Speaking my patient's language: bilingual nurses' perspective about provision of language concordant care to patients with limited English proficiency

Speaking my patient's language: bilingual nurses' perspective about provision of language concordant care to patients with limited English proficiency
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DOI:
10.1111/jan.13143
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发表时间:
2017-02-01
影响因子:
3.8
通讯作者:
Johnson, Stacy
Johnson, Stacy
中科院分区:
医学3区
文献类型:
--
作者:
Ali, Parveen Azam;Johnson, Stacy

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目的探讨双语护士对英语水平有限的病人提供语言协调护理的看法及其对病人和护士的影响。影响提供语言一致的照顾病人LEP的因素也explored.BackgroundWith增加移民和流动性的人在世界各地,遇到语言障碍,同时提供和接受护理的可能性很高。护士有责任为病人提供护理,无论他们的文化,宗教,种族背景或语言如何。然而,语言障碍是阻碍护士和病人之间有效沟通的障碍。消除语言障碍是提供具有文化能力和以患者为中心的护理的关键一步。设计定性描述性研究。方法2015年1月至8月期间,在英国急症医院工作的59名护士参加了26次个人深入采访和三次焦点小组讨论。数据进行了分析,使用thematic analysis.FindingsFour主题:当我们说同样的语言';当我说我的病人的语言';什么有利于提供语言和谐的照顾'和什么阻碍了提供语言和谐的照顾'被确定。影响护士提供语言协调服务能力的因素包括个人因素(自信;多年的护士经验;多年的工作经验;与同事的关系),患者的期望,其他患者,同事和护士管理者的态度,结论双语护士在为患者提供语言和谐方面发挥了重要作用关于LEP需要进一步的研究来探索患者的观点。
AimThe aim of this study was to explore bilingual nurses' perspective about providing language concordant care to patients with limited English proficiency (LEP) and its impact on patients and nurses. Factors affecting the provision of language concordant care to patients LEP were also explored.BackgroundWith an increase in migration and mobility of people across the world, the likelihood of experiencing language barriers while providing and receiving care is high. Nurses are responsible for providing care to patients regardless of their culture, religion, ethnic background or language. Language barriers, however, are hurdles that hamper development of effective communication between nurses and patients. Eliminating language barriers is a crucial step in providing culturally competent and patient-centred care.DesignQualitative descriptive study.MethodsDuring January-August 2015, 59 nurses, working in acute hospitals in the UK, participated in 26 individual in-depth interviews and three focus group discussions. The data were analysed using thematic analysis.FindingsFour themes: when we speak the same language'; when I speak my patient's language'; what facilitates provision of language concordant care' and what hinders the provision of language concordant care' were identified. Factors affecting nurses' ability to provide language concordant care included individual factors (confidence; years of experience as a nurse; years of experience in the work setting; and relationship with colleagues), patients' expectation, attitudes of other patients, colleagues and nurse managers, organizational culture and organizational policies.ConclusionBilingual nurses can play a very important role in the provision of language concordant for patients with LEP. Further research is needed to explore patient perspective.