Addressing the need for Spanish speaking nurses in Los Angeles County: Providing culturally competent care

2.50
Hdl Handle:
http://hdl.handle.net/10755/308680
Category:
Abstract
Type:
Presentation
Title:
Addressing the need for Spanish speaking nurses in Los Angeles County: Providing culturally competent care
Author(s):
Humbles, Patricia
Lead Author STTI Affiliation:
Epsilon Epsilon
Author Details:
Patricia Humbles, RN, PhD, patriciahumbles@cdrewu.edu
Abstract:

Session presented on: Tuesday, November 19, 2013

Background: Twenty million adults in the United States have limited English proficiency (LEP) and two-thirds of this LEP population is Hispanic.  About 50% of Hispanic adults in the United States have LEP and experience substantial barriers to primary care. South Los Angeles, California has the highest concentration of racial/ethnic minorities and sixty percent is Hispanic. LEP patients report less satisfaction with medical encounters. Quality of health assessments are lower when using an interpreter and are a barrier to implementation and utilization. They are time-consuming and associated with high labor cost. Purpose: The purpose of this study was to assess graduate nursing students ability to understand and communicate in Spanish and develop an English-Spanish Quick Health Assessment Reference Translator (ESQHART) to enhance communication. Design: A pre and post survey was developed to identify nursing student’s ability to understand and communicate in Spanish. Participants: Ninety students ages 22-50 participated. Methods: The pre survey included 5 questions addressing ability to speak, understand, and communicate in Spanish. The ESQHART included questions and answers related to health assessments. The ESQHART was reviewed and evaluated by a faculty member and five nursing students fluent in Spanish. The post survey contained one question. Results: The results revealed 43% understood Spanish, but were not fluent, 83% reported difficulty communicating with Spanish speaking clients, 14% were fluent in English and Spanish, 83% would use an interpreter, 7% would use pocket references, 6% would use a Spanish dictionary, and 4% would use smart phone.  Eighty-nine percent reported a Spanish medical terminology pocket reference would be beneficial. Conclusion: Nursing students during patient interactions are faced with clients, who have LEP, are unable to communicate feelings or symptoms, and find an interrupter is not readily available. The ESQHART is a beginning tool to improve communication for healthcare providers and clients.
Keywords:
Spanish; students
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleAddressing the need for Spanish speaking nurses in Los Angeles County: Providing culturally competent careen_GB
dc.contributor.authorHumbles, Patriciaen_GB
dc.contributor.departmentEpsilon Epsilonen_GB
dc.author.detailsPatricia Humbles, RN, PhD, patriciahumbles@cdrewu.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308680-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p><b>Background:</b> Twenty million adults in the United States have limited English proficiency (LEP) and two-thirds of this LEP population is Hispanic.  About 50% of Hispanic adults in the United States have LEP and experience substantial barriers to primary care. South Los Angeles, California has the highest concentration of racial/ethnic minorities and sixty percent is Hispanic. LEP patients report less satisfaction with medical encounters. Quality of health assessments are lower when using an interpreter and are a barrier to implementation and utilization. They are time-consuming and associated with high labor cost.<b> Purpose:</b> The purpose of this study was to assess graduate nursing students ability to understand and communicate in Spanish and develop an English-Spanish Quick Health Assessment Reference Translator (ESQHART) to enhance communication. <b>Design:</b> A pre and post survey was developed to identify nursing student’s ability to understand and communicate in Spanish. <b>P</b><b>articipants:</b> Ninety students ages 22-50 participated. <b>Methods:</b> The pre survey included 5 questions addressing ability to speak, understand, and communicate in Spanish. The ESQHART included questions and answers related to health assessments. The ESQHART was reviewed and evaluated by a faculty member and five nursing students fluent in Spanish. The post survey contained one question. <b>Results:</b> The results revealed 43% understood Spanish, but were not fluent, 83% reported difficulty communicating with Spanish speaking clients, 14% were fluent in English and Spanish, 83% would use an interpreter, 7% would use pocket references, 6% would use a Spanish dictionary, and 4% would use smart phone.  Eighty-nine percent reported a Spanish medical terminology pocket reference would be beneficial. <b>Conclusion:</b> Nursing students during patient interactions are faced with clients, who have LEP, are unable to communicate feelings or symptoms, and find an interrupter is not readily available. The ESQHART is a beginning tool to improve communication for healthcare providers and clients.en_GB
dc.subjectSpanishen_GB
dc.subjectstudentsen_GB
dc.date.available2013-12-19T17:34:41Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:34:41Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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