聋患者在临床环境中首选的沟通:对医疗保健提供者的影响
1Department of Public Health, Utah Valley University, Orem, UT, United States.
Journal of deaf studies and deaf education
|December 31, 2023
概括
使用美国手语 (ASL) 的聋人患者在医疗保健中面临沟通障碍. 现场口译对于清晰的医疗沟通和减少ASL使用者的健康差异至关重要.
科学领域:
- 医疗保健通讯 医疗保健通讯
- 医学社会学 医学社会学
- 医学中的语言学.
背景情况:
- 用美国手语 (ASL) 沟通的聋人患者遇到重要的医疗保健障碍.
- 这些挑战导致医疗错误,延迟治疗和健康差异.
- 关于聋患者在医疗环境中的沟通偏好存在有限的研究.
研究的目的:
- 探索在医疗保健中使用ASL的聋人患者面临的沟通偏好和挑战.
- 从患者的角度确定有效的沟通策略和障碍.
- 为医疗保健提供者和政策制定者提供信息,以改善聋患者的沟通机会.
主要方法:
- 聚焦小组与文化聋患者和口译员进行,以健康信念模型为指导.
- ASL焦点小组讨论被解释,转录成英语,并使用演和归纳编码进行分析.
- 使用NVivo软件进行数据管理和主题分析.
主要成果:
- 由于英语熟练,医疗术语和提供者的缩写,书面沟通带来了挑战.
- 与家庭/朋友口译员有关培训,保密性和患者自主权的问题出现了.
- 视频远程口译员面临技术和资格障碍;现场口译员被压倒性地优先考虑清晰度.
- 戴口罩的规定加剧了语音阅读困难.
结论:
- 现场口译员对于确保聋人患者获得关键医疗信息和实现健康公平至关重要.
- 解决沟通障碍需要改善对合格现场口译人员的准入.
- 为值班口译员的预算拨款至关重要,特别是在紧急医疗情况下.
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