Barriers to Effective Perioperative Communication in Indigenous Australians: An Audit of Progress since 1996

Cheng, Wai-chi; Blum, Philip; Spain, Brian

doi:10.1177/0310057x0403200412

Cited by 15 publications

(17 citation statements)

References 11 publications

(13 reference statements)

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“…When conversational English skills are present, patients and healthcare providers can both underestimate the extent of miscommunication [ 12 ]. A study at Royal Darwin Hospital in 2004 documented that despite an Aboriginal Interpreter Service being established in the year 2000, utilisation remained low [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Low uptake of Aboriginal interpreters in healthcare: exploration of current use in Australia’s Northern Territory

Ralph

Lowell

Murphy

et al. 2017

BMC Health Serv Res

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BackgroundIn Australia’s Northern Territory, most Aboriginal people primarily speak an Aboriginal language. Poor communication between healthcare providers and Aboriginal people results in adverse outcomes including death. This study aimed to identify remediable barriers to utilisation of Aboriginal Interpreter services at the Northern Territory’s tertiary hospital, which currently manages over 25,000 Aboriginal inpatients annually.MethodsThis is a multi-method study using key stakeholder discussions, medical file audit, bookings data from the Aboriginal Interpreter Service 2000–2015 and an online cross-sectional staff survey. The Donabedian framework was used to categorise findings into structure, process and outcome.ResultsSix key stakeholder meetings each with approximately 15 participants were conducted. A key structural barrier identified was lack of onsite interpreters. Interpreter bookings data revealed that only 7603 requests were made during the 15-year period, with completion of requests decreasing from 337/362 (93.1%) in 2003–4 to 649/831 (78.1%) in 2014–15 (p < 0.001). Non-completion was more common for minority languages (p < 0.001). Medical files of 103 Aboriginal inpatients were audited. Language was documented for 13/103 (12.6%). Up to 60/103 (58.3%) spoke an Aboriginal language primarily. Of 422 staff who participated in the survey, 18.0% had not received ‘cultural competency’ training; of those who did, 58/222 (26.2%) indicated it was insufficient. The Aboriginal Interpreter Service effectiveness was reported to be good by 209/368 (56.8%), but only 101/367 (27.5%) found it timely. Key process barriers identified by staff included booking complexities, time constraints, inadequate delivery of tools and training, and greater convenience of unofficial interpreters.ConclusionWe identified multiple structural and process barriers resulting in the outcomes of poor language documentation and low rates of interpreter bookings. Findings are now informing interventions to improve communication.Electronic supplementary materialThe online version of this article (10.1186/s12913-017-2689-y) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Low uptake of Aboriginal interpreters in healthcare: exploration of current use in Australia’s Northern Territory

Ralph

Lowell

Murphy

et al. 2017

BMC Health Serv Res

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“…A total of 54 included studies yielded 50 unique data sets. Sample size ranged from 5 [ 27 ] to 282 [ 28 ], with a majority (42) having a sample size less than 50. Patient experience data were gathered via focus groups (11), interviews (42), open items in surveys (5), meta-synthesis of qualitative data (1), or prospective cohort study (1).…”

Section: Resultsmentioning

confidence: 99%

Seldom heard voices: a meta-narrative systematic review of Aboriginal and Torres Strait Islander peoples healthcare experiences

Jones

Heslop

Harrison

2020

Int J Equity Health

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Background It is well established that Aboriginal and Torres Strait Islander populations face considerable health inequities, exacerbated by poorer healthcare quality. Patient experience is recognised as a major contributing factor to healthcare quality and outcomes, therefore, enriched knowledge of the patient experiences of Aboriginal and Torres Strait Islander populations is critical to redress health inequities. This review synthesises evidence of the healthcare experiences amongst Aboriginal and Torres Strait Islander patients through a metanarrative synthesis of qualitative literature. Methods A systematic search strategy was developed and applied to six electronic databases between January 2000 and July 2019. Titles and abstracts were screened before applying the inclusion criteria to full text articles. A meta-narrative synthesis was undertaken. Results Fifty-four publications were identified from four research traditions; each with a unique conceptualisation of patient experience. Three themes emerged that demonstrate Aboriginal and Torres Strait Islander patient experiences are informed by 1) beliefs about wellbeing and healthcare provision, 2) their level of trust in the healthcare system, and 3) individual and community health system interactions. The findings highlight a range of aspects of patient experience that were important to participating Aboriginal and Torres Strait Islanders in the included studies but not captured currently in health system surveys. Conclusion This review highlights the influence of beliefs about health and wellbeing on the patient experience amongst Aboriginal and Torres Strait Islander populations in the Australian health system. Patient experiences were informed by past experience and their trust in the health system. The different factors influencing patient experience and the gravity of their influence must be considered in current approaches to capturing patient experience data collection methods. Trial registration PROSPERO (ID: CRD42019134765).

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“…Phonetic language diagram can be useful especially in the surgical centers, where bilingual professionals or interpreters are not available. 5 By applying the blitz technique to these patients and facilitating communication, we feel that a faster recovery with fewer anesthetic risks can be accomplished.…”

Section: Introductionmentioning

confidence: 99%

The Blitz Anesthesia Technique in Non-English Speaking Patients Undergoing Glaucoma Surgery

Almodin

Ichhpujani

Prasad

et al. 2012

Journal of Current Glaucoma Practice

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AimTo describe a less invasive method of providing anesthesia in non-English speaking patients undergoing glaucoma surgery.Settings and designProspective observational study conducted in a tertiary Care Eye Institute, Wills Eye Institute, Philadelphia, PA, USA.Materials and methodsThe blitz anesthesia technique was applied to 15 non-English speaking patients (Vietnamese, Mandarin, Russian and Korean) during glaucoma surgery. With input from family members, a diagram was created for each patient. The diagram consisted of a translation and phonetic guide to pronunciation of common words or phrases in the patient’s native language that might be used by the surgical team during the operation.ResultsThe blitz anesthesia technique worked well to provide patient comfort during the procedures. All patients reported adequate pain control and described their experience as comfortable. Additionally, patients reported feeling reassured that they were able to understand basic information from the surgical team during their case. This technique decreased patient anxiety prior to and during the surgical procedure.ConclusionBlitz anesthesia provided adequate pain control with no complications.Key messageBlitz anesthesia with a phonetic language diagram, a less invasive technique of providing anesthesia in non-English speaking patients undergoing glaucoma surgery.How to cite this article Almodin J, Ichhpujani P, Prasad A, Fudemberg SJ, Moster MR. The Blitz Anesthesia Technique in Non-English Speaking Patients Undergoing Glaucoma Surgery. J Current Glau Prac 2012;6(2):91-93.

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Barriers to Effective Perioperative Communication in Indigenous Australians: An Audit of Progress since 1996

Cited by 15 publications

References 11 publications

Low uptake of Aboriginal interpreters in healthcare: exploration of current use in Australia’s Northern Territory

Low uptake of Aboriginal interpreters in healthcare: exploration of current use in Australia’s Northern Territory

Seldom heard voices: a meta-narrative systematic review of Aboriginal and Torres Strait Islander peoples healthcare experiences

The Blitz Anesthesia Technique in Non-English Speaking Patients Undergoing Glaucoma Surgery

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