does the use of professional interpreters enhance ... · pdf fileenglish at home. • fifty...
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BACKGROUND
• AccordingtotheUSCensusin2000,thereare47millionpeoplewhospeakalanguageotherthanEnglishathome.
• FiftypercentindicatethattheyspeakEnglishlessthan“verywell.”• ThesepeopleareconsideredtohavelimitedEnglishproficiencywhichmeanstheyarenotabletoread,
write,orcomprehendEnglishatalevelthatwillallowthemtointeractadequatelywithhealthcareproviders.
PURPOse
• ThepurposeofthisprojectwastodetermineadequateuseofhospitalinterpretersforfamilieswithlittleornoEnglish,whohadbabiesinNeonatalIntensiveCareUnit(NICU).
PROBlem ANAlysis
• AsurveyofnursingstaffinMissionChildren’sHospitalNICUindicatedthatsomenursesbelievethatitisacceptabletousefamilymembersoraninfant’ssiblingtocommunicatewithnon-Englishspeakingparents.
• Thesurveyrevealedthatmostofthetimeaninterpreterwascalledtocommunicatewithnon-Englishspeakingparents.
• Therewerenurseswhoindicatedoccasionalorlimiteduseofinterpreterswithnon-Englishspeakingfamilies.
sURvey QUestiONs
• Whenaskedifitisokaytouseafamilymemberorinfant’ssiblingforinterpretationwithnon-Englishspeakingparents,35percentofNICUnursesresponded“Yes”inthesurvey.
• Accordingtothesurvey,59percentoftheNICUnursescalledforaninterpretertocommunicatewithnon- Englishspeakingfamilieseithermostofthetimeoralways.
stUDy
• Thiswasamixedmethodssurveystudywithretrospectivecomparisonsofnon-EnglishspeakingparentperceptionsbeforeandafterstaffreceiveddataontheuseofinterpretersintheNICU.
• Participantswerenon-EnglishspeakingparentsreflectingontheirinfantsentirehospitalstayintheNICUwhenrespondingtosurveyquestions.
• AhospitalinterpreterwasusedtoreadtheConsenttoParticipateinaResearchStudytopotentialparticipantsandobtaintheirverbalconsent.
• Thesurveywasconductedwithconsentingnon-Englishspeakingparentsaftertheirbabyhasbeenhospitalizedforaminimumof3days.
• Thehospitalinterpreterwasutilizedthroughoutthesurveyprocess.
OUtCOme meAsURes
When you received information about your baby, was a hospital interpreter present?
How often do you feel that you were informed, using an interpreter, of changes in your baby’s condition?
When information was shared with you in English about your baby, if you did not understand, did you ask for an interpreter?
Nurses’ awareness of the perception of parents regarding the use of interpreters in the NICU correlated with changes in an increase in parents’ perceptions of the use of interpreters.
FUtURe PlANs
• Ongoingeducationofstaffregardingculturaldifferences,healthcareneeds,andnursingcareoffamilieswithcommunicationbarriers.
• SurveystaffforassessmentofchangeinstaffviewsoninterpreteruseintheNICU.• DevelopmentofNurseStandardforusewithfamilieswithlimitedornon-Englishspeakingproficiency.
sPeCiAl ACKNOwleDGemeNts
LindaY.Smith,RN-NIC,MSN,IBCLC,Manager,NICU,MissionChildren’sHospital
LisbethHamilton,TranslatorandSupervisor,InterpreterServices,MissionHealth
MissionHealthInterpreterServiceDepartment
ReFeReNCes
Diamond,L.,&Jacobs,E.(2010).Let’snotcontributetodisparities:Thebestmethodsforteachingclinicianshowtoovercomelanguagebarrierstohealthcare.JournalofGeneralInternalMedicine,25,189-193.
KarlinerL.,JacobsE.,ChenA.,&MuthaS.(2007).DoprofessionalinterpretersimproveclinicalcareforpatientswithlimitedEnglishproficiency?Asystematicreviewoftheliterature.HealthServiceResearchJournal,42(2),727-754.
QUESTIONSORCOMMENTS|[email protected]
DoEs tHE UsE of ProfEssIoNal INtErPrEtErs ENHaNCE CommUNICatIoN for NoN-ENglIsH sPEakINg famIlIEs IN tHE NEoNatal INtENsIvE CarE UNIt?JenniferBurtsBSN,RNC-NIC|AnneRamirezMSN|RalphGarcia,LCSW|MaryEllenWright,MSN,APRN,CPNP
AFteR NURsiNG eDUCAtiONBeFORe NURsiNG eDUCAtiON
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