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Communication in the neonatal ICU for Spanish speaking parents: a qualitative interview study
Emily Batton1, Samantha Hurst2, Carlos Ramos3
1Division of Neonatology, Department of Pediatrics, Loma Linda University, 11175 Campus St Coleman Pavilion Rm 11121, Loma Linda, CA, 92354, USA. EBatton@llu.edu.
BMC Pediatrics
|September 22, 2023
Summary
Limited English proficient (LEP) parents in the neonatal intensive care unit (NICU) face communication barriers impacting their experience. Addressing these challenges is crucial for reducing health outcome disparities in neonatal care.
Area of Science:
- Neonatal intensive care
- Health outcome disparities
- Health communication
Background:
- Health outcome disparities exist in neonatal intensive care units (NICUs) between patients with limited English proficiency (LEP) and English-proficient patients.
- Communication experiences of parents with LEP in the NICU are not well understood.
- Investigating these experiences is key to mitigating health disparities.
Purpose of the Study:
- To investigate the communication experience of parents with limited English proficiency (LEP) in the NICU.
- To identify factors contributing to health disparities in neonatal care.
- To inform strategies for improving communication for LEP families in the NICU.
Main Methods:
- Seventeen interviews were conducted with Spanish-speaking parents whose newborns were admitted to the NICU for at least one week.
- Interviews were conducted by a certified bilingual provider between August 2020 and December 2021.
- Conventional content analysis with an inductive open coding process was performed.
Main Results:
- Parent experiences in the NICU were characterized by three main themes: information accessibility, perspectives on interpreters, and emotional consequences.
- Limited English proficiency presents significant challenges to accessing information and utilizing interpreter services.
- Emotional well-being is impacted by communication effectiveness and accessibility.
Conclusions:
- Findings can inform neonatal quality improvement initiatives.
- Timely and effective communication strategies are essential for NICU families with LEP.
- Addressing communication barriers can help reduce health disparities in neonatal care.
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