Communication Training for Pediatric Hospitalists and its Impact on Clinical Practice with Families Using Languages Other than English.

Autor: Rajbhandari P; Division of Hospital Medicine (P Rajbhandari), Department of Pediatrics, Akron Children's Hospital, Akron, Ohio. Electronic address: PRajbhandari@akronchildrens.org., Glick AF; Division of Hospital Medicine (A Glick), Department of Pediatrics, NYU Grossman School of Medicine, New York, NY., Brown MF; Rebecca D Considine Research Institute (MF Brown), Akron Children's Hospital, Akron, Ohio., VanGeest J; College of Public Health (J VanGeest), Kent State University, Kent, Ohio.
Jazyk: angličtina
Zdroj: Academic pediatrics [Acad Pediatr] 2024 Sep-Oct; Vol. 24 (7), pp. 1086-1091. Date of Electronic Publication: 2023 Dec 16.
DOI: 10.1016/j.acap.2023.12.003
Abstrakt: Objective: Providing equitable health care for children of families speaking Language Other than English (LOE) relies on linguistic services, including interpretation and translation. Inadequate education on effectively utilizing linguistic services can lead to a knowledge gap and subsequent challenges in leveraging these services. This study aims to evaluate the educational training provided to pediatric hospitalists and its association with clinical practice.
Methods: A multicenter cross-sectional survey of pediatric hospitalists was conducted through the Pediatric Research in Inpatient Setting (PRIS) network, a hospital-based independent research network. The survey was distributed to PRIS site leads with one response per institution. Associations between educational training received on proper communication with families speaking LOE and practice behaviors were analyzed using chi-square or Fisher's exact tests.
Results: We received responses from 72 out of 112 PRIS hospital site-leads. Among the respondents, 56% did not receive training on communication during their Graduate Medical Education years (residency or fellowship); 47% did not receive training at their current workplace. Only 6% of those receiving workplace training reported annual updates or refresher courses. Furthermore, 26% of respondents rated the training as "good," while 35% considered it "fair." Respondents who received training during Graduate Medical Education years and at their workplace reported that they asserted/advocated more on behalf of patients speaking LOE than those who did not (P < .01).
Conclusion: Pediatric hospitalists lack adequate training to communicate effectively with families speaking LOE. Increased training is associated with increased advocacy. Further work should explore increasing communication training and its effect on patient outcomes.
Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Prabi Rajbhandari reports financial support was provided by Akron Children’s Foundation Grant. Prabi Rajbhandari reports a relationship with Akron Children’s Foundation Grant that includes funding grants.
(Copyright © 2024 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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