BACKGROUND • According to the US Census in 2000, there are 47 million people who speak a language other than English at home. • Fifty percent indicate that they speak English less than“very well.” • These people are considered to have limited English proficiency which means they are not able to read, write, or comprehend English at a level that will allow them to interact adequately with health care providers. PURPOSE • The purpose of this project was to determine adequate use of hospital interpreters for families with little or no English, who had babies in Neonatal Intensive Care Unit ( NICU ) . PROBLEM ANALYSIS • A survey of nursing staff in Mission Children’s Hospital NICU indicated that some nurses believe that it is acceptable to use family members or an infant’s sibling to communicate with non-English speaking parents. • The survey revealed that most of the time an interpreter was called to communicate with non-English speaking parents. • There were nurses who indicated occasional or limited use of interpreters with non-English speaking families. SURVEY QUESTIONS • When asked if it is okay to use a family member or infant’s sibling for interpretation with non-English speaking parents,35 percent of NICU nurses responded“Yes” in the survey. • According to the survey,59 percent of the NICU nurses called for an interpreter to communicate with non- English speaking families either most of the time or always. STUDY • This was a mixed methods survey study with retrospective comparisons of non-English speaking parent perceptions before and after staff received data on the use of interpreters in the NICU. • Participants were non-English speaking parents reflecting on their infants entire hospital stay in the NICU when responding to survey questions. • A hospital interpreter was used to read the Consent to Participate in a Research Study to potential participants and obtain their verbal consent. • The survey was conducted with consenting non-English speaking parents after their baby has been hospitalized for a minimum of 3 days. • The hospital interpreter was utilized throughout the survey process. OUTCOME MEASURES When you received information about your baby, was a hospital interpreter present? How often do you feel that you were informed, using an interpreter, of changes in your baby’s condition? When information was shared with you in English about your baby, if you did not understand, did you ask for an interpreter? Nurses’ awareness of the perception of parents regarding the use of interpreters in the NICU correlated with changes in an increase in parents’ perceptions of the use of interpreters. FUTURE PLANS • Ongoing education of staff regarding cultural differences, health care needs, and nursing care of families with communication barriers. • Survey staff for assessment of change in staff views on interpreter use in the NICU. • Development of Nurse Standard for use with families with limited or non-English speaking proficiency. SPECIAL ACKNOWLEDGEMENTS LindaY. Smith, RN-NIC, MSN, IBCLC, Manager, NICU, Mission Children’s Hospital Lisbeth Hamilton,Translator and Supervisor, Interpreter Services, Mission Health Mission Health Interpreter Service Department REFERENCES Diamond, L., & Jacobs, E. ( 2010 ) .Let’s not contribute to disparities:The best methods for teaching clinicians how to overcome language barriers to health care. Journal of General Internal Medicine, 25, 189-193. Karliner L., Jacobs E., Chen A., & Mutha S. ( 2007 ) .Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Health Service Research Journal, 42 ( 2 ) , 727-754. QUESTIONS OR COMMENTS | [email protected] DOES THE USE OF PROFESSIONAL INTERPRETERS ENHANCE COMMUNICATION FOR NON-ENGLISH SPEAKING FAMILIES IN THE NEONATAL INTENSIVE CARE UNIT? Jennifer Burts BSN, RNC-NIC | Anne Ramirez MSN | Ralph Garcia, LCSW | Mary Ellen Wright, MSN,APRN, CPNP AFTER NURSING EDUCATION BEFORE NURSING EDUCATION Research_Poster_Translator_48x96_V2.indd 1 9/24/14 8:42 AM
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BACKGROUND
• AccordingtotheUSCensusin2000,thereare47millionpeoplewhospeakalanguageotherthanEnglishathome.
• FiftypercentindicatethattheyspeakEnglishlessthan“verywell.”• ThesepeopleareconsideredtohavelimitedEnglishproficiencywhichmeanstheyarenotabletoread,
write,orcomprehendEnglishatalevelthatwillallowthemtointeractadequatelywithhealthcareproviders.
PURPOse
• ThepurposeofthisprojectwastodetermineadequateuseofhospitalinterpretersforfamilieswithlittleornoEnglish,whohadbabiesinNeonatalIntensiveCareUnit(NICU).
PROBlem ANAlysis
• AsurveyofnursingstaffinMissionChildren’sHospitalNICUindicatedthatsomenursesbelievethatitisacceptabletousefamilymembersoraninfant’ssiblingtocommunicatewithnon-Englishspeakingparents.
• Thesurveyrevealedthatmostofthetimeaninterpreterwascalledtocommunicatewithnon-Englishspeakingparents.
• Therewerenurseswhoindicatedoccasionalorlimiteduseofinterpreterswithnon-Englishspeakingfamilies.
sURvey QUestiONs
• Whenaskedifitisokaytouseafamilymemberorinfant’ssiblingforinterpretationwithnon-Englishspeakingparents,35percentofNICUnursesresponded“Yes”inthesurvey.
• Accordingtothesurvey,59percentoftheNICUnursescalledforaninterpretertocommunicatewithnon- Englishspeakingfamilieseithermostofthetimeoralways.
stUDy
• Thiswasamixedmethodssurveystudywithretrospectivecomparisonsofnon-EnglishspeakingparentperceptionsbeforeandafterstaffreceiveddataontheuseofinterpretersintheNICU.
• Participantswerenon-EnglishspeakingparentsreflectingontheirinfantsentirehospitalstayintheNICUwhenrespondingtosurveyquestions.
• AhospitalinterpreterwasusedtoreadtheConsenttoParticipateinaResearchStudytopotentialparticipantsandobtaintheirverbalconsent.
• Thesurveywasconductedwithconsentingnon-Englishspeakingparentsaftertheirbabyhasbeenhospitalizedforaminimumof3days.
• Thehospitalinterpreterwasutilizedthroughoutthesurveyprocess.
OUtCOme meAsURes
When you received information about your baby, was a hospital interpreter present?
How often do you feel that you were informed, using an interpreter, of changes in your baby’s condition?
When information was shared with you in English about your baby, if you did not understand, did you ask for an interpreter?
Nurses’ awareness of the perception of parents regarding the use of interpreters in the NICU correlated with changes in an increase in parents’ perceptions of the use of interpreters.
FUtURe PlANs
• Ongoingeducationofstaffregardingculturaldifferences,healthcareneeds,andnursingcareoffamilieswithcommunicationbarriers.
• SurveystaffforassessmentofchangeinstaffviewsoninterpreteruseintheNICU.• DevelopmentofNurseStandardforusewithfamilieswithlimitedornon-Englishspeakingproficiency.
sPeCiAl ACKNOwleDGemeNts
LindaY.Smith,RN-NIC,MSN,IBCLC,Manager,NICU,MissionChildren’sHospital
LisbethHamilton,TranslatorandSupervisor,InterpreterServices,MissionHealth
MissionHealthInterpreterServiceDepartment
ReFeReNCes
Diamond,L.,&Jacobs,E.(2010).Let’snotcontributetodisparities:Thebestmethodsforteachingclinicianshowtoovercomelanguagebarrierstohealthcare.JournalofGeneralInternalMedicine,25,189-193.
KarlinerL.,JacobsE.,ChenA.,&MuthaS.(2007).DoprofessionalinterpretersimproveclinicalcareforpatientswithlimitedEnglishproficiency?Asystematicreviewoftheliterature.HealthServiceResearchJournal,42(2),727-754.
QUESTIONSORCOMMENTS|[email protected]
DoEs tHE UsE of ProfEssIoNal INtErPrEtErs ENHaNCE CommUNICatIoN for NoN-ENglIsH sPEakINg famIlIEs IN tHE NEoNatal INtENsIvE CarE UNIt?JenniferBurtsBSN,RNC-NIC|AnneRamirezMSN|RalphGarcia,LCSW|MaryEllenWright,MSN,APRN,CPNP
AFteR NURsiNG eDUCAtiONBeFORe NURsiNG eDUCAtiON
Research_Poster_Translator_48x96_V2.indd 1 9/24/14 8:42 AM
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