self-rated work performance and quality). A systematic literature …


Overcoming The Glass Wall: Self-Employment As A Career Strategy For Immigrant Professionals, Barbara Silva Jan 2026

Overcoming The Glass Wall: Self-Employment As A Career Strategy For Immigrant Professionals, Barbara Silva

Graduate Studies Theses and Dissertations 2026

Skilled immigrant professionals frequently experience barriers that limit their ability to secure employment opportunities aligned with their qualifications in host-country labor markets. Although prior research has documented some of the challenges these professionals face, such as credential devaluation and discrimination, less is known about why recruiters perceive immigrant candidates with similar qualifications differently and why some immigrants navigate the labor market more successfully than others. Drawing on Status Characteristics Theory, this dissertation examines how the location and type of immigrant professionals’ prior work experience shape hiring-related outcomes by influencing recruiters’ perceptions of competence and acculturation. First, I review the literature …


Understanding The Workplace Belonging Puzzle: An Ecosystem Approach To A Better Future Of Work, Surabhi Lal Jan 2026

Understanding The Workplace Belonging Puzzle: An Ecosystem Approach To A Better Future Of Work, Surabhi Lal

Antioch University Dissertations & Theses

The need to belong is deeply human. Today’s workplaces advertise “cultures of belonging,” but what is workplace belonging? Could remote and hybrid workplaces provide an opportunity for connection and belonging? How are employees experiencing belonging at work, and what are the people around them doing to contribute to their experience of workplace belonging? Weaving together concepts from humanistic management, positive organizational scholarship, and critical theory, this phenomenological study examines how middle managers at B Corp organizations who are working in hybrid and remote arrangements experience belonging, and the actions and behaviors that contribute to workplace belonging. Belonging has been studied …


Enhancing Military Health System Organizational Efficiency And Quality Of Care Through A Social-Ecological Framework, Eric L. Peipelman Jan 2026

Enhancing Military Health System Organizational Efficiency And Quality Of Care Through A Social-Ecological Framework, Eric L. Peipelman

College of Graduate Studies: Theses & Dissertations

Timely and fair adjudication of incivility-related actions within the Department of Defense (DoD) and Military Health System (MHS) is increasingly crucial for maintaining accountability, mission readiness, and quality of care. Ongoing delays in resolving workplace complaints and inefficiencies in resource-heavy adjudications highlight the need to shift from reactive complaint handling toward proactive civility promotion and transparent decision-making. This Integrated Learning Experience (ILE) introduces the Peipelman Civility Discussion and Assessment Toolkit (PCDAT)—a comprehensive, evidence-based framework designed to improve civility, optimize resources, and enhance communication, even in the MHS. Based on the Social-Ecological Model (SEM) and adapted from the Workplace Power and …


Case Study: The Economic And Legal Challenges Moving From A Township To A City, George F. Dierberger Dr., Ibrahim Keita Dr., Cory Erickson Dec 2025

Case Study: The Economic And Legal Challenges Moving From A Township To A City, George F. Dierberger Dr., Ibrahim Keita Dr., Cory Erickson

Journal of the North American Management Society

The paper examines the economic and legal challenges moving from a township to a municipality in the state of Minnesota. One of the authors was a member of the township board as they went through the process of educating the citizens on the risks and rewards of changing from a township to a municipality.


Maximizing Online Intersession Enrollment Through Targeted Course Offerings, Heather S. Mcmillan, Charles D. Mcallister Dec 2025

Maximizing Online Intersession Enrollment Through Targeted Course Offerings, Heather S. Mcmillan, Charles D. Mcallister

Journal of the North American Management Society

Abstract

Online winter intersession courses have become an increasingly important strategy for universities seeking to support accelerated student progression while generating incremental tuition revenue. This study examines ten years of winter intersession enrollment data from a public, master’s-level comprehensive university in the Midwestern United States to identify course characteristics associated with higher student enrollment. Using 12,520 individual enrollment records, the analysis focuses on course type (general education versus major requirement), course classification (lower level, upper level, blended undergraduate/graduate, and graduate), and course discipline. A series of ANOVAs and Bonferroni post-hoc tests reveal significant differences in enrollment across these dimensions, with …


The Relationship Between Team Psychological Safety And Voluntary Turnover Intention: A Quantitative Study Of Manufacturing Employees, Stella Bowen, Tracy Shroyer Dec 2025

The Relationship Between Team Psychological Safety And Voluntary Turnover Intention: A Quantitative Study Of Manufacturing Employees, Stella Bowen, Tracy Shroyer

Journal of the North American Management Society

High voluntary employee turnover in manufacturing significantly affects organizational performance and profitability. Although prior studies have identified numerous predictors of voluntary turnover intentions, limited research has examined psychological safety as a potential factor. This quantitative correlation study addresses this gap by investigating the relationship between team psychological safety and voluntary turnover intentions among production associates and supervisors at an auto parts manufacturing plant in Southeastern Tennessee (N = 31). Using a cross-sectional survey administered via Qualtrics, participants completed demographic items, a team psychological safety scale, and a turnover intention scale. The initial analysis found no statistically significant correlation between team …


Organizational Pitfalls Of The Dual-Identity Leader, Yvonne Randolph, Asa Wilson Dec 2025

Organizational Pitfalls Of The Dual-Identity Leader, Yvonne Randolph, Asa Wilson

Journal of the North American Management Society

The dual-identity leader (D-IL) is an individual assigned to one job description yet is, in practice, fulfilling an additional position’s role. This secondary role is self-determined; has not been assigned yet is being allowed by those with governance and/or executive authority. Three case examples of the D-IL are presented and discussed as a problematic leadership configuration for an organization. The personal characteristics driving this approach are identified as a foundation for clarifying the organizational consequences of such an executive leader. Preventative and corrective tactics are discussed that eliminate or minimize the adverse impact of the D-IL’s organizational behavior.


Reflections At The Close Of My Freshman Year As Editor, Heather S. Mcmillan Dec 2025

Reflections At The Close Of My Freshman Year As Editor, Heather S. Mcmillan

Journal of the North American Management Society

No abstract provided.


Ethical Leadership, Psychological Contract, Dan Work-Family Conflict: Determinan Loyalitas Perawat Di Era Pandemi, Annisa Syafira Efrial Dec 2025

Ethical Leadership, Psychological Contract, Dan Work-Family Conflict: Determinan Loyalitas Perawat Di Era Pandemi, Annisa Syafira Efrial

Jurnal Manajemen dan Usahawan Indonesia

Nurses are the frontline of healthcare services and have faced increasing work pressure during the COVID-19 pandemic. In this context, nurse loyalty becomes a crucial factor for the sustainability of healthcare organizations. This study aims to analyze the influence of ethical leadership on employee loyalty by examining the mediating roles of psychological contract and work-family conflict. A total of 145 nurses participated in this study. Data were analyzed using a quantitative approach through Structural Equation Modeling (SEM) with the assistance of Lisrel 8.80. The findings reveal that ethical leadership has a positive effect on both employee loyalty and psychological contract. …


Digital Leadership In The Era Of Ai: Present And Emerging Research Topics, Joanna Samul, João Falcão E Cunha Dec 2025

Digital Leadership In The Era Of Ai: Present And Emerging Research Topics, Joanna Samul, João Falcão E Cunha

European Management Studies

Purpose: This study explores the development of digital leadership in the context of rapid digital transformation and the expanding role of artificial intelligence. Its primary objective is to synthesize current knowledge on the concept of digital leadership and its core competencies and outline prospective research directions. To achieve this, the paper reviews existing research themes and examines the influence of digital leadership on various employee and organizational outcomes.

Design/methodology/approach: The research employed a systematic literature review, incorporating content analysis of 162 peer-reviewed articles retrieved from two major academic databases: Scopus and Web of Science. This approach enabled a comprehensive …


How Organizational Characteristics Influence The Choice Of Performance Measures: A Large-Scale Empirical Study, Ravi Kathuria, Lorenzo Lucianetti Dec 2025

How Organizational Characteristics Influence The Choice Of Performance Measures: A Large-Scale Empirical Study, Ravi Kathuria, Lorenzo Lucianetti

Business Faculty Articles and Research

Despite the growing emphasis on performance measurement, empirical evidence linking the selection of performance measures to distinct organizational characteristics remains limited. Moreover, practical guidance on selecting appropriate performance measures for different organizational contexts is often ambiguous or absent. This study addresses these gaps through a large-scale empirical analysis of 372 organizations across diverse industry sectors. It provides validation for the hypothesized contingency effects of various organizational characteristics—such as size, structure, and global exposure—on performance measurement choices. The findings support our contention that no single performance measure is universally optimal; rather, the suitability of specific measures depends on the organization’s contextual …


Do Growth Partnerships Improve Early-Stage Startup Performance? An Investigation Into Revenue Growth, Operational Efficiency, And Investor Attraction, Brendan P. Drew Nov 2025

Do Growth Partnerships Improve Early-Stage Startup Performance? An Investigation Into Revenue Growth, Operational Efficiency, And Investor Attraction, Brendan P. Drew

Faculty Curated Undergraduate Works

This research investigates how teaming up with seasoned advisors affects young startups’ success, judged by sales gains, smoother operations, or drawing in backers. New companies tend to spark innovative ideas and hiring, but a sizable chunk fails before standing on their own. Weak planning, tight funds, or struggling to impress investors usually spell trouble early on. While programs like startup boosters got loads of attention in past reports, deeper ongoing alliances - where founders partner firsthand with outside mentors, are still barely touched upon in scholarly work.

The study uses both numbers and personal views, pulling data from eight new …


Comparing Gen Z And Millennials’ Experience In Management Trainee Programs And Their Impact On Employee Retention, Jyro B. Triviño, Josh Aidan T. Cue, Liana Beatriz G. Lu, Margaret Louise E. Mil, Gabrielle Marie P. Tamayo, Elisha Ann G. Tan Nov 2025

Comparing Gen Z And Millennials’ Experience In Management Trainee Programs And Their Impact On Employee Retention, Jyro B. Triviño, Josh Aidan T. Cue, Liana Beatriz G. Lu, Margaret Louise E. Mil, Gabrielle Marie P. Tamayo, Elisha Ann G. Tan

Leadership and Strategy Faculty Publications

Understanding generational differences in engagement with Management Trainee (MT) programs is crucial for talent development, yet comparative studies linking these experiences to employee retention are limited. This study addressed this gap by investigating the distinct motivations and retention drivers of Filipino Gen Z and Millennial graduates from the MT program. Using a qualitative research design, in-depth interviews were conducted with six professionals (three Gen Z and three Millennials) who completed structured MT programs in Philippine-based organizations. The data were analyzed using a comparative thematic analysis framework adapted from Braun and Clark. Findings revealed key distinctions in motivations and retention drivers. …


Evolution Of A New Strategic Orientation In The Ai Era: Exploring The Determinants Of Ai Orientation, Sreelakshmy Geethakumari Nov 2025

Evolution Of A New Strategic Orientation In The Ai Era: Exploring The Determinants Of Ai Orientation, Sreelakshmy Geethakumari

Dissertations

The field of AI has undergone significant evolution over the past few decades. While AI is heralded as one of the most transformative technologies, scholars caution that its strategic impact may still not be fully realized. Given the strategic importance of AI in today's firms, it is essential to consider AI as a strategic orientation and understand its determinants in detail. Our study examines AI Orientation, defined as a firm's deliberate application of AI technologies to achieve its strategic objectives. Drawing on multiple theoretical perspectives, this study investigates the determinants that shape a firm’s AI orientation. This study employs a …


Investigating The Relationship Between Noun Classes And Plant Folk Taxonomy In Chasu Language Of Kilimanjaro Region In Tanzania, Peter Rabson Mziray Nov 2025

Investigating The Relationship Between Noun Classes And Plant Folk Taxonomy In Chasu Language Of Kilimanjaro Region In Tanzania, Peter Rabson Mziray

Journal of Humanities and Social Sciences

The current study investigates the relationship between noun classes and plant folk taxonomy in Chasu (G 22). The study focuses on two objectives: the first objective is to describe the plant folk taxonomy in Chasu and the second objective is to determine the relationship between noun classes and plant folk taxonomy in Chasu. Data were collected from rural villages in Same and Mwanga districts by using free listing, field interviews (jungle-walk-and-identify), and written texts containing Chasu plant names. The findings reveal that Chasu folk taxonomy reflects different ethnobotanical categories; including a unique beginner which is mmea/mimea ‘plant(s)’, and three life …


Breaking The Barriers: Mediating Effects Of Agile Hr Practices And Challenging Organizational Members’ Comfort Zones On The Link Between Digital And Agile Transformation And Organizational Performance, Bora Coşar Nov 2025

Breaking The Barriers: Mediating Effects Of Agile Hr Practices And Challenging Organizational Members’ Comfort Zones On The Link Between Digital And Agile Transformation And Organizational Performance, Bora Coşar

European Management Studies

Purpose: Building on organizational change management (OCM), this study examines how digital and agile transformations influence organizational performance through people-centred mechanisms. Using socio-technical systems theory, the study investigates how aligning technical workflows and social roles can turn transformation initiatives into measurable performance gains.

Design/methodology/approach: The research analyses data from 402 employees in Turkey’s connector manufacturing sector through structural equation modelling (SEM). Agile HR practices and employees’ behaviours that challenge their comfort zones are tested as parallel mediators connecting digital and agile transformations to organizational performance.

Findings: The findings demonstrate that digital and agile transformations have a positive impact …


The Mediation Of Job Satisfaction And Organizational Commitment On Transformational Leadership And Employee Retention In Business Process Outsourcing Companies In Metro Manila: A Serial Mediation Analysis, Joel Mark Pirote Rodriguez, Jessie F. Sergote, Lourdes Palallos, Nelson R. Garcia Oct 2025

The Mediation Of Job Satisfaction And Organizational Commitment On Transformational Leadership And Employee Retention In Business Process Outsourcing Companies In Metro Manila: A Serial Mediation Analysis, Joel Mark Pirote Rodriguez, Jessie F. Sergote, Lourdes Palallos, Nelson R. Garcia

The South East Asian Journal of Management

Research Aims: Few studies have taken into consideration transformational leadership's influence on employee retention via work satisfaction and organisational commitment, despite the fact that it has been demonstrated to positively affect organisationally relevant employee attitudes and performance. This paper fills this gap and looks into the serial mediation of these two variables in the relationship between transformational leadership and retention of employees in BPOs in Metro Manila.

Design/Methodology/Approach: A quantitative serial-mediation design was used, with a sample of 400 purposively selected respondents having at least 6 months of tenure. The PLS-SEM method was used to estimate direct and indirect relationships. …


Space For New History: Stony Island Arts Bank, Seb Taylor Oct 2025

Space For New History: Stony Island Arts Bank, Seb Taylor

Digital Laboratory: Publisher of Internet Journal

The Stony Island Arts Bank (SIAB) in Southside Chicago was designed and founded as a piece of art itself, with the organizational structure being a museum of Black cultural production. This article examines how the institution constructs an epistemology of Blackness through its archival practices, community programming, and spatial claims on the South Side. Founded by artist Theaster Gates through the Rebuild Foundation, the SIAB positions institutional design as an art medium, operating in productive tension with orthodox museum methods. The permanent collections—including the Johnson Publishing Company archives and Frankie Knuckles vinyl collection—function as epistemological records of Black self-documentation unmediated …


Barriers To Machine Learning Adoption In Regulated Electric Utilities, Donald R. Shiflet Jr. Oct 2025

Barriers To Machine Learning Adoption In Regulated Electric Utilities, Donald R. Shiflet Jr.

USF Tampa Graduate Theses and Dissertations

Machine learning (ML) technologies have the potential to revolutionize regulated electric utilities by improving operational efficiency, enabling predictive maintenance, and optimizing energy management. Despite these advantages, the adoption of ML in this sector lags other industries due to technical, organizational, and regulatory barriers. This research, grounded in the Technology-Organization-Environment (TOE) framework, explores these barriers to uncover actionable solutions for integration. The study identifies key challenges, including explainability, cybersecurity, workforce resistance, and regulatory ambiguity to ML adoption in electric utilities. Utilizing an exploratory qualitative methodology, this approach integrates insights from the literature and industry interviews to rank barriers by frequency, severity, …


Beyond Compliance: Investigating The Motivational Power Of Equality, Diversity And Inclusion (Edi) In European Hospitality, Alessandro Ferrazza Dr Oct 2025

Beyond Compliance: Investigating The Motivational Power Of Equality, Diversity And Inclusion (Edi) In European Hospitality, Alessandro Ferrazza Dr

ICHRIE Research Reports

The base concept of this study is to explore the interrelationship between Equality, Diversity and Inclusion (EDI) practices, employee motivation and performance within the European Hospitality Industry. The research aims to identify the barriers and facilitators that shape motivational synergies stimulating performance outcomes, particularly for underrepresented employee groups. The researcher employed a mixed-methods approach underpinned by a pragmatic interpretivist framework. The findings revealed that there is wide use of discriminatory practices, limited career progression and poor work-life balance which act as significant demotivators (Siu et al., 1997). The study also reconceptualises EDI not merely as a compliance requirement, but as …


The Covid-19 Pandemic As An Environmental Jolt And Its Impact On Firms And Essential Workers, Kimberly Kay Hyett Nehls Aug 2025

The Covid-19 Pandemic As An Environmental Jolt And Its Impact On Firms And Essential Workers, Kimberly Kay Hyett Nehls

Electronic Theses and Dissertations

Environmental jolts are sudden, large-scale disruptions that challenge organizational and societal stability and demand new ways of understanding adaptation across individuals and firms. This two-paper dissertation explores the human and organizational dimensions of such jolts through the empirical context of the COVID-19 pandemic. Paper 1 examines how global tourism firms navigated the crisis, introducing the constructs of global stakeholder interconnectedness and stakeholder prioritization fluidity to refine stakeholder theory. The findings show how international exposure shaped communication strategies under duress. Paper 2 turns to the lived experiences of low-wage essential workers, extending sensemaking theory through the concept of constrained sensemaking, highlighting …


Textbooks: Required, Alternatives, Hybrid, Or Disappearance, William Saunders, Carlton Perkins, Michara Delaney-Fields Aug 2025

Textbooks: Required, Alternatives, Hybrid, Or Disappearance, William Saunders, Carlton Perkins, Michara Delaney-Fields

Southwestern Business Administration Journal

The conversations around transformational changes in higher education are centered around a myriad of issues. Technology, the lasting effects of the pandemic, student satisfaction and readiness for future employment requirements are a few of the leading concerns. However, one subject that is not receiving enough attention is the growing resistance and hesitation among college students to purchase textbooks. Although the movement has not reached the status of a full-blown protest or outright refusal, there is enough attention being brought to the subject that educators may want to be prepared for an eventual change. The need and requirement for textbooks in …


Poundmaker – A Legacy Of Leadership, Love And Conciliation, Andrew J. Karesa Aug 2025

Poundmaker – A Legacy Of Leadership, Love And Conciliation, Andrew J. Karesa

Indigenous Business & Public Administration

Chief Poundmaker was a foundational figure in early Canadian history. He was responsible for unifying warring nations into cohesive alliances that advocated for fundamental and inherent Indigenous rights. Throughout his life, his dedication was to his people and their overall well-being, even when it stood against his own personal well-being. This research expands on leadership theory through a case study of the life of Chief Poundmaker. His life exemplifies relational and servant leadership, which an individual can extrapolate into profound leadership lessons. By learning about Chief Poundmaker’s life and leadership journey, contemporary leaders can effectively learn how to lead through …


Polymathy: The Foundational Source Of Creativity And Innovation., Michael Araki Aug 2025

Polymathy: The Foundational Source Of Creativity And Innovation., Michael Araki

Electronic Theses and Dissertations

In an era of mounting complexity and a growing need to transcend siloed thinking, this dissertation advances polymathy as a critical yet underexplored construct in the management and behavioral sciences. Polymathy is framed as an expansive approach to the pursuit, development, and application of knowledge, marked by the conjunction of breadth, depth, and integration. Building on a thought lineage that stretches from Ancient Greece through the Renaissance to the present day, this work shows that polymathy is neither a relic of the past nor an achievement reserved for a few—but a mode of being, thinking, and acting in the world …


The Effects Of The Chief Information Officer’S Presence And Tenure On Financial Performance, Xuemei Li Aug 2025

The Effects Of The Chief Information Officer’S Presence And Tenure On Financial Performance, Xuemei Li

Theses and Dissertations in Business Administration

CIOs should be at the core of the organization. They play more and more critical roles in organizations. However, CIOs have not been paid enough attention in many firms. This can be partially observed in a lack of studies about CIOs, for instance, how CIOs influence the organizations, and how organizations' settings influence the CIOs. Technical initiatives or innovations may be the bridge between CIOs and firm performance. Different theories have been employed concerning CIOs, innovations, and firm performance. For instance, the resource-based view (RBV) has served as a theoretical foundation in related studies.

Drawing on RBV, attention-based view (ABV), …


The Impact Of Culture And Language On Internal Communication And Patient Care In Small To Medium-Sized Black Immigrant-Owned Healthcare Practices In Texas., Chisom Nwosu Aug 2025

The Impact Of Culture And Language On Internal Communication And Patient Care In Small To Medium-Sized Black Immigrant-Owned Healthcare Practices In Texas., Chisom Nwosu

Dissertations

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 …