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语言障碍在紧急救护车中呼吁心脏骤停:缺少重要信息的情况
Nirukshi Perera1, Marine Riou2, Tanya Birnie1
1Prehospital, Resuscitation and Emergency Care Research Unit (PRECRU), School of Nursing, Curtin University, Bentley, WA, 6102, Australia.
Social science & medicine (1982)
|December 16, 2024
概括
紧急呼叫中的语言障碍延迟了关键护理. 呼叫接收员经常错过重要信息,妨碍及时识别心脏骤停和复苏,特别是没有口译员.
科学领域:
- 紧急医疗服务 紧急医疗服务
- 关于医疗保健方面的沟通
- 在医院前的护理.
背景情况:
- 医疗紧急情况需要呼叫者和接听者之间快速交换信息.
- 语言障碍在紧急呼叫中带来了重大挑战,往往推迟了关键干预.
- 第三方翻译很少被用于时间关键的情况,如心脏骤停.
研究的目的:
- 调查与语言障碍的紧急呼叫中的交互挑战.
- 了解在没有口译员的情况下识别医疗紧急情况的通信故障.
- 确定导致非流利英语使用者的重症监护延迟的因素.
主要方法:
- 对来自澳大利亚救护车服务的33个音频录音和成绩单进行了批判性对话分析.
- 在语言障碍紧急呼叫中的互动的细粒度分析.
- 检查在实时紧急情况下的通信模式和信息交换.
主要成果:
- 接电话的人经常在语言障碍电话中无法识别心脏骤停.
- 当非流利的英语呼叫者通过非常规的方式传递时,错过了重要的患者信息.
- 承认心脏骤停的延迟源于缺乏相互理解和错过的探测机会.
结论:
- 紧急调度中心需要策略来更好地管理语言障碍电话.
- 改善沟通可以促进一个更具包容性的医院前护理系统.
- 解决这些沟通差异对于非流利英语使用者获得公平的医疗保健至关重要.
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