CALD Assist—Nursing: Improving communication in the absence of interpreters

Silvera-Tawil, David; Pocock, Courtney; Bradford, DanaKai; Donnell, Andrea; Harrap, Karen; Freyne, Jill; Brinkmann, Sally

doi:10.1111/jocn.14604

Cited by 14 publications

(20 citation statements)

References 17 publications

(26 reference statements)

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“…Google Translate, a web-based tool, is available but low translation accuracy of medical terminologies has the potential for distress and harm [ 78 ]. Current applications such as CALD- Assist (an Australian application) that uses pre-recorded text words and phrases along with pictures and videos for allied health and nursing staff to facilitate communication when interpreters are not available or not practical [ 79 ] notwithstanding the applications have shown improved satisfaction for communication between consumers and health professionals. More research is needed to understand the patient safety implications of them.…”

Section: Discussionmentioning

confidence: 99%

The safety of health care for ethnic minority patients: a systematic review

Chauhan

Walton

Manias

et al. 2020

Int J Equity Health

135

157

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Introduction: Evidence to date indicates that patients from ethnic minority backgrounds may experience disparity in the quality and safety of health care they receive due to a range of socio-cultural factors. Although heightened risk of patient safety events is of key concern, there is a dearth of evidence regarding the nature and rate of patient safety events occurring amongst ethnic minority consumers, which is critical for the development of relevant intervention approaches to enhance the safety of their care. Objectives: To establish how ethnic minority populations are conceptualised in the international literature, and the implications of this in shaping of our findings; the evidence of patient safety events arising among ethnic minority healthcare consumers internationally; and the individual, service and system factors that contribute to unsafe care. Method: A systematic review of five databases (MEDLINE, PUBMED, PsycINFO, EMBASE and CINAHL) were undertaken using subject headings (MeSH) and keywords to identify studies relevant to our objectives. Inclusion criteria were applied independently by two researchers. A narrative synthesis was undertaken due to heterogeneity of the study designs of included studies followed by a study appraisal process. Results: Forty-five studies were included in this review. Findings indicate that: (1) those from ethnic minority backgrounds were conceptualised variably; (2) people from ethnic minority backgrounds had higher rates of hospital acquired infections, complications, adverse drug events and dosing errors when compared to the wider population; and (3) factors including language proficiency, beliefs about illness and treatment, formal and informal interpreter use, consumer engagement, and interactions with health professionals contributed to increased risk of safety events amongst these populations. Conclusion: Ethnic minority consumers may experience inequity in the safety of care and be at higher risk of patient safety events. Health services and systems must consider the individual, inter-and intra-ethnic variations in the nature of safety events to understand the where and how to invest resource to enhance equity in the safety of care. Review registration: This systematic review is registered with Research Registry: reviewregistry761.

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Section: Discussionmentioning

confidence: 99%

The safety of health care for ethnic minority patients: a systematic review

Chauhan

Walton

Manias

et al. 2020

Int J Equity Health

135

157

View full text Add to dashboard Cite

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“…By using DCAT before the consultation in a waiting room, the actual appointment is not disturbed or prolonged. This also distinguishes our approach from those which introduce a digital ad-hoc translation (e.g., using Google translate during the consultation) [28][29][30] and apps that only allow health care providers to communicate preselected phrases and are therefore not self-administered by patients [14,15,17,18]. Furthermore, the DCAT app is free to download, making it accessible to all clinics that have a digital device they can circulate.…”

Section: Discussionmentioning

confidence: 99%

“…This can foster miscommunication between the physician and patient and contribute to an incomplete list of symptoms, ultimately leading to poor quality of care [12]. Although there are several tools to address this problem, including multilingual symptom reporting questionnaires, limited efforts have been made to develop digital tools for multilingual or intercultural settings [13][14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

A Digital Communication Assistance Tool (DCAT) to Obtain Medical History from Foreign-Language Patients: Development and Pilot Testing in a Primary Health Care Center for Refugees

Müller

Chandra

Furaijat

et al. 2020

IJERPH

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Background: Language barriers play a critical role in the treatment of migrant and refugee patients. In Germany, primary care interpreters are often not available especially in rural areas or if patients demand spontaneous or urgent consultations. Methods: In order to enable patients and their physicians to communicate effectively about the current illness history, we developed a digital communication assistance tool (DCAT) for 19 different languages and dialects. This paper reports the multidisciplinary process of the conceptual design and the iterative development of this cross-cultural user-centered application in an action-oriented approach. Results: We piloted our app with 36 refugee patients prior to a clinical study and used the results for further development. The acceptance and usability of the app by patients was high. Conclusion: Using digital tools for overcoming language barriers can be a feasible approach when providing health care to foreign-language patients.

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“…25 In addition, tools that facilitate basic communication between CALD patients and clinicians in the absence of interpreters are needed to assist patient engagement and increase clinicians' confidence in their interactions with patients speaking other languages. 28,29 The way distress and emotional issues are conceptualised and reported may differ between cultures. 30,31 A review of DT and PC translations worldwide identified that different language versions generally show good psychometric properties and are conceptually equivalent to the English-language version.…”

Section: Discussionmentioning

confidence: 99%

“…In one study, an analysis of conversations between clinicians and immigrant patients showed that 20% of informational or emotional cues were not translated by interpreters and therefore clinicians may not have had an opportunity to discuss patients' concerns 25 . In addition, tools that facilitate basic communication between CALD patients and clinicians in the absence of interpreters are needed to assist patient engagement and increase clinicians' confidence in their interactions with patients speaking other languages 28,29 …”

Section: Discussionmentioning

confidence: 99%

Distress and problem assessment among people living with cancer from Culturally and Linguistically Diverse backgrounds

et al. 2020

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Objective: To examine whether routine assessment of distress, recommended as part of comprehensive cancer care, is utilised equally with culturally and linguistically diverse (CALD) vs non-CALD people living with cancer. Methods: A medical records review of all patients attending cancer-specific treatment units at a single tertiary hospital in Melbourne, Australia between 2015-2018. Recording of administration of the Distress Thermometer and Problem Checklist (DT and PC) was extracted for all patients. Details regarding how the DT and PC (used together) was administered were extracted for a random sub-sample of 294 CALD patients and 294 matched non-CALD patients. Results: A total of 6977 patients were identified (12.0% CALD). Just over half of the CALD (54.7%) and non-CALD (58.2%) patients had a recorded DT and PC (P > 0.05). For the sub-sample analysis, CALD patients were less likely to complete the form themselves (14.8% vs 75.9% non-CALD) and were more likely to have a family member complete the form (55.1% vs 15.1% non-CALD). CALD patients reported a similar level of distress to non-CALD patients. Distress scores for CALD and non-CALD patients were higher when family members completed the form. Provision of discussion, written information, referral offers and rates of referral acceptance were similar between CALD and non-CALD patients. Conclusions: Assessment of distress and associated problems, and the process following assessment, were similar for CALD and non-CALD patients. However, differences in how the form was completed highlight the need for further improvements to ensure that CALD patients are actively involved in their care.

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CALD Assist—Nursing: Improving communication in the absence of interpreters

Abstract: The proposed app can be used to reduce variances in practice and provide a timely and positive patient experience for patients from NESBs who are unable to communicate in English during hospital admissions.

Cited by 14 publications

References 17 publications

The safety of health care for ethnic minority patients: a systematic review

The safety of health care for ethnic minority patients: a systematic review

A Digital Communication Assistance Tool (DCAT) to Obtain Medical History from Foreign-Language Patients: Development and Pilot Testing in a Primary Health Care Center for Refugees

Distress and problem assessment among people living with cancer from Culturally and Linguistically Diverse backgrounds

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