美国新生儿护理单位的英语以外的语言家庭的沟通实践
Erika G Cordova-Ramos1,2, Stephen Kerr3, Nikita S Kalluri4
1Department of Pediatrics, Boston Medical Center.
Hospital pediatrics
|August 15, 2024
概括
许多美国NICU都在努力为英语以外的语言家庭 (LOE) 提供文化和语言上适当的服务 (CLAS). 改善口译人员的获取和质量至关重要,以减少这些弱势群体的医疗保健差异.
科学领域:
- 医疗保健中的差异
- 新生儿重症监护病房新生儿重症监护病房
- 卫生公平性健康公平性
背景情况:
- 文化和语言相适应的服务 (CLAS) 对于公平的医疗保健至关重要.
- 除英语以外的其他语言 (LOE) 的家庭缺乏CLAS有助于显著的医疗保健不平等.
- 新生儿重症监护室 (NICU) 是观察到这些差异的关键环境.
研究的目的:
- 检查美国NICU中LOE家庭的沟通实践.
- 为了确定一致的CLAS提供的预测因素.
- 了解临床领导者对CLAS的感知障碍.
主要方法:
- 在500个随机选择的美国NICU (2-4级) 中对临床领导者的调查.
- 权衡的回应分析了父母语言文档和口译员使用的模式和预测因素.
- 后勤回归用于评估医院特征和CLAS结果之间的关联.
主要成果:
- 只有63%的NICU始终记录父母语言,而41%始终使用专业口译员.
- 较大的NICU尺寸与一致的语言文档和翻译使用有关.
- 关键障碍包括延迟的口译人员访问和低于最佳的口译质量.
结论:
- 需要有针对性的实施指导和问责制来改善CLAS.
- 根据NICU环境量身定制的干预措施可以帮助减少语言差异.
- 解决这些差异对于确保所有婴儿和家庭得到公平照顾至关重要.
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