Consequences of suboptimal communication for patients with limited English proficiency in the intensive care unit and suggestions for a way forward: A qualitative study of healthcare team perceptions

Suárez, Nataly R. Espinoza; Urtecho, Meritxell; Nyquist, Christina A.; Jaramillo, Carolina; Yeow, Mei Ean; Thorsteinsdottir, Björg; Wilson, Michael E.; Barwise, Amelia

doi:10.1016/j.jcrc.2020.10.012

Cited by 27 publications

(29 citation statements)

References 39 publications

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“…When interacting with the healthcare system, LEP patients report lower satisfaction with care and experience worse outcomes compared to English-speakers. 6-11 LEP patients are more likely to experience medical errors due to communication problems compared to English-speaking patients. 8 The use of trained professional interpreters when providing care to LEP patients can improve communication, patient satisfaction, and health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Healthcare Provider Perspectives Regarding Use of Medical Interpreters During End-of-Life Conversations With Limited English Proficient Patients

Silva

Adelman

Singh

et al. 2021

Am J Hosp Palliat Care

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Background: Healthcare providers increasingly care for patients with Limited English Proficiency (LEP). There is limited research evaluating healthcare provider utilization practices, attitudes, perceived benefits and barriers regarding the use of medical interpreters in end of life (EOL) and goals of care (GOC) conversations. Objectives: To elicit healthcare providers’ opinions of the role, factors that impact decisions to use medical interpreters and perceived utility of using medical interpreters when conducting EOL and GOC conversations with LEP patients and their families. Design: Cross-sectional survey of internal medicine trainees and attending physicians from a U.S. medical center. Results: A total of 117 surveys were collected with a response rate of 51%. In-person medical interpreters received higher ratings with regard to their helpfulness compared to telephone medical interpreters during EOL and GOC conversations. Being an attending physician and having received training in the use of a medical interpreter predicted higher composite scores reflecting greater awareness of the roles of medical interpreters and endorsement of best communication practices. In-person interpreters were viewed by a subset of participants as “standard of care” during EOL and GOC conversations. Conclusion: Having more years in practice and receiving training in the use of medical interpreters correlated with more favorable attitudes toward the role of medical interpreters and positive communication practices. Incorporating early training in the use of medical interpreters could help enhance communication practices and outcomes during EOL and GOC conversations with LEP patients.

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Section: Introductionmentioning

confidence: 99%

Healthcare Provider Perspectives Regarding Use of Medical Interpreters During End-of-Life Conversations With Limited English Proficient Patients

Silva

Adelman

Singh

et al. 2021

Am J Hosp Palliat Care

View full text Add to dashboard Cite

show abstract

“…With suboptimal communication, there has been a correlation with decreased patient autonomy and a below-average symptom assessment. In addition, the same study demonstrated that patients had an overall consensus that their expectations were unmet during provider interactions, and providers were distressed with their encounters (12).…”

Section: Patient Communicationmentioning

confidence: 90%

“…Research has demonstrated that nurse communication and compliance is a key factor assisting with the spread of infectious diseases (10). Furthermore, suboptimal communication has also been linked to negative consequences (12). With suboptimal communication, there has been a correlation with decreased patient autonomy and a below-average symptom assessment.…”

Section: Patient Communicationmentioning

confidence: 99%

The Impact of COVID-19 on Patient Experience Within a Midwest Hospital System: A Case Study

Drapeaux

Jenson

Fustino

2021

Journal of Patient Experience

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Patient-centered communication and patient-provider relationships directly affect patient outcomes. The purpose of this study was to compare inpatient perception of provider/nurse communication in both COVID versus non-COVID diagnoses groups. A qualitative retrospective study was conducted by performing a priori coding analysis on Hospital Consumer Assessment of Healthcare Providers and Systems surveys from 4 different hospitals for both COVID and non-COVID diagnoses. Five themes emerged from non-COVID patient data: inconsistent health care provider communication, variable patient-provider education, pandemic influenced patient satisfaction and mental health stress, inconsistent hospital services, and stable provider professionalism. Five themes arose from the COVID patient data: provider gratitude, controversial communication methods, consistent patient education, lack of quality patient care, and poor timeliness. There is evidence of shared patient perceptions between both COVID and non-COVID patients, but also differences including timeliness and quality of care. The pandemic influenced all patients by creating non-mutually exclusive themes including overall gratitude and patient satisfaction. Future research should focus on a quantitative analysis of pandemic-related patient-provider communication effects on patient outcomes.

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“…It is thus critical that non-English speakers, including Asian American subgroups, are included in research. Research has demonstrated that having limited English proficiency (LEP) is associated with poor access to healthcare, poor health outcomes, and higher levels of dissatisfaction with care [ 118 , 119 , 120 ]. The disparity gap in care may be larger for Asian American subgroups with LEP than among English-speaking Asian Americans subgroups.…”

Section: Introductionmentioning

confidence: 99%

Advancing Health Disparities Research: The Need to Include Asian American Subgroup Populations

Yom¹,

Lor

2021

J. Racial and Ethnic Health Disparities

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Consequences of suboptimal communication for patients with limited English proficiency in the intensive care unit and suggestions for a way forward: A qualitative study of healthcare team perceptions

Cited by 27 publications

References 39 publications

Healthcare Provider Perspectives Regarding Use of Medical Interpreters During End-of-Life Conversations With Limited English Proficient Patients

Healthcare Provider Perspectives Regarding Use of Medical Interpreters During End-of-Life Conversations With Limited English Proficient Patients

The Impact of COVID-19 on Patient Experience Within a Midwest Hospital System: A Case Study

Advancing Health Disparities Research: The Need to Include Asian American Subgroup Populations

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