Pediatric Nurses’ Experiences in Caring for Non–English Speaking Patients and Families

2021 ◽  
pp. 104365962098660
Author(s):  
Jennifer M. Stephen
Keyword(s):  
Limited English Proficiency ◽  
Phenomenological Study ◽  
English Proficiency ◽  
Medical Center ◽  
Future Research ◽  
Inpatient Setting ◽  
Pediatric Nurses ◽  
Face To Face ◽  
Centered Care ◽  
Task Oriented

Introduction: Language barriers challenge patient- and family-centered care. Literature guiding pediatric nurses caring for patients and families with limited English proficiency in the inpatient setting is nonexistent. The purposes of this phenomenological study were to understand pediatric nurses’ experiences in caring for patients and families with limited English proficiency and to explore how nurses navigate the communication gap. Method: A purposive sample of 15 pediatric Registered Nurses at a large urban children’s medical center participated in face-to-face semistructured interviews. Verbatim transcribed interviews were analyzed line-by-line and categorized into themes. Results: Themes included personal framework of care, consequences of caring, starting off right, nurse sensing, verbal/nonverbal methods, and interpreters. Discussion: Nurses did not perceive differences in task-oriented care; they described compromised personal paradigms, held negative feelings, and utilized verbal/nonverbal communication methods. Future research is needed exploring patients’ and families’ perceptions regarding care by other language–speaking nurses.

scholarly journals Engaging Parents in Analgesia Selection and Racial/Ethnic Differences in Analgesia Given to Pediatric Patients Undergoing Urologic Surgery

Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 277
Author(s):  
Carl Lo ◽  
Patrick A. Ross ◽  
Sang Le ◽  
Eugene Kim ◽  
Matthew Keefer ◽  
...  
Keyword(s):  
Limited English Proficiency ◽  
English Proficiency ◽  
Care Delivery ◽  
Black Parents ◽  
Regional Block ◽  
Parental Preferences ◽  
Centered Care ◽  
Parent Decisions ◽  
Racial Ethnic ◽  
Family Centered

Background: Family-centered care aims to consider family preferences and values in care delivery. Our study examines parent decisions regarding anesthesia type (caudal regional block or local anesthesia) among a diverse sample of children undergoing urologic surgeries. Differences in anesthesia type were examined by known predictors of health disparities, including child race/ethnicity, parental English proficiency, and a proxy for household income. Methods: A retrospective review of 4739 patients (including 25.4% non-Latino/a White, 8.7% non- Latino/a Asians, 7.3% non-Latino/a Black, 23.1% Latino/a, and 35.4% others) undergoing urologic surgeries from 2016 to 2020 using univariate and logistic regression analyses. Results: 62.1% of Latino/a parents and 60.8% of non-Latino/a Black parents did not agree to a regional block. 65.1% of Spanish-speaking parents with limited English Proficiency did not agree to a regional block. Of parents from households below poverty lines, 61.7% did not agree to a caudal regional block. In regression analysis, Latino/a and non- Latino/a Black youth were less likely to receive caudal regional block than non- Latino/a White patients. Conclusions: We found disparities in the use of pediatric pain management techniques. Understanding mechanisms underlying Latino/a and non- Latino/a Black parental preferences may help providers reduce these disparities.

Pediatric nurses’ ethical difficulties in the bedside care of children

2017 ◽  
Vol 26 (2) ◽  
pp. 541-552 ◽  
Author(s):  
Kwisoon Choe ◽  
Yoonjung Kim ◽  
Yoonseo Yang
Keyword(s):  
Ethical Climate ◽  
Ethical Issues ◽  
Phenomenological Approach ◽  
Ethical Review ◽  
Pediatric Nurses ◽  
Nursing Time ◽  
Patient Centered ◽  
Centered Care ◽  
Negative Feelings ◽  
Task Oriented

Background: Pediatric nurses experience ethically difficult situations in their everyday work. Several studies have been conducted to reveal ethical issues among pediatric nurses; we do not think their ethical difficulties have been explored sufficiently from their own perspective. Objectives: This study aimed to explore the ethical difficulties faced by pediatric nurses during bedside care for hospitalized children. Methods: A phenomenological approach was used to collect and analyze interview data from 14 female pediatric nurses in South Korea. Ethical considerations: Ethical review was obtained from an ethics committee. The participants were informed about the aim of the study, and voluntary participation, anonymous response, and confidentiality were explained to them. Findings: Three themes emerged from the analysis: ethical numbness in a task-oriented context, negative feelings toward family caregivers, and difficulty in expressing oneself in an authoritative climate. Conclusion and implications: We need to develop strategies to manage ethical difficulties at an institutional level. Furthermore, it is important that pediatric nurses have the opportunity to communicate with fellow nurses and other medical staff regarding ethical difficulties. In addition, cultivation of pediatric nurses’ moral, ethical, and philosophical thinking patterns requires the immediate provision of continuous education in nursing ethics at the site of clinical nursing, time to discuss ethical difficulties, and other supportive measures. Findings indicated that, to provide high-quality patient-centered care, we should enhance nurses’ ethical sensitivity and autonomy and improve the ethical climate in hospitals.

scholarly journals Interpretative Phenomenological Analysis of the Experiences of Kapampangan Flagellants – Kristos

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Nestor Lambino Sibug ◽  
Philip Joseph David Sarmiento ◽  
Cristina Canlas Samia ◽  
Paolo Tayag Lumanlan ◽  
Benita Malonzo Bonus
Keyword(s):  
Lived Experiences ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Study ◽  
The Body ◽  
Future Research ◽  
Depth Psychological ◽  
Face To Face ◽  
Body Of Knowledge ◽  
Psychological Analysis ◽  
The Individual

In the province of Pampanga, Philippines, Holy Week is one of the highlighted seasons of the year. Seemingly, during this time, there are a number of flagellants (called ‘Kristos’) who want to be crucified as a form of penitence and supplication. However, after a thorough search of published literature, the researchers found a dearth in the body of knowledge focusing on the experiences of these flagellants. Therefore, this interpretative phenomenological study sought to unearth and interpret the lived experiences of Kapampangan Kristos. Five (5) Kristos voluntarily participated in the individual face-to-face interview using semi-structured questions. Findings revealed that there are three (3) superordinate themes namely: prosaic family life, spiritual drift, and looking back-moving forward reflection. Recommendation for future research undertakings to consider in-depth psychological analysis on the lived experiences of Kristos.

scholarly journals A Phenomenological Study on Students’ Experiences in Learning Physics in an Online Class

2021 ◽  
Vol 32 (4) ◽  
pp. 384-389
Author(s):  
Justine Mercado ◽  
Keyword(s):  
Online Learning ◽  
Time Management ◽  
Phenomenological Study ◽  
Virtual Classroom ◽  
The Philippines ◽  
Future Research ◽  
Tertiary Institutions ◽  
Teaching Online ◽  
Face To Face ◽  
Physics Classes

Online learning keeps on growing and being explored during this pandemic. Most of the tertiary institutions here in the Philippines have shifted from face-to-face to online instructions in all courses including physics subjects. The conduct of physics classes through virtual classrooms has its advantages and presents some challenges that is why it is important to understand the perspective and experiences of students. This study aimed to describe the experiences of students in learning physics in a virtual classroom, specifically their experiences in preparation, learning management, opportunities, and challenges they have encountered. There were four themes that emerged in this study: Technological Preparations, Self-Preparations, Challenges in Online Learning, and Leaning Management and Opportunities. It was realized in this study that students were prepared to take online classes both in terms of their technological and personal aspect. Despite their preparations they encountered challenges such as network issues, time constraints, and distractions in their learning environment at home. However, students were optimistic, so, they saw opportunities in these challenges to improve their technological skills, time management, and maximized online resources for better understanding of physics concepts. It is recommended for future research to explore the experiences of teachers in teaching online physics classes.

Serving Children With Limited English Proficiency in the Schools

1994 ◽  
Vol 25 (3) ◽  
pp. 156-164 ◽  
Author(s):  
Celeste A. Roseberry-McKibbin ◽  
Glenn E. Eicholtz
Keyword(s):  
Limited English Proficiency ◽  
English Proficiency

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

1994 ◽  
Vol 3 (3) ◽  
pp. 77-88 ◽  
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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