Survey of US Veterinary Students on Communicating with Limited English Proficient Spanish-Speaking Pet Owners

2015 ◽  
Vol 42 (4) ◽  
pp. 324-331 ◽  
Author(s):  
Ruth E. Landau ◽  
Alan Beck ◽  
Larry T. Glickman ◽  
Annette Litster ◽  
Nicole J. Olynk Widmar ◽  
...  
2021 ◽  
Author(s):  
Lily Payvandi ◽  
Chase Parsons ◽  
Fabienne C. Bourgeois ◽  
Jonathan Hron

BACKGROUND Limited English proficient (LEP) patients are at higher risk of poor health outcomes and are less likely to utilize telehealth compared to English speaking patients. There is no formal evaluation of inpatient telehealth user experience by language preference to date. OBJECTIVE To compare the experience of Spanish and English-speaking patients and families using our inpatient telehealth program (ITP). To evaluate the experience of Spanish interpreters using ITP. METHODS We prospectively administered a survey to English and Spanish speaking patients and families who used our ITP from October 1, 2020 to March 31, 2021. We performed semi-structured interviews of hospital based Spanish interpreters by phone who participated in ITP. RESULTS High satisfaction was reported by both English and Spanish speakers (SD 0.47-1.7, IQR 0-2). Both English and Spanish speaking patients participated in ITP with their primary inpatient care team, subspecialty consultants and other clinicians. Hospital tablets were used more often than personal devices, and only English speaking patients utilized a personal laptop. Patients and families encountered challenges with log-in, team coordination with multiple users and equipment availability. Interpreters encountered challenges with audio and visual quality, communication, safety, and Wi-fi access. CONCLUSIONS There is high satisfaction amongst both English and Spanish speaking patients using our ITP. Use cases are multi-disciplinary and suggest lasting applicability post-pandemic, however significant investment is needed to provide robust infrastructure to support utilization by all patients, but especially integration of interpreter services for LEP patients. CLINICALTRIAL N/A


2012 ◽  
Vol 27 (1) ◽  
pp. 98-102 ◽  
Author(s):  
Leslie Ahlborn ◽  
Jeffrey Michael Franc ◽  
D Sport Med

AbstractBackground: The state of Oklahoma, known for destructive tornados, has a native Spanish-speaking (NSS) population of approximately 180,241, of which 50% report being able to speak English “very well” (US Census Bureau). With almost 50% of these native Spanish-speaking persons being limited English proficient (LEP), their reception of tornado hazard communications may be restricted. This study conducted in northeast Oklahoma (USA) evaluates the association between native language and receiving tornado hazard communications.Methods: This study was a cross-sectional survey conducted among a convenience sample of NSS and native English-speaking (NES) adults at Xavier Clinic and St. Francis Trauma Emergency Center in Tulsa, OK, USA from September 2009 through December 2009. Of the 82 surveys administered, 80 were returned, with 40 NES and 40 NSS participants. A scoring system (Severe Weather Information Reception (SWIR)) was developed to quantify reception of hazard information among the study participants (1–3 points = poor reception, 4–5 = adequate reception, 6–8 = excellent reception). Pearson’s chi-squared test was used to calculate differences between groups with Yates’ continuity correction applied where appropriate, and SWIR scores were analyzed using ANOVA. P-values <.05 were considered significant.Results: NSS fluency in English was 25.6%. No significant association was found between native language and those who watch television, listen to radio, have a National Oceanic and Atmospheric Administration (NOAA) All Hazards radio or telephone, or are in audible range of a tornado siren. NSS were less likely to have Internet access (P < .004), and less likely to know of local telephone warning programs (P < .03). The mean NSS SWIR score was 3.2 (95% CI, 2.8-3.7) while LEP NSS averaged 2.8 (95% CI, 2.4-3.2). The mean NES SWIR score was 4.5 (95% CI, 4.1-5.0).Conclusion: Results demonstrate a disparity in tornado warning reception between NSS and NES. Poor English proficiency was noted to be 75% among NSS, which is approximately 25% more than estimated by the US Census Bureau. This study demonstrates a need for emergency managers to recognize when appropriate and overcome communication disparities among limited English proficient populations.


2016 ◽  
Vol 54 ◽  
pp. 75-83 ◽  
Author(s):  
Maichou Lor ◽  
Phia Xiong ◽  
Rebecca J. Schwei ◽  
Barbara J. Bowers ◽  
Elizabeth A. Jacobs

2021 ◽  
Vol 8 ◽  
Author(s):  
Christy L. Hoffman ◽  
Terry G. Spencer ◽  
Kathleen V. Makolinski

Strong bonds commonly form between companion animals and people of all socio-demographic backgrounds, yet many pet owners face numerous barriers to accessing veterinary care for their companion animals. For example, they may have difficulties paying for care; they may lack veterinary practices in their community; and they may experience language barriers that impede their ability to utilize veterinary services. Various strategies exist that can help veterinarians address the diverse needs of pet owners in their communities, but these techniques are not commonly covered in the veterinary school curriculum. This study explored how including in-depth, purposefully curated information about access to veterinary care issues within a required shelter medicine rotation impacted fourth-year veterinary students' knowledge, skills, and attitudes regarding the problems clients commonly face when seeking access to veterinary care. Students participated either in a control group of a virtual, four-week rotation delivered via Zoom meetings and self-study, or in an experimental group that additionally completed an interactive online learning module. The online module heavily featured issues surrounding access to veterinary care. Irrespective of which version of the rotation students enrolled, their opinions grew more favorable from pretest to post-test regarding the role of not-for-profit veterinary clinics in communities, as did their expectations that veterinarians should provide affordable treatment options. Additionally, students in the experimental group demonstrated from pretest to post-test increased awareness of the potential for implicit bias toward pet owners within veterinary practice and showed a reduction in their tendency to be judgmental of veterinary clients. By the end of the study, students in the experimental group also expressed greater confidence in their ability to offer incremental care treatment options to veterinary clients. These findings suggest that providing content that focuses on increasing access to veterinary care enhances students' awareness of the need to offer a variety of treatment and payment options to clients. Findings from this study can inform curriculum design in veterinary schools and continuing education programs for veterinary professionals.


2016 ◽  
Vol 248 (6) ◽  
pp. 690-699 ◽  
Author(s):  
Ruth E. Landau ◽  
Alan Beck ◽  
Larry T. Glickman ◽  
Annette Litster ◽  
Nicole J. Olynk Widmar ◽  
...  

2018 ◽  
Vol 68 (4) ◽  
pp. 557
Author(s):  
E. MALISSIOVA ◽  
M. CHASIOTI ◽  
T. PAPADOPOULOS ◽  
D. KOMODROMOS ◽  
C. HADJICHRISTODOULOU ◽  
...  

During last decades CoNS and especially the methicillin-resistant (MRCoNS) ones have become important pathogens and their infections are usually associated with healthcare settings. CoNS are considered as source of antimicrobial resistance traits for other bacteria and thus the evaluation of their prevalence in the community contributes significantly to the risk assessment in relation to public health. The aim of the present study was the investigationof the nasal carriage and antimicrobial susceptibly of CoNS among healthy veterinary students. From 81 healthy students of the School of Veterinary Medicine, Aristotle University of Thessaloniki, Greece, 24 strains were isolated from 22 (27.16%) students. Of them 54% were identified as Staphylococcus haemolyticus, 45.8% as Staphylococcus warneri, 16.6% as Staphylococcus epidermidis, 4.2% as Staphylococcus pasteuri and 4.2% as Staphylococcus capitis. All isolates were resistant to penicillin, 33.3% were resistant to amoxicillin/clavulanic acid, 29.2% to erythromycin, 4.2% to oxacillin, 4.2% to gentamycin and 4.2% to trimethoprim/sulfamethoxazole. The resistant to oxacillin isolate belonged to the S. epidermidis species and proved to carry the mecA gene. This study showed that the rate of nasal carriage of CoNS among veterinary students in Greece was low. The analysis of the standardised questionnaire, that was completed for each participating student during sampling, showed that pet owners tested positive for the coagulase-negative staphylococci were at a significantly lower rate (p-value=0.007) compared to non-pet owners. Moreover, among the participants who had visited a hospital over the last six months, the percentage of positive results in coagulase-negative staphylococci was significantly lower compared to that of the other participants (p-value=0.048). Although only one student found to carry methicillin-resistant S. epidermidis, its presence is evidence that this pathogen may circulate among veterinarians and the personnel of veterinary health establishments. Surveillance programs should also be performed in veterinary units because the emergence resistant bacteria in this environment may represent a risk to public health.


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