Su1006 THE EFFECT OF USING INTERPRETER SERVICES ON PROCEDURAL UNIT EFFICIENCY FOR PATIENTS WITH LIMITED ENGLISH PROFICIENCY

BACKGROUND: Achieving effective communication between medical providers and families with limited English proficiency (LEP) in the hospital is difficult. OBJECTIVE: Our objective was to identify barriers to and drivers of effective interpreter service use when caring for hospitalized LEP children from the perspectives of pediatric medical providers and interpreters. DESIGN/ PARTICIPANTS/ SETTING: We used Group Level Assessment (GLA), a structured qualitative participatory method that allows participants to directly produce and analyze data in an interactive group session. Participants from a single academic children’s hospital generated individual responses to prompts and identified themes and relevant action items. Themes were further consolidated by our research team and verified by stakeholder groups. RESULTS: Four GLA sessions were conducted including 64 participants: hospital medicine physicians and pediatric residents (56%), inpatient nursing staff (16%), and interpreter services staff (28%). Barriers identified included: (1) difficulties accessing interpreter services; (2) uncertainty in communication with LEP families; (3) unclear and inconsistent expectations and roles of team members; and (4) unmet family engagement expectations. Drivers of effective communication were: (1) utilizing a team-based approach between medical providers and interpreters; (2) understanding the role of cultural context in providing culturally effective care; (3) practicing empathy for patients and families; and (4) using effective family-centered communication strategies. CONCLUSIONS: Participants identified unique barriers and drivers that impact communication with LEP patients and their families during hospitalization. Future directions include exploring the perspective of LEP families and utilizing team-based and family-centered communication strategies to standardize and improve communication practices.

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Developing an Electronic Search Strategy Algorithm for Detecting Professional Interpreter Use among Patients with Limited English Proficiency: A Derivation and Validation Study

10.21203/rs.3.rs-126974/v1 ◽

2020 ◽

Author(s):

Jalal Soleimani ◽

Alberto Marquez ◽

Timothy Weister ◽

Amelia Barwise

Keyword(s):

Limited English Proficiency ◽

Chart Review ◽

Search Strategy ◽

English Proficiency ◽

High Sensitivity ◽

Interpreter Services ◽

Interpreter Use ◽

Specificity And Sensitivity ◽

Professional Interpreter ◽

Time Required

Abstract Background Evidence exists that disparities occur for patients with Limited English Proficiency (LEP) that impact the quality of medical services, outcomes, and patient satisfaction. Using interpreter services can reduce these negative impacts; therefore optimizing our understanding of interpreter use during patient care is important. Manual chart review is time-consuming. The objective of this study was to develop and validate a search strategy algorithm to detect patients who used professional interpreter services during their hospitalization. Methods We identified all adults who were admitted to the hospital who had at least one Intensive Care Units (ICU) admission during the hospital stay across the Mayo Clinic Enterprise between January 1, 2015, and June 30, 2020. Three random subsets of 100 patients were extracted from 60,268 patients admitted to an ICU to develop the search strategy algorithm. A physician reviewer conducted the gold standard manual chart review and these results were compared with the search strategy algorithm each time it was refined. Iterative modification of the search strategy was performed and sensitivity and specificity were calculated by comparing the results to the reference standard for both derivation cohorts and the final validation cohort. Any uncertainties were resolved by a second physician researcher. Results The first search strategy resulted in a specificity of 95.7% and a sensitivity of 93.5%. The second revised search strategy achieved a specificity of 96.7% and a sensitivity of 92.3%. The final version of the search strategy was applied to the validation subset and specificity and sensitivity were 92.6% and 100% respectively. Conclusion We successfully derived and validated a search strategy algorithm to assess interpreter use among hospitalized patients. Developing a search strategy algorithm with a high sensitivity can reduce the time required to abstract data from the medical record compared to manual chart review. This can be used to examine and understand patient needs for research and quality improvement initiatives.

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Serving Children With Limited English Proficiency in the Schools

Language Speech and Hearing Services in Schools ◽

10.1044/0161-1461.2503.156 ◽

1994 ◽

Vol 25 (3) ◽

pp. 156-164 ◽

Cited By ~ 29

Author(s):

Celeste A. Roseberry-McKibbin ◽

Glenn E. Eicholtz

Keyword(s):

Limited English Proficiency ◽

English Proficiency

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Assessment and Intervention for Children With Limited English Proficiency and Language Disorders

American Journal of Speech-Language Pathology ◽

10.1044/1058-0360.0303.77 ◽

1994 ◽

Vol 3 (3) ◽

pp. 77-88 ◽

Cited By ~ 25

Author(s):

Celeste Roseberry-McKibbin

Keyword(s):

Public Schools ◽

Limited English Proficiency ◽

English Proficiency ◽

Language Disorders ◽

Speech Language Pathologists ◽

Academic Difficulties ◽

Language Differences ◽

Language Impaired ◽

Number Of Children ◽

Assessment And Treatment

The number of children with limited English proficiency (LEP) in U.S. public schools is growing dramatically. Speech-language pathologists increasingly receive referrals from classroom teachers for children with limited English proficiency who are struggling in school. The speech-language pathologists are frequently asked to determine if the children have language disorders that may be causing or contributing to their academic difficulties. Most speech-language pathologists are monolingual English speakers who have had little or no coursework or training related to the needs of LEP children. This article discusses practical, clinically applicable ideas for assessment and treatment of LEP children who are language impaired, and gives suggestions for distinguishing language differences from language disorders in children with limited English proficiency.

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