与医疗复杂性住院儿童的西班牙语家庭沟通
Marcella Luercio1,2, Bianca Quiñones-Pérez1,2, Angela Castellanos1,2
1Division of General Pediatrics, Department of Pediatrics.
当家庭使用除英语 (LOE) 外的语言时,医院工作人员和患有医疗复杂性 (CMC) 的儿童的父母面临沟通障碍. 改善口译人员的准入和减少偏见是改善这些家庭的关键.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 儿科患者的安全性
- 医疗保健中的语言多样性
背景情况:
- 使用英语以外的语言 (LOE) 的住院家庭遇到重大沟通挑战.
- 患有医疗复杂性 (CMC) 的儿童在医疗保健机构中也面临独特的沟通障碍.
研究的目的:
- 了解沟通挑战,并识别使用LOE改善家庭护理的机会.
- 收集医院工作人员和CMC的西班牙语家长的观点.
主要方法:
- 使用主题分析的定性描述方法.
- 通过半结构面试对现有成绩单的二次分析和初级数据收集.
- 与家长,医生,护士,相关卫生专业人员和领导人进行的采访.
主要成果:
- 出现了五个主要主题:偏见,信任和关系,语言一致的护理,沟通解决方案和技术的影响.
- 参与者建议增加翻译人员的访问,优化技术,并提供减少偏见的培训.
- 通过使用LOE与住院家庭沟通的挑战和机会.
结论:
- 医疗保健中心的父母和医疗保健工作人员都认识到沟通的挑战和机遇.
- 有效的解决方案必须满足所有相关方的需求,以改善使用LOE的家庭的沟通和安全.
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