Improving Patient-Provider Communication: Evolution of a Tool to Assess Physical Therapist Students’ Spanish-Language Proficiency

2018 ◽  
Vol 34 (12) ◽  
pp. 1433-1440
Author(s):  
Celia Pechak ◽  
Loretta Dillon ◽  
Emre Umucu
2019 ◽  
Vol 4 (5) ◽  
pp. 1017-1027 ◽  
Author(s):  
Richard R. Hurtig ◽  
Rebecca M. Alper ◽  
Karen N. T. Bryant ◽  
Krista R. Davidson ◽  
Chelsea Bilskemper

Purpose Many hospitalized patients experience barriers to effective patient–provider communication that can negatively impact their care. These barriers include difficulty physically accessing the nurse call system, communicating about pain and other needs, or both. For many patients, these barriers are a result of their admitting condition and not of an underlying chronic disability. Speech-language pathologists have begun to address patients' short-term communication needs with an array of augmentative and alternative communication (AAC) strategies. Method This study used a between-groups experimental design to evaluate the impact of providing patients with AAC systems so that they could summon help and communicate with their nurses. The study examined patients' and nurses' perceptions of the patients' ability to summon help and effectively communicate with caregivers. Results Patients who could summon their nurses and effectively communicate—with or without AAC—had significantly more favorable perceptions than those who could not. Conclusions This study suggests that AAC can be successfully used in acute care settings to help patients overcome access and communication barriers. Working with other members of the health care team is essential to building a “culture of communication” in acute care settings. Supplemental Material https://doi.org/10.23641/asha.9990962


2013 ◽  
Vol 22 (2) ◽  
pp. 112-119 ◽  
Author(s):  
Debora Downey ◽  
Mary Beth Happ

Abstract Hospitalized patients across the age continuum often present with complex communication needs (CCN) due to motor, sensory, cognitive, and linguistic barriers they may experience during their admission. Although hospitals recognize the need to enhance communication to improve quality and safety for all patients, the emphasis has been primarily on improving ”care coordination” amongst the health care providers the patient encounters across all points of admission. Most hospitals have yet to focus on improving the patient-provider communication experience, especially for patients with CCN. However, this population no longer can be ignored, as new standards mandate efforts to improve communication for patients with CCN. Nurses, as the team members responsible for continuous care during hospital stays, and speech-language pathologists, as communication disorders specialists, are positioned distinctively to facilitate patient communication and prevent miscommunications between patients and care providers. This article highlights the need to enhance the patient-provider communication experience for patients with CCN. We review the state of nurse training for patients with CCN, discuss the role speech-language pathologists can play in developing and implementing nurse training protocols, and outline basic elements nurse training modules should include.


2011 ◽  
Vol 8 (1) ◽  
Author(s):  
Wen-ying Sylvia Chou ◽  
Paul Han ◽  
Alison Pilsner ◽  
Kisha Coa ◽  
Larrie Greenberg ◽  
...  

2021 ◽  
pp. 153819272110050
Author(s):  
Fernando Estrada ◽  
Brianna Angèle ◽  
Fannie Martinez

In the current study, an initiative that focuses on bilingual proficiency among masters-level counseling students provided the opportunity to qualitatively answer the question: For Latina/o bilingual graduate students who are training to be licensed counselors, what is the meaning behind pursuing and obtaining recognition of their Spanish language proficiency? The thematic findings from ten interviews illuminate topics related to bilingualism in post-baccalaureate education with respect to programing and scholarship.


Languages ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 8
Author(s):  
Daniel Vergara ◽  
Gilda Socarrás

Processing research on Spanish gender agreement has focused on L2 learners’ and—to a lesser extent—heritage speakers’ sensitivity to gender agreement violations. This research has been mostly carried out in the written modality, which places heritage speakers at a disadvantage as they are more frequently exposed to Spanish auditorily. This study contributes to the understanding of the differences between heritage and L2 grammars by examining the processing of gender agreement in the auditory modality and its impact on comprehension. Twenty Spanish heritage speakers and 20 intermediate L2 learners listened to stimuli containing two nouns with gender mismatches in the main clause, and an adjective in the relative clause that only agreed in gender with one of the nouns. We measured noun-adjective agreement accuracy through participants’ responses to an auditory task. Our results show that heritage speakers are more accurate than L2 learners in the auditory processing of gender agreement information for comprehension. Additionally, heritage speakers’ accuracy is modulated by their Spanish language proficiency and age of onset. Participants also exhibit higher accuracies in cases in which the adjective agrees with the first noun. We argue that this is an ambiguity resolution strategy influenced by the experimental task.


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