在圣路易斯两个急诊室,患者和护理人员对语言访问的观点
Shan A Wang1, Julia D López2,3
1Washington University in St. Louis, St Louis, USA. s.a.wang@wustl.edu.
Journal of immigrant and minority health
|October 29, 2025
概括
医院急诊室 (ED) 的语言障碍给那些更喜欢用英语以外的语言 (LOTE) 的患者带来了重大挑战. 改善语言获取服务对于减少健康差距至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学社会学 医学社会学
- 患者体验 患者体验
背景情况:
- 那些偏爱使用英语以外的语言 (LOTE) 的患者在医疗机构中遇到重大障碍,特别是在医院急诊室 (ED).
- 有效的沟通对于提供高质量的医疗保健和患者安全至关重要.
- 了解患者和护理人员的观点对于识别和解决语言访问差距至关重要.
研究的目的:
- 探索西班牙语患者和护理人员在医院急诊室的语言访问方面的经验和看法.
- 识别ED环境中很多个人面临的特定障碍.
- 收集建议,以改善ED的语言服务.
主要方法:
- 进行了定性主题分析.
- 在两个圣路易斯ED中,与西班牙语患者及其护理人员进行了15次半结构面试.
- 采访成绩单被系统地分析,以确定与语言障碍和访问相关的反复出现的主题和模式.
主要成果:
- 参与者报告了各种ED接触点的视频远程口译服务的缺陷,包括安全,分拣和检查室.
- 患者表达了学习英语的义务感,并担心由于语言偏好而被他人评判.
- 通过清晰的沟通和宣传,语言一致的护士的存在显著提高了患者的安全性.
结论:
- 紧急服务部门必须积极征求社区的意见,以了解和解决不同患者群体的语言需求.
- 投资于增强的语言服务,包括增加对视频远程口译人员的访问和招聘双语员工,是必不可少的.
- 解决语言障碍是减少那些偏爱英语以外的语言的人的健康差异的关键一步.
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