Language Discordance and Patient-Centered Care in Occupational Therapy

Martínez, Jenny; Leland, Natalie E.

doi:10.1177/1539449215575265

Cited by 10 publications

(15 citation statements)

References 41 publications

(48 reference statements)

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“…For example, efforts focused on improvement in one department may be insufficient to enhance outcomes for patients with co-morbidities who require care across departments. Language and cultural discordance between patients and providers can also hinder efforts to implement patient-centered care initiatives [21,22]. SNH-specific implementation research is needed to identify key factors that influence the uptake of evidence-based innovations and determine how they differ from drivers of change in non-SNHs.…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to implementing priority inpatient initiatives in the safety net setting

Crable

Biancarelli

Walkey

et al. 2020

Implement Sci Commun

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Background: Safety net hospitals, which serve vulnerable and underserved populations and often operate on smaller budgets than non-safety net hospitals, may experience unique implementation challenges. We sought to describe common barriers and facilitators that affect the implementation of improvement initiatives in a safety net hospital, and identify potentially transferable lessons to enhance implementation efforts in similar settings. Methods: We interviewed leaders within five inpatient departments and asked them to identify the priority inpatient improvement initiative from the last year. We then conducted individual, semi-structured interviews with 25 stakeholders across the five settings. Interviewees included individuals serving in implementation oversight, champion, and frontline implementer roles. The Consolidated Framework for Implementation Research informed the discussion guide and a priori codes for directed content analysis. Results: Despite pursuing diverse initiatives in different clinical departments, safety net hospital improvement stakeholders described common barriers and facilitators related to inner and outer setting dynamics, characteristics of individuals involved, and implementation processes. Implementation barriers included (1) limited staffing resources, (2) organizational recognition without financial investment, and (3) the use of implementation strategies that did not adequately address patients' biopsychosocial complexities. Facilitators included (1) implementation approaches that combined passive and active communication styles, (2) knowledge of patient needs and competitive pressure to perform well against non-SNHs, (3) stakeholders' personal commitment to reduce health inequities, and (4) the use of multidisciplinary task forces to drive implementation activities. Conclusion: Inner and outer setting dynamics, individual's characteristics, and process factors served as implementation barriers and facilitators within the safety net. Future work should seek to leverage findings from this study toward efforts to enact positive change within safety net hospitals.

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Section: Introductionmentioning

confidence: 99%

Barriers and facilitators to implementing priority inpatient initiatives in the safety net setting

Crable

Biancarelli

Walkey

et al. 2020

Implement Sci Commun

View full text Add to dashboard Cite

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“…These findings suggest areas that are likely to be deficient in an asymmetric language context. Another qualitative study observed the communication between a Hispanic patient, a Hispanic caregiver, and an English-speaking occupational therapist (Martinez & Leland, 2015). Although only one group of three was studied, the detailed observations and themes that emerged are pertinent here.…”

Section: Language Asymmetry and Communication Issuesmentioning

confidence: 99%

Language Related Difficulties Experienced by Caregivers of English-Speaking Seniors in Quebec

Sanderson¹

2020

Sage Open

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Little research has examined communication problems between speakers of official minority languages (patients or caregivers) and health care providers. The objective of this research was to identify the types of issues experienced by English-speaking caregivers of seniors in Quebec, as they interact with French-speaking health care providers. The majority of the caregivers interviewed indicated that they were satisfied with physicians’ interaction with the seniors they cared for. However, problems included health care providers who do not or who refuse to speak English, hospice personnel with insufficient English, anxiety about speaking to personnel in French, traveling to receive services in English, acting as an informal interpreter, receiving written documents in French, scheduling appointments through French-only phone systems or receptionists, and discrimination. The main finding is that in Quebec, language asymmetry might create additional stresses for an English-speaking caregiver, who is already likely to be stressed because of their caregiver role.

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“…Researchers have found that providers tend to overestimate their skills in working across language barriers (Hudelson, Perneger, Kolly, & Junod Perron, 2012), so such low rates of perceived skill should give pause. Scholars have also noted the dangers of Level II students missing signs of life-threatening conditions like autonomic dysreflexia due to poor interpreter utilization (Martinez & Leland, 2015). This makes a strong case for training students before Level II Fieldwork.…”

Section: Need For Trainingmentioning

confidence: 99%

“…Ikram, Essink-Bot, & Suurmond, 2015;Kalet et al, 2005;Lie et al, 2009). However, most trainings are designed for physicians, and trainings specific to rehabilitation professionals are not widely available (Martinez & Leland, 2015;Summers et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

An Online Training to Prepare Occupational Therapy Students to Work with Clients with Limited English Proficiency and Interpreters

Harrison

Mirza

2018

JOTE

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Effective communication between occupational therapists (OTs) and their clients is key to quality, clientcentered services. Most OTs can expect to work with clients with Limited English Proficiency (LEP). Language barriers may negatively impact client safety and client satisfaction. Working with language interpreters is a key means for OTs to best serve clients with LEP; however, few OT curricula provide adequate training in working with interpreters. This paper presents a new, innovative online training for preparing OT students to work with clients with LEP and interpreters. The brief online training used informational slides, video role plays and written case studies to prepare OT students to provide and advocate for quality services for clients with LEP. The training was evaluated by 26 second year MSOT students at a large, urban university. Student learning was assessed with a pre-test/post-test questionnaire. Pre-test results indicated that while most students (86%) reported working with LEP clients on fieldwork, few (less than 27%) felt well prepared to do so. A majority (60%) of students were unaware or unsure of how to access interpreter services at their fieldwork site. Post-test results indicate that the training significantly improved student knowledge, skills and attitudes for working with LEP clients and interpreters. The implications for OT education, including the importance and feasibility of training entry-level OT students to work with interpreters, are discussed. Opportunities for increased emphasis on cultural competence and language access education within future entry-level OTD curricula are highlighted.

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Language Discordance and Patient-Centered Care in Occupational Therapy

Cited by 10 publications

References 41 publications

Barriers and facilitators to implementing priority inpatient initiatives in the safety net setting

Barriers and facilitators to implementing priority inpatient initiatives in the safety net setting

Language Related Difficulties Experienced by Caregivers of English-Speaking Seniors in Quebec

An Online Training to Prepare Occupational Therapy Students to Work with Clients with Limited English Proficiency and Interpreters

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