Communication With Limited English-Proficient Families in the PICU

Zurca, Adrian; Fisher, Kiondra R.; Flor, Remigio J.; Marqués, Catalina González; Wang, Jichuan; Cheng, Yao I.; October, Tessie W.

doi:10.1542/hpeds.2016-0071

Cited by 63 publications

(46 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study setting, most of the parents were not efficient in understanding English whereas the physician and nurses did not have Arabic as their primary language. Studies have shown that language barrier can lead to suboptimal communication [32]. which can be minimized by increasing awareness and efficient use of interpreter.…”

Section: Discussionmentioning

confidence: 99%

Exploring family needs in neonatal and pediatric intensive care units at King Khaled Hospital- Jeddah

Alnajjar¹,

Elarousy²

2017

Clin Med Invest

View full text Add to dashboard Cite

Family-centered care (FCC) approach acknowledges that the family has the greatest influence over an infant's / child's health and well-being. Assessing the FMs' needs is an important component to apply and improve family-centered care, and it is essential for pediatric nurses in the intensive care units to identify and understand these needs. Meeting the needs of family having neonate or child in intensive care is part of implementing the philosophy of family-centered care.Aim of the study is to explore nurses', doctors' and parents' perceptions on family needs in pediatric critical care units at King Khaled Hospital in Jeddah.Methodology: Exploratory and descriptive design was used. doctors, nurses and parents from Pediatric Critical Care Units at King Khalid Hospital, Jeddah participated in the study using non-probability convenient sampling technique. Critical Care Family Needs Inventory (CCFNI) a tool developed by Jane Leske was used for assessing nurses', doctors', and parents' perceptions on family needs. The original English version was translated into Arabic by qualified English to Arabic translator. Validity was tested by Arabic faculty staff members and subjected to a pilot test to test for its validity within this context Reliability of the CCFNI was 0.97 by. Gundo. Ethical consideration was ensured by getting IRB approval and all participants signed the informed consent.

show abstract

Section: Discussionmentioning

confidence: 99%

Exploring family needs in neonatal and pediatric intensive care units at King Khaled Hospital- Jeddah

Alnajjar¹,

Elarousy²

2017

Clin Med Invest

View full text Add to dashboard Cite

show abstract

“…Among families with limited English proficiency, using an interpreter during rounds was associated with a decreased likelihood of correctly naming a diagnosis and less likelihood of understanding the medical plan after rounds compared with Englishspeaking families. 33,41 Englishspeaking families were more likely to report knowing discharge goals and the discharge day as compared with Spanish-speaking families. 38 Latino parents felt explanations in Spanish were essential for FCR 40 ; however, some felt disempowered to request interpreter services.…”

Section: Families With Limited English Proficiencymentioning

confidence: 96%

“…38 Latino parents felt explanations in Spanish were essential for FCR 40 ; however, some felt disempowered to request interpreter services. 36,41 With this research, it is suggested that families with limited English proficiency require additional support in FCR to promote participation and collaboration.…”

Section: Families With Limited English Proficiencymentioning

confidence: 99%

Families’ Experiences With Pediatric Family-Centered Rounds: A Systematic Review

et al. 2018

View full text Add to dashboard Cite

show abstract

“…10 Over the course of the PICU stay, only 53% of families reported that the medical team used an interpreter most or all of the time, and 14% reported rarely or never receiving one. 2 Given that professional interpretation is necessary but not sufficient to achieve effective communication with LEP families and that effective communication is critical to providing high-quality, family-centered care, we have a long way to go in pursuit of equitable care delivery for LEP families. And although Ju et al were not able to explore precisely what factors led to the higher readmission rates among some groups of LEP families in their study, it seems clear that we are similarly falling short in achieving equitable outcomes.…”

mentioning

confidence: 99%

Caring for Children and Families With Limited English Proficiency: Current Challenges and an Agenda for the Future

Lion

2017

Hospital Pediatrics

View full text Add to dashboard Cite

This month' s issue of Hospital Pediatrics features 2 articles addressing quality of care for children and families with limited English proficiency (LEP), 1,2 highlighting an important area of growing concern for clinicians and researchers. Children from LEP families make up a large and expanding proportion of the US population, 3 but as these 2 articles show, we continue to face substantial challenges both in providing these children with high-quality, equitable care and in studying them, which is an important prerequisite to developing effective interventions to improve care.A primary challenge in both caring for and studying LEP patients and families lies in correctly identifying them. Many institutions do not consistently collect language data, and those that do often record the primary language spoken at home, which does not adequately identify the presence of a language barrier or the need for interpretation. 4,5 This situation leads to clinicians being unable to rely on the language information captured in the medical record to determine interpreter need, which then encourages many to assess the family' s English ability with each communication and "get by" without an interpreter if they can.6,7 The collection of less helpful or inconsistent language information also makes it very difficult to study language barriers within large databases such as the Pediatric Health Information System, given the variability in the institution-level data.In pediatrics, we face the additional challenge of trying to determine whose English proficiency or interpreter need to document, because different caregivers' needs may differ and not all caregivers are always present. For the purposes of clinical care, it would be ideal to assess and document the English proficiency or interpreter need for each caregiver individually, although the question of how to handle multiproficiency families for research purposes would remain. These challenges are all evident in the definition of the LEP group in the article by Ju et al, 1 in which the authors used a combination of non-English primary language, documentation of interpreter use, and/or having a language barrier documented during the initial nursing assessment. This approach reflects the current limitations of the data collected at most institutions, but resulted in a somewhat counterintuitive LEP group that was larger than the population recorded as speaking a non-English primary language (26.3% LEP but only 18.5% recorded as a non-English primary language). This result may reflect failure to assess and record language for many families, incorrectly assigning families to English, or differences in the proficiency of caregivers present at different times (eg, the English-proficient mom was present at the initial assessment, but the grandmother with LEP

show abstract

Communication With Limited English-Proficient Families in the PICU

Cited by 63 publications

References 38 publications

Exploring family needs in neonatal and pediatric intensive care units at King Khaled Hospital- Jeddah

Exploring family needs in neonatal and pediatric intensive care units at King Khaled Hospital- Jeddah

Families’ Experiences With Pediatric Family-Centered Rounds: A Systematic Review

Caring for Children and Families With Limited English Proficiency: Current Challenges and an Agenda for the Future

Contact Info

Product

Resources

About