Communication interventions to support people with limited English proficiency in healthcare: a systematic review

Rajiv, Prithi; Riggs, Elisha; Brown, Stephanie; Szwarc, Josef; Yelland, Jane

doi:10.1080/17538068.2021.1890518

Cited by 5 publications

(12 citation statements)

References 51 publications

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Section: Discussionmentioning

confidence: 68%

“…Study participants' concerns over patients with LEP's difficulty engaging remote interpreters echoes themes in the literature indicating both patients' and interpreters' preference for in-person to remote interpreting. 25,26 For adults with cognitive dysfunction, hospitals should consider a return to in-person language interpretation whenever possible. In the meantime, accommodations such as hearing assist devices-a current recommendation for geriatric accreditation 27 -may help overcome some challenges associated with remote language interpretation.…”

Section: Discussionmentioning

confidence: 99%

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Evaluating older adults with cognitive dysfunction: A qualitative study with emergency clinicians

Chary

Castilla-Ojo

Joshi

et al. 2021

J American Geriatrics Society

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Background Evaluating older adults with cognitive dysfunction in emergency departments (EDs) requires obtaining collateral information from sources other than the patient. Understanding the challenges emergency clinicians face in obtaining collateral information can inform development of interventions to improve geriatric emergency care and, more specifically, detection of ED delirium. The objective was to understand emergency clinicians' experiences obtaining collateral information on older adults with cognitive dysfunction, both before and during the COVID‐19 pandemic. Methods From February to May 2021, we conducted semi‐structured interviews with a purposive sample of 22 emergency physicians and advanced practice providers from two urban academic hospitals and one community hospital in the Northeast United States. Interviews lasted 10–20 min and were digitally recorded and transcribed. Interview transcripts were analyzed for dominant themes using a combined deductive–inductive approach. Responses regarding experiences before and during the pandemic were compared. Results Five major challenges emerged regarding (1) availability of caregivers, (2) reliability of sources, (3) language barriers, (4) time constraints, and (5) incomplete transfer documentation. Participants perceived all challenges, but those relating to transfer documentation were amplified by the COVID‐19 pandemic. Conclusion Emergency clinicians' perspectives can inform efforts to support caregiver presence at bedside and develop standardized communication tools to improve recognition of delirium and, more broadly, geriatric emergency care.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Evaluating older adults with cognitive dysfunction: A qualitative study with emergency clinicians

Chary

Castilla-Ojo

Joshi

et al. 2021

J American Geriatrics Society

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“…Accredited interpreter services are not always provided to people who attend maternity care settings when required, and previous studies examining the provision of interpreter support found that many women report enough language proficiency for “getting by”, often with the assistance of family members (Rajiv et al , 2021; Rayment-Jones et al , 2021). However, relying on family members as facilitators of interpretation has significant risks, including errors translating complex health-related information, compromised confidentiality and a lack of disclosure or the distortion of important health-care information (Flores, 2005).…”

Section: Discussionmentioning

confidence: 99%

Interpreter requirements of women from non-English speaking migrant backgrounds in maternity hospitals in Melbourne, Australia

Dawe,

McDonald,

Riggs

et al. 2023

IJMHSC

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Purpose Access to professional interpreter services is a critical facilitator of positive health-care experiences when health-care professionals and women accessing maternity care are not proficient in a shared language. Understanding interpreter demand is essential for the provision of professional interpreter services. This study aims to characterise interpreter requirements among women from nonrefugee and refugee non-English-speaking migrant backgrounds in Australian maternity hospitals. Design/methodology/approach This study analysed administrative data from four public maternity hospitals in Victoria, Australia. The primary outcome was the proportion of women from non-English speaking migrant backgrounds who required an interpreter during their maternity care, both overall and stratified by refugee and nonrefugee background. Adjusted logistic regression was used to estimate the association between migrant background and interpreter requirements. Findings Among the 6,771 women from non-English speaking migrant backgrounds included in analyses, 1,344 (19.8%) required an interpreter during their maternity care. The odds of requiring an interpreter were fivefold higher among women from refugee backgrounds compared to migrant women from nonrefugee backgrounds [adjusted odds ratio (aOR): 4.83; 95% confidence interval (CI): 4.13–5.65]. Practical implications The study highlights the diversity in cultural backgrounds and migration experiences of women accessing maternity care within metropolitan public hospitals. The high interpreter requirements, particularly among women from refugee backgrounds, underscores the need for comprehensive and woman-centred interpreter services to attenuate disparities in hospital maternity care. Originality/value To the best of the authors’ knowledge, this study is the first to quantify the interpreter requirements of women from non-English-speaking migrant backgrounds in maternity hospital settings and make women comparisons between women from refugee and nonrefugee backgrounds.

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“…The guiding systematic review authors used MEDLINE, EMBASE, PsycINFO, CINAHL, and the Cochrane Library in their search for the articles used in this review. 10 All articles were published between 2009 and 2020 in English and incorporated a verbal communication intervention. 10 Additionally, studies were included if they met design characteristics for a randomized control trial (RCT) and patient outcomes that were the focus of this study.…”

Section: Summary Of Literaturementioning

confidence: 99%

“…10 All articles were published between 2009 and 2020 in English and incorporated a verbal communication intervention. 10 Additionally, studies were included if they met design characteristics for a randomized control trial (RCT) and patient outcomes that were the focus of this study. 10 Studies were excluded if they included deaf or hearing-impaired populations, excluded only written communication interventions, or the study did not report patient outcomes.…”

Section: Summary Of Literaturementioning

confidence: 99%

Strategies to Improve Healthcare Communication with Non-Native English Speakers: An Evidence to Practice Review

2023

Clin Prac Athl Train

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As the number of non-native English speakers in the United States rises, the degree to which some patients understand their healthcare communication is decreasing. It is essential to recognize the areas of limited health literacy to ensure proper patient communication and education are achieved. The guiding systematic review aimed to examine different communication interventions and the reported patient experiences from those interactions. The main forms of healthcare communication interventions used in the study included inperson, telephone, and video call interpreters. Patients have been shown to respond best to in-person interpreters, but using interpreters via telephone or video call was also effective and a suitable option. Athletic trainers could use interpreters via telephone or video call to provide patients with a better understanding of their injury while improving communication between the provider and patient. The clinical bottom line of the guiding systematic review was to provide multiple forms of communication interventions to ensure the best outcome of health literacy for the patient. Athletic trainers and other healthcare providers can advocate for nonnative English speakers by creating a healthcare communication policy that includes on-demand interventions such as a translation application or a formal medical interpreter.

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Communication interventions to support people with limited English proficiency in healthcare: a systematic review

Cited by 5 publications

References 51 publications

Evaluating older adults with cognitive dysfunction: A qualitative study with emergency clinicians

Evaluating older adults with cognitive dysfunction: A qualitative study with emergency clinicians

Interpreter requirements of women from non-English speaking migrant backgrounds in maternity hospitals in Melbourne, Australia

Strategies to Improve Healthcare Communication with Non-Native English Speakers: An Evidence to Practice Review

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