scholarly journals “They’re not willing to accommodate Deaf patients”: Communication experiences of deaf American Sign Language users in the emergency department

2021 ◽  
Author(s):  
Tyler Glenn James ◽  
Kyle A. Coady ◽  
Jeanne-Marie R. Stacciniari ◽  
Michael McKee ◽  
David G Phillips ◽  
...  

Deaf people who use American Sign Language (ASL) are more likely to use the emergency department (ED) than their hearing English-speaking counterparts, and are also at higher risk of receiving inaccessible communication. The purpose of this study is to explore the ED communication experience of Deaf patients. A descriptive qualitative study was performed by interviewing 11 Deaf people who had used the ED in the past two years. Applying a descriptive thematic analysis, we developed five themes: (1) requesting communication access can be stressful, frustrating, and time-consuming; (2) perspectives and experiences with Video Remote Interpreting (VRI); (3) expectations, benefits, and drawbacks of using on-site ASL interpreters; (4) written and oral communication provides insufficient information to Deaf patients; and, (5) ED staff and providers lack cultural sensitivity and awareness towards Deaf patients. Findings are discussed with respect to medical and interpreting ethics to improve ED communication for Deaf patients.

2021 ◽  
pp. 104973232110462
Author(s):  
Tyler G. James ◽  
Kyle A. Coady ◽  
Jeanne-Marie R. Stacciarini ◽  
Michael M. McKee ◽  
David G. Phillips ◽  
...  

Deaf people who use American Sign Language (ASL) are more likely to use the emergency department (ED) than their hearing English-speaking counterparts and are also at higher risk of receiving inaccessible communication. The purpose of this study is to explore the ED communication experience of Deaf patients. A descriptive qualitative study was performed by interviewing 11 Deaf people who had used the ED in the past 2 years. Applying a descriptive thematic analysis, we developed five themes: (1) requesting communication access can be stressful, frustrating, and time-consuming; (2) perspectives and experiences with Video Remote Interpreting (VRI); (3) expectations, benefits, and drawbacks of using on-site ASL interpreters; (4) written and oral communication provides insufficient information to Deaf patients; and (5) ED staff and providers lack cultural sensitivity and awareness towards Deaf patients. Findings are discussed with respect to medical and interpreting ethics to improve ED communication for Deaf patients.


The growth of technology has influenced development in various fields. Technology has helped people achieve their dreams over the past years. One such field that technology involves is aiding the hearing and speech impaired people. The obstruction between common individuals and individuals with hearing and language incapacities can be resolved by using the current technology to develop an environment such that the aforementioned easily communicate among one and other. ASL Interpreter aims to facilitate communication among the hearing and speech impaired individuals. This project mainly focuses on the development of software that can convert American Sign Language to Communicative English Language and vice-versa. This is accomplished via Image-Processing. The latter is a system that does a few activities on a picture, to acquire an improved picture or to extricate some valuable data from it. Image processing in this project is done by using MATLAB, software by MathWorks. The latter is programmed in a way that it captures the live image of the hand gesture. The captured gestures are put under the spotlight by being distinctively colored in contrast with the black background. The contrasted hand gesture will be delivered in the database as a binary equivalent of the location of each pixel and the interpreter would now link the binary value to its equivalent translation delivered in the database. This database shall be integrated into the mainframe image processing interface. The Image Processing toolbox, which is an inbuilt toolkit provided by MATLAB is used in the development of the software and Histogramic equivalents of the images are brought to the database and the extracted image will be converted to a histogram using the ‘imhist()’ function and would be compared with the same. The concluding phase of the project i.e. translation of speech to sign language is designed by matching the letter equivalent to the hand gesture in the database and displaying the result as images. The software will use a webcam to capture the hand gesture made by the user. This venture plans to facilitate the way toward learning gesture-based communication and supports hearing-impaired people to converse without trouble.


2015 ◽  
Vol 8 (4) ◽  
pp. 573-578 ◽  
Author(s):  
Michael M. McKee ◽  
Paul C. Winters ◽  
Ananda Sen ◽  
Philip Zazove ◽  
Kevin Fiscella

2018 ◽  
Vol 21 (5) ◽  
pp. 912-916 ◽  
Author(s):  
Poorna Kushalnagar ◽  
Christopher J Moreland ◽  
Abbi Simons ◽  
Tara Holcomb

AbstractObjectiveFood security is defined as being able to access enough food that will help maintain an active, healthy lifestyle for those living in a household. While there are no studies on food security issues among deaf people, research shows that communication barriers early in life are linked to poor physical and mental health outcomes. Childhood communication barriers may also risk later food insecurity.Design/Setting/SubjectsA single food security screener question found to have 82 % sensitivity in classifying families who are at risk for food insecurity was taken from the six-item US Household Food Security Survey Module. Questions related to food insecurity screener, depression diagnosis and retrospective communication experience were translated to American Sign Language and then included in an online survey. Over 600 deaf adult signers (18–95 years old) were recruited across the USA.ResultsAfter adjusting for covariates, deaf adults who reported being able to understand little to none of what their caregiver said during their formative years were about five times more likely to often experience difficulty with making food last or finding money to buy more food, and were about three times more likely to sometimes experience this difficulty, compared with deaf adults who reported to being able to understand some to all of what their caregiver said.ConclusionsOur results have highlighted a marked risk for food insecurity and related outcomes among deaf people. This should raise serious concern among individuals who have the potential to effect change in deaf children’s access to communication.


2021 ◽  
Vol 14 (1) ◽  
pp. 97-110
Author(s):  
Debbie Golos ◽  
Annie Moses ◽  
Elaine Gale ◽  
Michele Berke

Societal views of Deaf people typically stem from a medical or deficit perspective, which then informs educational practices. In contrast, educational settings that embrace a cultural perspective provide visual language and strategies that can benefit all students. This article will address three common myths about American Sign Language (ASL) and Deaf people and share research-supported pedagogical practices and recommendations on how to be an ally on behalf of Deaf people.


2018 ◽  
Vol 38 (4) ◽  
Author(s):  
Octavian Robinson ◽  
Jonathan Henner

Discussions on disability justice within the university have centered disabled students but leaves us with questions about disability justice for the disabled scholar and disabled communities affiliated with universities through the lens of signed language instruction and deaf people. Universities use American Sign Language (ASL) programs to exploit the labors of deaf people without providing a return to disabled communities or disabled academics. ASL courses offers valuable avenues for cripping the university. Through the framework of cripping, we argue universities that offer ASL classes and profit from them have an obligation to ensure that disabled students and disabled academics are able to navigate and succeed in their systems. Disabled students, communities, and academics should capitalize upon the popularity of ASL to expand accessibility and the place of disability in higher education.


2018 ◽  
Vol 38 (1) ◽  
Author(s):  
Michele Friedner

This article ethnographically explores how American Sign Language-English interpreting students negotiate and foreground different kinds of relationships to claim legitimacy in relation to deaf people and the deaf community. As the field of interpreting is undergoing shifts from community interpreting to professionalization, interpreting students endeavor to legitimize their involvement in the field. Students create distinction between themselves and other students through relational work that involves positive and negative interpretation of kinship terms. In analyzing interpreting students' gate-keeping practices, this article explores the categories and definitions used by interpreting students and argues that there is category trouble that occurs. Identity and kinship categories are not nuanced or critically interrogated, resulting in deaf people and interpreters being represented in static ways.


JCSCORE ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 68-99
Author(s):  
Rezenet Tsegay Moges

This paper re-visits Bauman and Murray’s (2014) “Deaf Gain,” using the perspectives of Black Deaf history.  Due to the enforcement of the Oral policy in U.S. educational system during 1890s through 1960s, the language transmission of American Sign Language (ASL) for many generations of White Deaf people were fractured (Gannon, 1981).  During the segregation, approximately 81.25% of the Black Deaf schools maintained their signed education, which ironically provided better education than the White-only schools.  Consequently, the language variation of Black Deaf people in the South, called as “Black ASL” (McCaskill et al., 2011), flourished due to the historical adversity of White Deaf experience.  Thus, the sustainability of Black ASL empowered this ethnic group of American Deaf community, which I am re-framing to what I call “Black Deaf Gain” and presenting a different objective of the ontology of Black Deaf experience.


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