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Area of Science:

  • Pediatric hospital medicine
  • Health communication
  • Medical interpretation

Background:

  • Families speaking languages other than English (LOE) encounter communication barriers in healthcare settings.
  • Family-centered rounds (FCR) are standard pediatric care but are understudied in LOE populations.

Purpose of the Study:

  • To describe medical team behaviors during FCR with LOE pediatric families.
  • To assess FCR and interpreter partnership quality and their associations.
  • To examine the link between interpreter behaviors and FCR duration.

Main Methods:

  • Prospective observational study at a quaternary children's hospital.
  • Observed general pediatric teams during FCR with LOE families using a standardized form.
  • Analyzed interpretation modes, methods, FCR quality, interpreter partnership, and FCR duration using regression models.

Main Results:

  • Interpretation was used in 88% of observed FCRs, predominantly in-person.
  • Interpretation use correlated with higher FCR quality; ad hoc interpretation lowered quality.
  • No significant differences in FCR duration were found across interpretation modes or methods.

Conclusions:

  • Interpretation enhances FCR quality for LOE families.
  • Continuous interpretation is feasible as it does not increase FCR duration.