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Related Concept Videos

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
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Telephone Orders
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Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
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Communication After Emergent Surgery by English Proficiency: An Exploratory Qualitative Study.

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Summary
This summary is machine-generated.

Older adults with limited English proficiency (LEP) face communication barriers in trauma and emergency surgery care. Professional interpreter errors and reluctance to provide feedback exacerbate these challenges, impacting patient autonomy and information access.

Keywords:
BarriersCommunicationEmergency general surgeryGeriatricLanguageOlder adultTrauma

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Area of Science:

  • Geriatric Surgery
  • Health Communication
  • Qualitative Research

Background:

  • Older adults with Limited English Proficiency (LEP) are a significant patient population in trauma and emergency general surgery (EGS).
  • Communication barriers are prevalent for LEP individuals, potentially worsened by acute surgical admissions.
  • This vulnerable demographic and their specific communication needs in surgical settings are understudied.

Purpose of the Study:

  • To explore communication experiences of older adults with Limited English Proficiency (LEP) and English Proficiency (EP) hospitalized for trauma or EGS.
  • To identify factors influencing patient understanding, autonomy, and feedback in surgical care settings.

Main Methods:

  • Exploratory qualitative study involving purposive sampling of trauma/EGS inpatients aged 65+ with mild/no cognitive impairment.
  • Semi-structured interviews with patients and families, utilizing professional interpreters for LEP patients.
  • Thematic analysis of interview transcripts using modified grounded theory; examination of interpreter errors.

Main Results:

  • Three key themes emerged: Lack of Information, Loss of Autonomy, and Feedback/Advocacy.
  • Both LEP and EP patients reported limited knowledge of their care and reliance on providers.
  • EP patients and LEP family members offered critiques, while LEP patients were hesitant to provide feedback; professional interpreters made errors.

Conclusions:

  • Language proficiency and communication styles contribute to significant communication barriers for LEP patients in trauma/EGS.
  • Professional interpreter errors likely compound these difficulties.
  • Findings highlight the need for further research into communication's impact on patient outcomes for diverse surgical populations.