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Improving Hospital Care for Patients Experiencing Communication Barriers Through Nurse-Endorsed Strategies
Kathryn Jane Muir1, Kathy S Sliwinski2, Lee Ang3
1Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Summary
Nurses face challenges providing care to patients with limited English proficiency (LEP), highlighting needs for better staffing, community programs, and consistent language access services to improve health equity.
Area of Science:
- Nursing
- Health Services Research
- Health Equity
Background:
- Patients with limited English proficiency (LEP) experience poorer healthcare outcomes.
- Existing language access services often fail to meet the needs of LEP patients.
- Nurses are central to delivering care and implementing language access services.
Purpose of the Study:
- To explore hospital nurses' experiences caring for patients with LEP.
- To identify barriers and facilitators to effective language access.
- To inform strategies for improving care quality for LEP patients.
Main Methods:
- Qualitative study using directed content and thematic analysis.
- Analysis of 1295 open-text responses from the RN4CAST-NY/IL survey.
- Framework informed by the Social Ecological Model.
Main Results:
- Four key themes emerged: nurse staffing, community integration, service availability variation, and tailored access.
- Nurses emphasized the need for multilingual staff and community partnerships.
- Inconsistent availability and modality of language services were significant issues.
Conclusions:
- Improving nurse staffing with a multilingual workforce is crucial.
- Developing community-integrated programs and standardized, tailored language access protocols can enhance care.
- Addressing these areas can reduce disparities for LEP patients.
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