Facilitating Engagement on Family-Centered Rounds for Families With Limited Comfort With English.

Autor:	Velez T; aColumbia University Vagelos College of Physicians and Surgeons, New York, New York.; bDepartment of Pediatrics, Children's National Medical Center, Washington, District of Columbia., Gati S; cDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York.; dDivision of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Batista CA; aColumbia University Vagelos College of Physicians and Surgeons, New York, New York.; eDepartment of Pediatrics, Mount Sinai Kravis Children's Hospital, New York, New York., Nino de Rivera J; aColumbia University Vagelos College of Physicians and Surgeons, New York, New York., Banker SL; aColumbia University Vagelos College of Physicians and Surgeons, New York, New York.; cDepartment of Pediatrics, Columbia University Irving Medical Center, New York, New York.
Jazyk:	angličtina
Zdroj:	Hospital pediatrics [Hosp Pediatr] 2022 May 01; Vol. 12 (5), pp. 439-447.
DOI:	10.1542/hpeds.2021-006403
Abstrakt:	Objective: Conducting family-centered rounds (FCR) for families with limited comfort with English (LCE) presents communication challenges. The objective of this study was to characterize the preferences of Spanish-speaking parents with LCE around interpretation and communication with the medical team during FCR to promote family engagement during rounds. Methods: This qualitative study was conducted at a tertiary care children's hospital in New York, New York. Eighteen Spanish-speaking parents of patients admitted to the hospital medicine service participated. Bilingual investigators conducted semistructured interviews over a secure virtual platform. Interview transcriptions were coded and analyzed by using a grounded theory approach and constant comparative method. Parents were recruited until thematic saturation was achieved. Results: Most participants were mothers (72%) from the Dominican Republic (61%). Responses from participants yielded a conceptual model depicting parents' perspectives on family engagement and bidirectional communication during FCR. Three major themes emerged: (1) importance of interpreter use, (2) understanding of medical information, and (3) participation in FCR. Within each theme, factors that facilitate or impede engagement in FCR were identified. Interpreters facilitated information sharing and parent understanding of medical care, increasing parent appreciation of FCR. Lack of language-concordant care and parents' perceived responsibility for the language barrier limited engagement. Conclusions: Families with LCE value involvement during FCR, but face difficulties due to language barriers. Providers can support these families by empowering families' participation and by consistently using an interpreter. Understanding the preferences of families with LCE for participation in FCR will help providers deliver more equitable family-centered care. (Copyright © 2022 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu