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Creating a Tool to Assess Interpretive Services Perceptions at a Hospital System Level.

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A new 14-question survey helps hospitals assess staff knowledge, attitudes, and barriers regarding interpretive services (IS). This tool aims to improve care for patients with limited English proficiency (LEP) by identifying areas for targeted intervention.

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Area of Science:

  • Healthcare communication
  • Medical informatics
  • Patient advocacy

Background:

  • Effective communication is crucial for patients with limited English proficiency (LEP).
  • Professional interpretive services (IS) are vital for bridging language barriers.
  • Existing tools for evaluating IS from bedside providers' perspectives are lacking.

Purpose of the Study:

  • To develop and validate a standardized tool for assessing healthcare providers' views on interpretive services.
  • To identify key factors influencing the use and effectiveness of IS in a pediatric hospital setting.
  • To create a concise questionnaire for evaluating IS knowledge, attitudes, utilization, and barriers.

Main Methods:

  • A qualitative approach combining literature review and local data collection.
  • Development of an anonymous electronic survey for physicians and nursing staff.
  • Exploratory factor analysis to identify key factors and refine the survey instrument.
  • Validation of a simplified 14-question questionnaire with high reliability (Pearson correlation coefficients ≥ 0.9).

Main Results:

  • Seven key factors influencing IS were identified through initial analysis.
  • A revised, simplified 14-question questionnaire was developed.
  • The revised tool demonstrated high reliability and validity for assessing IS-related aspects.
  • The survey effectively captures provider knowledge, attitudes, utilization, and perceived barriers.

Conclusions:

  • A validated, brief questionnaire can reliably assess hospital staff's engagement with interpretive services.
  • This tool enables hospitals to identify specific areas for intervention to enhance IS.
  • Implementing this assessment can lead to improved healthcare delivery for LEP patients.