コミュニケーションの障壁に直面している患者に対する病院のケアを看護師による戦略によって改善する
Kathryn Jane Muir1, Kathy S Sliwinski2, Lee Ang3
1Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
まとめ
限られた英語能力 (LEP) を有する患者にケアを提供する看護師は,よりよい人材,コミュニティプログラム,健康の公平性を向上させるための一貫した言語アクセスサービスの必要性を強調する課題に直面しています.
科学分野:
- 介護
- 医療サービス研究
- 健康に関する公平性
背景:
- 限られた英語能力 (LEP) の患者は,より悪い医療結果を経験します.
- 現存する言語アクセスサービスは,しばしば LEP患者のニーズを満たすのに失敗します.
- 看護師は介護の提供と 言語アクセスサービスの実施に中心的な役割を果たします
研究 の 目的:
- 病院の看護師が LEPの患者をケアする経験を調査する.
- 効果的な言語アクセスの障壁とファシリテーターを特定する
- LEP患者の医療の質を向上させるための戦略を策定する.
主な方法:
- 内容とテーマの分析による定性研究
- RN4CAST-NY/IL調査からの1295件のオープンテキスト回答の分析
- 社会的生態学モデルによる枠組みです.
主要な成果:
- 4つの主要なテーマが浮上した.看護師のスタッフ,コミュニティへの統合,サービスの利用可能性の変動,そしてカスタマイズされたアクセス.
- 看護師は,多言語のスタッフとコミュニティのパートナーシップの必要性を強調しました.
- 言語サービスの利用可能性と方法の不一致が重要な問題でした.
結論:
- 複数の言語で働く看護師を 増やすことは極めて重要です
- コミュニティに統合されたプログラムや 標準化された 言語アクセスプロトコルを開発することで 介護を向上させることができます
- これらの分野に取り組むことで LEP患者の格差を減らすことができます.
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