Johanna Komppa , Katriina Eronen , Eveliina Korpela
{"title":"Work community support in professional language learning among culturally and linguistically diverse nurses: Implementation of action research in a hospital setting","authors":"Johanna Komppa , Katriina Eronen , Eveliina Korpela","doi":"10.1016/j.laheal.2024.10.003","DOIUrl":"10.1016/j.laheal.2024.10.003","url":null,"abstract":"<div><div>Effective interprofessional and patient communication remain crucial to nursing, with local languages challenging the international recruitment of healthcare personnel and preventing those recruited from working as educated professionals. This study aimed to improve the local-language skills of culturally and linguistically diverse (CALD) nurses beyond the classroom and through interactions in the workplace. We describe a pilot study in which the workplace community supported language learning (i.e., Finnish) and organised language workshops in a university hospital. Modelled on the Swedish <em>Språkombud</em> Language Advocat concept, language workshops took place regularly in the workplace and targeted CALD nurses who speak Finnish as a second language (L2). Employing action research, we focus here on the action component—namely, the language workshop—and its impact on language learning. Data consist of audiovisual recordings of and materials produced during the language workshops by participants. We analysed data using thematic analysis, focusing on participant-highlighted learning needs and participants’ evaluations of workshop participation impact. Participants described becoming more fluent in Finnish in professional situations based on workshop participation. Specifically, they received tools to structure their communication during challenging professional situations and improved their ability to act culturally appropriately in such situations. Hospital management can enhance language learning and the wellbeing of internationally recruited nurses by offering supporting structures, such as language workshops, during the orientation process. Communication practices and local language learning can be effectively learnt by doing patient work in the unit and reflecting upon it with colleagues and peers.</div></div>","PeriodicalId":100865,"journal":{"name":"Language and Health","volume":"2 2","pages":"Article 100033"},"PeriodicalIF":0.0,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adrià Rofes , Marta Almeria , Barbara Sampedro , Roel Jonkers , Joan Deus , Jerzy Krupinski
{"title":"What drives task performance in fluency tasks in people who had COVID-19?","authors":"Adrià Rofes , Marta Almeria , Barbara Sampedro , Roel Jonkers , Joan Deus , Jerzy Krupinski","doi":"10.1016/j.laheal.2024.10.001","DOIUrl":"10.1016/j.laheal.2024.10.001","url":null,"abstract":"<div><h3>Background</h3><div>Some people who had COVID-19 have been shown to perform below a normative sample on fluency tasks. Unveiling the factors driving performance in this population can explain their underlying impairments. In this article we assess (1) whether people who had COVID-19 are impaired in animal or letter fluency relative to a normative sample; and (2) whether performance (total correct word count) can be explained by demographic factors, common COVID-19 symptoms, number of switches, mean cluster size, and word properties of fluency tasks.</div></div><div><h3>Methods</h3><div>Eighty-four Spanish-speaking people who had COVID-19 responded to an animal and a letter fluency task, 10–35 days after hospital discharge or self-quarantining. We obtained demographic, common symptom/factors, and calculated number of switches, mean cluster size and eight word properties for each correct word. A comparison of correct words with a normative sample was used to address Aim 1, and Random forests/Conditional inference trees for Aim 2. The last method is not affected by multicollinearity.</div></div><div><h3>Results</h3><div>People who had COVID-19 were not impaired in fluency tasks compared to normative data collected before the pandemic. Number of switches predicted total number of correct words in both fluency tasks. In addition, frequency, age of acquisition, and familiarity predicted animal fluency scores; and concreteness predicted letter fluency scores. No other measure showed as important.</div></div><div><h3>Conclusion</h3><div>Number of switches and word properties predicted the performance in fluency tasks of people who had COVID-19. Concreteness was not expected to predict letter fluency and may indicate a specific linguistic pattern in people who had COVID-19.</div></div>","PeriodicalId":100865,"journal":{"name":"Language and Health","volume":"2 2","pages":"Article 100031"},"PeriodicalIF":0.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142655682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What do(n’t) hospital patients like about using professional interpreting services?","authors":"Jim Hlavac , Emiliano Zucchi , Yue Hu","doi":"10.1016/j.laheal.2024.10.002","DOIUrl":"10.1016/j.laheal.2024.10.002","url":null,"abstract":"<div><div>Interpreting services in healthcare facilities are essential for patients with limited proficiency in the societally dominant language to communicate effectively with healthcare professionals. Patients can report symptoms more easily and healthcare professionals can diagnose conditions and outline treatment options more readily. Aside from resolving the issue of linguistic discordance, it is possible that patients see the presence of the interpreter as achieving other things as well. A study of 464 overt responses from 1120 patients from 16 different language backgrounds in Melbourne shows that positive impressions (n=353) of interacting with an interpreter outnumber negative (n=111) ones. Over half of the positive feedback related to patients being able to fully understand and participate in medical consultations. Other positive outcomes included relieving family members of having to mediate, obviation of the risk associated with attempting to use English, and the belief that interpreters ensure information accuracy. Of those with negative experiences, 45 % cite waiting time and availability issues, 24 % a perceived lack of professionalism or linguistic ability. Feedback encompasses not only linguistic features and accuracy of the interpreter's output, but also what interpreters ‘achieve’ for them in the healthcare professional-patient interaction and beyond it, i.e. changes that are of a situational, intra-familial or socio-psychological nature.</div></div>","PeriodicalId":100865,"journal":{"name":"Language and Health","volume":"2 2","pages":"Article 100032"},"PeriodicalIF":0.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142655616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A corpus-assisted discourse analysis of socio-cultural values in Chinese and English social stories for autistic individuals","authors":"Jesse W.C. Yip","doi":"10.1016/j.laheal.2024.08.002","DOIUrl":"10.1016/j.laheal.2024.08.002","url":null,"abstract":"<div><div>Social Stories are utilised to educate autistic individuals about appropriate social behaviours and politeness in social contexts. Based on the Theory of Mind (ToM), Social Stories are associated with neurotypicality which suggests human brains function in a similar way. Employing corpus-assisted discourse analysis, the study examines and compares the cultural differences between Chinese Social Stories (CSS) and English Social Stories (ESS) through analysing keywords, frequency of lexical items and collocation of the first-person pronoun. The results reveal that CSS emphasise the Confucian values of politeness, filial piety and hierarchical human relationship, while ESS recognise individual preferences, emotions and the value of fairness. The results enrich the knowledge of the discoursal and rhetorical features of Social Stories in different languages and provide theoretical implications for understanding the concepts of normality, politeness and neurotypicality. This article concludes by arguing that society should adopt the neurodiversity approach towards autistic individuals.</div></div>","PeriodicalId":100865,"journal":{"name":"Language and Health","volume":"2 2","pages":"Article 100028"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142655681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Moments of silence at the beginning stage of psychotherapy with young adult clients: A conversation analysis","authors":"Shuangquan Tan , Bingqing Nie , Zhaoqi Xu","doi":"10.1016/j.laheal.2024.07.002","DOIUrl":"10.1016/j.laheal.2024.07.002","url":null,"abstract":"<div><div>Silence is a common social interaction in psychotherapy which also has great impact on psychotherapy outcomes, especially at the beginning stage of psychotherapy where therapists and clients begin to build their therapeutic alliances for the first time. However, the few existing studies have shown that many practising therapists either failed to deal with silence in their researched sessions or were self-reported to be not confident in doing so. Therefore, this research investigates different triggers for silence at the early stage of psychotherapy with young adults and their surrounding conversation sequences with the conversation analysis method. Data includes two sessions of psychotherapy with two young adult clients. The results identified four triggers for silence: conflict, confusion, challenge and support triggers, which improves the understanding of this social interaction.</div></div>","PeriodicalId":100865,"journal":{"name":"Language and Health","volume":"2 2","pages":"Article 100025"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142655615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Narrative modulations in patient-practitioner communication: Exploring attunement and misattunement in supported self-management","authors":"Mimi Huang","doi":"10.1016/j.laheal.2023.11.002","DOIUrl":"10.1016/j.laheal.2023.11.002","url":null,"abstract":"<div><p>This paper investigates the experiences of patients in communicating with healthcare practitioners within the context of supported self-management in the UK. Employing an innovative analytical concept of “narrative modulation”, this study examines narrative data from patients’ focus group discussions. Two contrasting processes, attunement and misattunement, emerge as narrative modulators that shape and form the meaning and trajectory of participants’ storytelling. The study identifies multiple instances of misattunement in patient-practitioner interactions, highlighting a prevailing emphasis on diagnosis and treatment-focused perspectives, often at the expense of individual patients' experiences during clinical encounters. Despite these challenges, the participants expressed a desire for care that listens to and understands their unique experiences. They also wished to play an active role in their healthcare decisions, endorsing attunement, which promotes understanding and collaborative self-management supported by practitioners. This paper further discusses the implications of these findings for improving both patient-practitioner communication and supported self-management.</p></div>","PeriodicalId":100865,"journal":{"name":"Language and Health","volume":"2 1","pages":"Pages 22-31"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949903823000386/pdfft?md5=82137349c1640716cb78780b7d1517ec&pid=1-s2.0-S2949903823000386-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139025988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cognitive-linguistic difficulties in adults with Long COVID: A follow-up study","authors":"Louise Cummings","doi":"10.1016/j.laheal.2023.09.001","DOIUrl":"10.1016/j.laheal.2023.09.001","url":null,"abstract":"<div><p>As the emergency phase of the COVID-19 pandemic subsides, the long-term health problems caused by SARS-CoV-2 infection are becoming increasingly clear. So-called Long COVID, or post COVID-19 condition, is a debilitating illness that impacts functioning for months and even years after infection. Alongside physical symptoms, Long COVID has a particularly insidious effect on cognition and language. While many studies have documented non-linguistic cognitive impairments in people with Long COVID, what has not been documented to any significant extent is the presence and duration of language difficulties in Long COVID. This study addresses this lack of research by examining the cognitive-linguistic skills of 41 adults with Long COVID. These adults were assessed at two time points using a test protocol of 12 language tasks. This paper describes the findings of the 6-month follow-up study. Results indicate that difficulties in immediate and delayed verbal recall persist long after the onset of COVID symptoms, even as improvements occur in verbal fluency and the informativeness of spoken discourse. It is argued that these difficulties are a significant contributing factor in a lack of work return in these adults. Implications of these findings for the provision of speech-language pathology services to these adults and occupational health policies relating to Long COVID are discussed.</p></div>","PeriodicalId":100865,"journal":{"name":"Language and Health","volume":"2 1","pages":"Pages 1-21"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949903823000325/pdfft?md5=faaef073c681926c19da728a31e4e056&pid=1-s2.0-S2949903823000325-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135407696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploring women’s chronic disease experiences: A mixed-methods analysis of endometriosis narratives","authors":"Viviane Ito , Mariana Pascual","doi":"10.1016/j.laheal.2024.02.001","DOIUrl":"10.1016/j.laheal.2024.02.001","url":null,"abstract":"<div><p>Endometriosis is a chronic gynecological illness faced by an estimated one-tenth of women worldwide. Despite being a common condition, studies of the disease in Latin American settings are still scarce. This paper presents a study of 30 autobiographical interviews with Chilean patients who are L1 Spanish speakers. Our study aims to fill the gap in understanding the endometriosis experience of Latin American women, unveiling how to assist the patients better and improve their quality of life. It is one of the first studies to describe the experience of Chilean women in navigating the disease and the impacts on their routines. We used a mixed-methods approach to achieve our goal, employing a combination of NLP and content analysis. First, we generated word embeddings for three main keywords, \"pain,\" \"endometriosis,\" and \"menstruation.\" Furthermore, we processed the data to locate occurrences of \"pain\" in the corpus. We coded the occurrences into nine semantic domains of the endometriosis pain experience: intensity, normalization, treatment, frequency, menstruation, feeling, pain location, symptom, and impact. Our results shed light on the details of the journey with endometriosis and may lead to improvements in patient-doctor communication and policymaking to benefit patients.</p></div>","PeriodicalId":100865,"journal":{"name":"Language and Health","volume":"2 1","pages":"Pages 58-65"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949903824000034/pdfft?md5=88148b6209030fc80388b0f17f8e7698&pid=1-s2.0-S2949903824000034-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expressive language variation, growth and predictors in Mandarin-exposed young children with autism spectrum disorder","authors":"Yi (Esther) Su , Qian-qian Xie , Hong-hui Yao","doi":"10.1016/j.laheal.2024.03.001","DOIUrl":"https://doi.org/10.1016/j.laheal.2024.03.001","url":null,"abstract":"<div><p>Utilizing the Putonghua Communicative Development Inventory-Toddler Form, this longitudinal study assessed expressive language development (including lexicon, grammar, and decontextualized language) twice over a year’s span in two subgroups (high verbal, low verbal) of 77 2–6-year-old Mandarin-exposed children with autism spectrum disorder (ASD). Both subgroups showed the steeper increase of structural language (lexicon and grammar) vs. the flatter growth of decontextualized language. Moreover, children’s initial language skills (but not autism severity or language environment) predicted language outcomes one year later in both groups. The use of decontextualized language also predicted structural language development in the low verbal group. These findings confirmed the uneven expressive language growth across multiple language domains in subgroups of children with ASD and underscored the contribution of early language skills to their expressive language development. Moreover, the slow growth and significant predictivity of decontextualized language warrant targeted intervention in promoting children with ASD’s talk beyond the ‘here-and-now’ situation in communication.</p></div>","PeriodicalId":100865,"journal":{"name":"Language and Health","volume":"2 1","pages":"Pages 39-46"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949903824000058/pdfft?md5=0ea77269ee23f31c2c213a9152593583&pid=1-s2.0-S2949903824000058-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interpreters as facilitators of emotional expressions in multilingual medical interactions: Observations from Italian healthcare practices","authors":"Federico Farini","doi":"10.1016/j.laheal.2024.01.002","DOIUrl":"10.1016/j.laheal.2024.01.002","url":null,"abstract":"<div><p>This article discusses insights from a research on the management of emotions in medical interactions involving Italian healthcare providers, Arabic speaking interpreters and Arabic speaking patients. The findings suggest that the possibility for patient’s emotions to become relevant in the medical encounter is affected by the activity of interpreters as mediators of the inter-linguistic interaction. While this contribution also considers examples of interpreters’ choices excluding the emotions of the patients from the interaction, the discussion focuses on affective formulations of patient’s expression of emotions, as an interactional resource to make doctors aware of patients’ emotional expressions emerged from dyadic monolingual interactions. This article concludes by suggesting that interpreters as linguistic mediators may effectively promote emotional literacy in healthcare interactions, promoting a patient-centred model of multilingual healthcare.</p></div>","PeriodicalId":100865,"journal":{"name":"Language and Health","volume":"2 1","pages":"Pages 47-57"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949903824000022/pdfft?md5=70a0a34b7a04b9a4b44d19224932cdc3&pid=1-s2.0-S2949903824000022-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140468083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}