No hablo Ingles: Emergency department lived experiences of Spanish-speaking patients
View File(s)
- Author(s)
- Details
-
Arleen Steckel, PhD, RN, CPNP; Danielle Bellucci, BSN, RN, CEN; Julie Mount, MS, RN, FNP-BC, CEN, CPEN, julie.mount@stonybrookmedicine.edu; Dawn Hueber, RN; Eileen M. Dowdy, RN; Erin Zazzera, MPH, RN, CEN; Mary Feiler, BSN, RN, CPEN; Susan Masciello, BSN, RN
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Steckel, Arleen N. by View
Title | Page Views |
---|
Popular Works for Steckel, Arleen N. by Download
Title | Downloads |
---|
View Citations
Citations
Purpose: Few studies have specifically targeted the experience of Spanish-speaking patients in the Emergency Department. Studies have shown that patient populations are growing more diverse. This presents challenges to the Emergency Department staff working in a fast-paced chaotic environment where vital information must be communicated accurately to best assess and treat patients presenting for care. Communicating with a patient who only speaks Spanish creates an obstacle for health care professionals trying to provide appropriate and timely care. The aim of this study was to obtain information to guide change in Emergency Department practice and promote more effective communication and respectful care for Spanish-speaking patients who come to the Emergency Department.
Design: A qualitative design using a phenomenological approach was used to explore the lived experience of Spanish-speaking only adult patients treated in the Emergency Department.
Setting: A 571-bed teaching hospital with a Level One Trauma Center in the northeastern United States.
Participants/Subjects: A purposive sample of 22 patients identified by registration staff was obtained with 13 interviews completed. Spanish-speaking only patients greater or equal to 18 years of age treated in the Emergency Department were consented. The following patients were excluded from this study: those less than 18 years of age, medically unstable, chemically impaired, recent history of domestic/sexual abuse, major psychiatric illness or severely hearing impaired. Approval for the research proposal was obtained from the Institutional Review Board and Committee on Research Involving Human Subjects (CORIHS).
Method: A demographic form was completed by the patient after consent was obtained. Face-to-face interviews were conducted within 24 hours for patients admitted to the hospital from the Emergency Department. Patients discharged directly from the Emergency Department were interviewed via telephone within 24 hours after discharge. All interviews were conducted by an Emergency Department research nurse who spoke Spanish or used a hospital-approved real-time language-assistance-device. Interviews were audiotaped and transcribed verbatim by a professional bilingual transcriptionist. Thematic analysis of data to identify common themes was completed using Colaizzi’s phenomenological method.
Results: Three overarching themes emerged during the preliminary thematic analysis: wait times, communication, and patient satisfaction. Patients stated that waiting for an interpreter or assistance-device prolonged their Emergency Department visit. Patients frequently addressed the difficulty communicating with a language discordant staff and language-assistance-devices. They also preferred a Spanish-speaking health care provider during their emergency department visit. Overall, patients stated they were satisfied with the care they received while in the Emergency Department compared to other local hospitals.
Implications: This study generated an emic perspective from Spanish-speaking-only patients regarding their lived experience during their Emergency Department visit. This study identified the need of having Spanish-speaking interpreters readily available 24 hours a day. The information obtained from this study can be useful to guide change in Emergency Department practice to promote effective communication and respectful care for the growing population of Spanish-speaking Emergency Department patients.
2013 ENA Leadership Conference Theme: Shape the Future. Held at the Greater Fort Lauderdale Broward County Convention Center
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Language Barriers; Emergency Departments; Spanish-speaking Patients |
Name | 2013 ENA Leadership Conference |
Host | Emergency Nurses Association |
Location | Ft. Lauderdale, Florida, USA |
Date | 2013 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
The effectiveness of video-discharge instructions among the Spanish speaking population in the pediatric emergency department
Wood, Elyssa; Harrison, Gina; Stinson, Sarah; Presgrave, Kristina; Rovelli, Erin R.; Friesen, Mary AnnPoster presentationSession G presented Tuesday, October 1, 1:00-2:00 pmPurpose: A high quality discharge from the Pediatric Emergency Room (ER) educates caregivers about their child’s treatment, care and prognosis. However, ... -
The lived experience of non-English and limited English speaking Hispanic persons associated with a past in-patient hospitalization in the United States: A phenomenological study
Goodwin, Jana MicheleThe Hispanic population in the United States faces many challenges such as differences in language, culture, education, and socioeconomics. Research findings suggest that poor acculturation, language barriers and healthcare ... -
The lived experience of hearing children with deaf parents in Negros Oriental, Philippines
Suasin, Kristeline Sy; Alviola, Christine Ann; Bejerano, Jose Mari III; Cabahug, Danielle Angelique; Dadule, Precious Dominic; Edma, Maricor Gin; Ledesma, Luce Dawn; Palomar, Mae Kristen; Rebosura, Criscille Anne; Solis, Venice Marion; Uy, Angelica; Villanueva, Marville (2017-09-25)This study is a descriptive phenomenological research with the purpose of investigating and exploring the lived experience of hearing children having deaf parents in Negros Oriental, Philippines. Ten participants living ... -
Missing ingredient: Spanish-speaking Hispanics from the health literacy studies in the U.S.
Flores, Bertha Eloisa; Acton, Gayle J. (2012-9-12)Purpose: Review qualitative and quantitative studies addressing the relationship of Health literacy and Hispanics in the U.S. Methods: A literature search was conducted in CINAHL Plus with full text, Ovid Medline, Pub Med ... -
Implementation of emergency department nurse triage sepsis screening protocol
Ward, Lynne E.; Heusinkvelt, Jennifer M.; Huber, Lacey J.; Miller, Breann N.; Ronhovde, Azusa; Barnason, Susan A.; Kranau, Katie A.Sepsis is a life-threatening condition associated with high morbidity and mortality rates resulting in the death of 270,000 Americans annually (CDC, 2018). Most patients diagnosed with sepsis are admitted through the ED. ...