简单地说话:一个多学科的质量改善倡议,以增加PICU的面对面语言口译
Michelle R Mayeda1, Katherine Schreiner2, Tayseer Said3
1Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
概括
"说话容易"计划显著增加了儿科重症监护室的非英语护理人员的语言翻译服务. 面对面的口译遇到的情况增加了四倍以上,改善了沟通和护理.
科学领域:
- 儿科重症监护 儿科重症监护 儿科重症监护
- 医疗保健的沟通 医疗保健的沟通
- 质量改善举措 质量改善举措
背景情况:
- 对于高敏度环境中的非英语 (LOE) 护理人员来说,有效的沟通至关重要.
- 时间限制和竞争优先事项等障碍阻碍了使用现有的口译服务.
- 改善对语言一致护理的准入对于患者安全和家庭满意度至关重要.
研究的目的:
- 加强与护理人员的沟通,他们更喜欢使用除英语以外的语言 (LOE).
- 增加翻译接触的频率,优先考虑面对面的模式 (面对面或视频).
- 实施和评估旨在改善语言服务的"Speak Easy"计划.
主要方法:
- 在一个拥有75张床位的儿科重症监护室 (PICU) 进行了一项单一中心质量改善计划.
- "说话简单"计划涉及多学科教育,首选语言标牌,一个可以选择退出的人体西班牙语翻译计划,以及更多的视频翻译设备.
- 干预数据 (2023年3月-2024年12月) 与干预前数据 (2021年11月-2023年2月) 进行了比较,使用统计过程控制图表.
主要成果:
- 翻译的总数几乎增加了三倍 (43到121每100个LOE患者日).
- 面对面的口译接触增加了四倍以上 (每100个LOE患者日增加23到104),主要是由于面对面的西班牙语和视频口译.
- 干预后的调查表明,临床医生,护士和社会工作者对实施的变化持好看法.
结论:
- 多学科的方法有效地提高了翻译服务的使用率.
- 干预措施减少了面对面和视频口译的时间和计划,促进了文化变革.
- 该计划成功地促进了在儿科ICU环境中提供语言一致的护理.
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