IF 2.2 4区 医学 Q1 NURSING
Julie McCulloh Nair, Alex Waad, Brenda Hollingsworth
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引用次数: 0

摘要

背景:由于缺乏语言服务,英语水平有限的人可能会得到不公平的医疗服务。尽管采取了健康公平措施,但在如何及何时识别语言使用需求、采取相应行动以及使用何种方法等方面仍存在知识差距:本研究的目的是探讨英语能力有限和失聪的产科病人和护士在语言服务方面的经验,以改善提供符合文化要求的护理:这项混合方法研究分为两个阶段。在第一阶段,通过向英语水平有限的产科病人发放调查问卷,收集人口统计学和语言服务数据。在第二阶段,通过三个焦点小组探讨了护士在口译服务方面的经验,以确定护理的促进因素和障碍。定量数据采用描述性分析方法进行分析,定性数据则采用基础理论方法进行分析:50 名接受产科服务且英语水平有限的参与者参与了第一阶段的研究。他们对语言服务给予了积极的评价,并指出他们更喜欢面对面的口译员。参与者指出了独特的障碍,但在讨论问题时感到很自在,表示护士倾听了他们的意见,并以礼貌、亲切和尊重的态度对待他们。在第二阶段,16 名护士参与者提出了两大主题:语言获取服务的可及性、便利性和一致性存在障碍;对文化和语言能力的需求增加:讨论:研究结果表明,面对面的口译员最为有效,他们能捕捉到在与病人接触时使用电话/iPad 经常会忽略的文化细微差别。需要进一步考虑在不同护理点提供语言服务的问题,以确保在与患者接触时始终如一地使用语言服务。未来的研究应探索数字健康语言干预措施,同时应利用护士提出的减少语言服务障碍的建议来制定政策和计划,以更好地满足语言需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Limited English Proficient Patient and Nurses Experiences with Language Access Services.

Background: Persons with limited English proficiency may receive inequitable care due to the absence of language services. Despite health equity initiatives, knowledge gaps exist regarding how and when language access needs are identified, acted upon, and which methods are being used.

Objective: The purpose of this study was to explore limited English proficient and deaf obstetrical patient and nurses' experiences with language services to improve delivery of culturally competent care.

Methods: This mixed-methods study occurred in two phases. In phase 1, demographic and language service data were collected via surveys that were deployed to obstetric patients with limited English proficiency. In phase 2, nurses' experiences with interpretive services were explored via three focus groups to identify facilitators and barriers to care. Quantitative data were analyzed using descriptive analysis methods, while qualitative data were analyzed using grounded theory methods.

Results: Fifty participants receiving obstetric services who had limited English proficiency participated in phase I. Language services were positively rated with a noted preference for in-person interpreters. Participants identified unique barriers, but felt comfortable discussing concerns, stating nurses listened to them, treated them with courtesy, kindness, and respect. In phase II, 16 nurse participants identified two major themes: evidence of barriers to accessibility, convenience, and consistency of language access services; and increased need for cultural and linguistic competence.

Discussion: Findings indicate in-person interpreters are most effective and capture cultural nuances often missed when using a phone/iPad during patient encounters. Language service delivery at various points of care requires further consideration to ensure consistent use during patient encounters. Future research should explore digital health language interventions, while nurses' suggestions to decrease language service barriers should be used to develop policies and programs designed to better meet linguistic needs.

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来源期刊
Nursing Research
Nursing Research 医学-护理
CiteScore
3.60
自引率
4.00%
发文量
102
审稿时长
6-12 weeks
期刊介绍: Nursing Research is a peer-reviewed journal celebrating over 60 years as the most sought-after nursing resource; it offers more depth, more detail, and more of what today''s nurses demand. Nursing Research covers key issues, including health promotion, human responses to illness, acute care nursing research, symptom management, cost-effectiveness, vulnerable populations, health services, and community-based nursing studies. Each issue highlights the latest research techniques, quantitative and qualitative studies, and new state-of-the-art methodological strategies, including information not yet found in textbooks. Expert commentaries and briefs are also included. In addition to 6 issues per year, Nursing Research from time to time publishes supplemental content not found anywhere else.
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