一个多语言的定性研究有限的英语水平患者在美国的经验
Allison Squires1, Lauren Gerchow1, Chenjuan Ma1
1Rory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY 10010, United States of America.
PEC innovation
|June 29, 2023
概括
有限英语水平的患者将语言障碍视为美国医疗保健中的安全威胁. 通过改善临床医生互动来解决这些障碍,对于提高患者安全和公平护理至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 社会语言学 社会语言学
- 患者体验 患者体验
背景情况:
- 有效的沟通在医疗保健提供中至关重要.
- 有限英语水平 (LEP) 患者在美国医疗保健系统中面临着重大沟通挑战.
- 现有的研究往往忽视了不同LEP人群的多方面的经验.
研究的目的:
- 探索在美国城市环境中英语水平有限的患者的医疗保健经验.
- 确定与临床相互作用中的语言障碍相关的具体挑战和潜在改进.
- 了解文化和遗产差异如何影响患者体验.
主要方法:
- 半结构面试的叙事分析与71个英语水平有限的人进行了半结构面试.
- 参与者代表了不同的语言背景,包括西班牙语,俄语,广东语,普通话和韩语.
- 用单语言和多语言的开放编码方法来生成主题.
主要成果:
- 六个关键主题出现了,突出了在护理点的结构不平等和语言障碍.
- 患者始终报告说,与临床医生的语言障碍对他们的安全构成威胁,并增加了对伤害的感知风险.
- 参与者确定了特定的临床医生互动,可以增强他们的安全感,经验因文化和遗产而异.
结论:
- 在美国的各种医疗保健接触点,口语语言障碍存在持续的挑战.
- 该研究强调了对文化敏感和语言适当的医疗保健服务的迫切需要.
- 解决这些障碍对于改善患者安全和减少LEP人群的健康不平等至关重要.
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