The healing power of language: caring for patients with limited english proficiency and COVID-19

Herzberg, Emily M.; Barrero-Castillero, Alejandra; Matute, Juan D.

doi:10.1038/s41390-021-01487-6

Cited by 14 publications

(16 citation statements)

References 14 publications

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“…HCWs commented on the challenges of communicating with patients and families with Limited English Proficiency (LEP). Lack of access to professional interpreter services has been associated with worse patient health outcomes ( Flores, 2006 , Herzberg et al, 2021 , Silva et al, 2016 ), and has also been shown to present unique challenges and stresses to nurses at the bedside ( Choe et al, 2021 , Coleman and Angosta, 2017 ). The rising demand for interpreters amidst the COVID-19 pandemic has prompted the development of innovative models to provide culturally competent and equitable care for patients with LEP, which has the potential to improve the experience of patients, families, and HCWs during the pandemic and beyond ( Herzberg et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

The impact of family visitor restrictions on healthcare workers in the ICU during the COVID-19 pandemic

Wendlandt

Kime

Carson

2022

Intensive and Critical Care Nursing

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Purpose To obtain information on how family visitor restriction during the COVID-19 pandemic has impacted the workplace experience of physicians and nurses in the medical intensive care unit, and to assess differences by profession. Materials and methods We developed a survey containing closed- and open-ended questions, applying both quantitative and qualitative analyses to our results. Results Of the 74 respondents, 29 (38%) were nurses and 45 (62%) were physicians. Nurses reported positive changes to daily workflow and the ability to provide medical care, while physicians reported negative changes in these areas. Both groups reported decreased comprehension and increased distress among families, and decreased ability to provide end-of-life care. For the qualitative analysis, eight themes were identified: the patient’s room as space, creation of a new space through virtual communication, time, increased complexity of care, challenges around the use of technology, adjustments to team roles and responsibilities, desire for families to return, and internal tension. Conclusion Intensive care physicians and nurses reported both positive and negative effects of family visitor restriction during the COVID-19 pandemic, with significant differences based on profession. Both groups expressed concern for an overall negative impact of visitor restriction on healthcare workers, patients, and their families.

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Section: Discussionmentioning

confidence: 99%

The impact of family visitor restrictions on healthcare workers in the ICU during the COVID-19 pandemic

Wendlandt

Kime

Carson

2022

Intensive and Critical Care Nursing

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Section: Discussionmentioning

confidence: 99%

“…Previous reports during the early phase of the pandemic also noted that COVID-19 disparities may, in part, be linked to inadequate information related to the pandemic in Spanish. 28 , 29 Community-based delivery, with personalized (one-to-one) opportunities to receive tailored messages and engage in vaccine related discussion, with other Hispanic individuals may facilitate vaccine acceptance. Interventions must increase efforts to provide culturally and linguistically appropriate COVID-19 vaccine information to Hispanic populations tailored to the effect and importance of the COVID-19 vaccine for the protection of their own health and that of the community.…”

Section: Discussionmentioning

confidence: 99%

Facilitators of COVID-19 vaccine acceptance among Black and Hispanic individuals in New York: A qualitative study

Osakwe

Osborne

Osakwe

et al. 2022

American Journal of Infection Control

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Background Black and Hispanic individuals experience poorer outcomes related to coronavirus disease (COVID-19), yet have alarmingly lower uptake of the COVID-19 vaccine compared to non-Hispanic White individuals. Objective To explore the perceptions of barriers and facilitators of COVID-19 vaccine acceptance among Black and Hispanic adults in the New York. Methods A qualitative study consisting of one-on-one semistructured interviews with Black and/ or Hispanic adults in New York state was conducted. Participants were recruited from local businesses, community-based social service agencies and Black and Hispanic churches and a college. All data were collected between February and March 2021. Transcripts were analyzed using qualitative thematic analysis. Results A total of 50 individuals (32 [64%] women; mean [SD] age, 42.04 [15.99] years) participated. The majority of participants identified as Black (n = 34, 68%), 9 (18%) identified as Hispanic, 3 (6%) as Black and Hispanic, and 4 (8%) as White and Hispanic. Twenty-two participants (44%) had high-school level education or less. Mistrust emerged as a central barrier to COVID-19 vaccine acceptance. Facilitators of effective COVID-19 vaccine messages include (1) key informants: like me, (2) personalized community outreach, (3) present the facts, and (4) communicate across multiple media platforms. Conclusions This qualitative study found that among Black and Hispanic participants, receipt of reliable vaccine related information, social networks, seeing people like themselves receive the vaccination, and trusted doctors are key drivers of vaccine acceptance.

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“…In the U.S., over 25 million people report "Limited English Proficiency" (LEP) and may thus require interpreter services during medical encounters. 36 LEP affects access and use of health care and communication with healthcare providers, which can worsen health outcomes such as hospitalization length. 37 Title VI of the Civil Rights Act of 1964 requires healthcare institutions to provide language services for people with LEP, a task facilitated by recording the patients’ preferred language in the medical record and using technology to increase the availability of interpreters (e.g., video, telephone).…”

Section: Introductionmentioning

confidence: 99%

Lessons Learned from Health Disparities in Coronavirus Disease-2019 in the United States

Díaz

Thakur

Celedón

2023

Clinics in Chest Medicine

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The healing power of language: caring for patients with limited english proficiency and COVID-19

Cited by 14 publications

References 14 publications

The impact of family visitor restrictions on healthcare workers in the ICU during the COVID-19 pandemic

The impact of family visitor restrictions on healthcare workers in the ICU during the COVID-19 pandemic

Facilitators of COVID-19 vaccine acceptance among Black and Hispanic individuals in New York: A qualitative study

Lessons Learned from Health Disparities in Coronavirus Disease-2019 in the United States

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