翻译方式和计划外的急救部门在有限的英语水平患者的重新访问
Journal of emergency nursing
|January 20, 2025
概括
有限英语水平的患者有更高的非计划的急诊室重访. 改善口译服务和利用率对于提高护理质量和减少这些再访至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 医疗保健中的语言学
背景情况:
- 紧急诊所 (ED) 面临着越来越多的英语水平有限 (LEP) 的患者.
- 翻译服务对LEP患者计划外再诊所的影响尚不清楚.
- 无计划的再访是急诊室护理质量的指标.
研究的目的:
- 评估LEP患者使用口译服务的情况.
- 检查口译服务与非计划的ED重访之间的关系.
- 确定影响ED中LEP患者护理质量的因素.
主要方法:
- 一个中心,对ED访问的回顾性图表审查 (2019年1月至4月).
- 纳入标准:患者>18,已出院,至少有一次ED复诊.
- 用奇平方和威尔科克森等级和总和测试分析人口统计数据,口译员模式和再访率 (72小时,30天).
主要成果:
- 包括401名LEP患者和294名匹配对照.
- 主要是西班牙裔的LEP患者,有较高的72小时无计划再诊率 (2.8%与0.7%相比).
- 只有49.6%的LEP案件记录了口译服务;训练有素的口译员被不足利用.
结论:
- 对于LEP患者来说,存在更高的非计划ED复诊率.
- 解释者模式的有效性和训练有素的口译员的不足利用可能会导致重新访问.
- 加强受过培训的口译员的使用可以提高LEP人群的ED护理质量.
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