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Language barriers between nurses and patients: A scoping review.
Lauren Gerchow1, Larissa R Burka1, Sarah Miner2
1New York University Rory Meyers College of Nursing, 433 1st Ave, New York, NY, USA.
Nurses face challenges with language barriers, impacting patient care and increasing workload. Research highlights the need for better support and policies for bilingual proficiency and interpreter use in healthcare settings.
Area of Science:
- Nursing Research
- Healthcare Management
- Sociolinguistics
Background:
- Increasing global migration and linguistic diversity create significant healthcare language barriers.
- Nurses are pivotal in managing these barriers to enhance patient safety and satisfaction.
Purpose of the Study:
- To explore existing research on the nursing workforce and its management of language barriers.
- To identify research gaps and inform policy for supporting nurses in diverse linguistic environments.
Main Methods:
- A systematic scoping review of literature from four databases.
- Iterative coding approach for data analysis.
- Quality appraisal using CASP checklists.
Main Results:
- 48 studies from 16 countries were analyzed, primarily qualitative, focusing on diverse healthcare settings.
- Identified four key themes: Interpreter Use/Misuse, Barriers/Facilitators to Quality Care, Cultural Competence, and Interventions.
- Nurses reported similar experiences and strategies across different settings and languages.
Conclusions:
- Language barriers complicate care delivery, leading to increased stress and workload for nurses.
- Identified research gaps for future investigation to better support nurses.
- Healthcare and government leaders can implement policies addressing bilingual proficiency, workload, and interpreter utilization.
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