“They’re Not Willing To Accommodate Deaf patients”: Communication Experiences of Deaf American Sign Language Users in the Emergency Department

James, Tyler G.; Coady, Kyle A.; Stacciarini, Jeanne‐Marie R.; McKee, Michael; Phillips, David G.; Maruca, David; Cheong, JeeWon

doi:10.1177/10497323211046238

Cited by 53 publications

(102 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Language modality [15,26,90,94,105,114,115] Predisposing: Demographic and cultural characteristics a,c,d…”

Section: Construct Definition Citationsmentioning

confidence: 99%

“…Race and ethnicity • English proficiency • General cultural factors [15,26,38,94,100,101,105,116,117] Predisposing: Early childhood language exposure and information access b,d…”

Section: Construct Definition Citationsmentioning

confidence: 99%

“…Access to a usual provider that can provide an alternative source of care for patients seeking ED services, or provide health-promoting information. [65,90,94] Enabling: Access to resources for medical information b…”

Section: Construct Definition Citationsmentioning

confidence: 99%

“…Satisfaction of initial ED visit chief diagnosis and treatment processes. [38,94,[98][99][100][101] Predisposing: Healthcare system beliefs, use, and experience b,d…”

mentioning

confidence: 99%

“…Communication received from usual care providers for patients to initially use or revisit an ED during specific situations (e.g., time of day, experiencing specific symptoms). [38,94,98] Reinforcing: Quality of patient interactions, education, and communication a,b,c Concepts regarding the quality of the provision of patient education and patient satisfaction with their patient-provider relationship, such as:…”

mentioning

confidence: 99%

See 4 more Smart Citations

Conceptual Model of Emergency Department Utilization among Deaf and Hard-of-Hearing Patients: A Critical Review

James

Varnes

Sullivan³

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

Deaf and hard-of-hearing (DHH) populations are understudied in health services research and underserved in healthcare systems. Existing data indicate that adult DHH patients are more likely to use the emergency department (ED) for less emergent conditions than non-DHH patients. However, the lack of research focused on this population’s ED utilization impedes the development of health promotion and quality improvement interventions to improve patient health and quality outcomes. The purpose of this study was to develop a conceptual model describing patient and non-patient (e.g., community, health system, provider) factors influencing ED utilization and ED care processes among DHH people. We conducted a critical review and used Andersen’s Behavioral Model of Health Services Use and the PRECEDE-PROCEED Model to classify factors based on their theoretical and/or empirically described role. The resulting Conceptual Model of Emergency Department Utilization Among Deaf and Hard-of-Hearing Patients provides predisposing, enabling, and reinforcing factors influencing DHH patient ED care seeking and ED care processes. The model highlights the abundance of DHH patient and non-DHH patient enabling factors. This model may be used in quality improvement interventions, health services research, or in organizational planning and policymaking to improve health outcomes for DHH patients.

show abstract

“…Language modality [15,26,90,94,105,114,115] Predisposing: Demographic and cultural characteristics a,c,d…”

Section: Construct Definition Citationsmentioning

confidence: 99%

“…Race and ethnicity • English proficiency • General cultural factors [15,26,38,94,100,101,105,116,117] Predisposing: Early childhood language exposure and information access b,d…”

Section: Construct Definition Citationsmentioning

confidence: 99%

Section: Construct Definition Citationsmentioning

confidence: 99%

“…Satisfaction of initial ED visit chief diagnosis and treatment processes. [38,94,[98][99][100][101] Predisposing: Healthcare system beliefs, use, and experience b,d…”

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Conceptual Model of Emergency Department Utilization among Deaf and Hard-of-Hearing Patients: A Critical Review

James

Varnes

Sullivan³

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

Deaf culture awareness among physicians and advanced practice providers in the emergency department: A multicenter study

Johnson,

Schmitz,

Dillon

et al. 2024

AEM Education and Training

View full text Add to dashboard Cite

Background and ObjectiveIn areas with a large Deaf/hard‐of‐hearing (DHH) population, emergency medicine (EM) providers may benefit from cultural awareness training as this has been shown to foster delivery of more equitable care in other minority populations. Rochester, New York, has been touted to be the home to the largest per‐capita DHH population in the United States. Given the large local DHH community and DHH professionals working in Rochester, University of Rochester (UR) providers likely have higher exposure to DHH people than most other EM providers in the United States. All UR providers receive annual institutional cultural sensitivity e‐training that includes information about the DHH community. In addition to the e‐training, the UR EM residents also receive a workshop during intern year and recurrent DHH culture education throughout their residency. The purpose of this study was to measure impact of preexisting cultural sensitivity training and higher DHH person exposure on DHH cultural awareness in UR providers compared to non‐UR EM providers who may have lower DHH person exposure and culture training.MethodsIn this cross‐sectional study, a survey on DHH cultural awareness was distributed to UR and Emergency Research Network in the Empire State (ERNIES) emergency departments. As surrogates for cultural awareness, the survey evaluated providers’ exposure, knowledge, comfort, and attitudes to Deaf culture. Descriptive statistics were employed to characterize the sample. Bivariate analysis was performed to compare UR provider responses to others using chi‐square and Fisher's exact testing.ResultsOf 83 recruited participants, 75 providers completed the survey, and 53/75 (71%) responders were from UR. While high percentages of UR and non‐UR participants reported seeing DHH patients recently (98% vs. 96%, respectively), one‐third (24/75) of all participants reported having no experience or training on Deaf culture. Compared to only 10% of other providers, one‐third of UR providers were better able to identify cultural nuances within the DHH community (p = 0.01). UR providers were significantly less comfortable communicating with Deaf patients via lipreading, which is typically an unreliable/unsafe mode of communication (11% vs. 69%, p = 0.002). When knowledge was assessed, UR providers better identified Deaf patient rights in a clinical setting (89% vs. 77%, p = 0.002). Also, all trainees had significantly higher scores on questions related to Deaf culture compared to all advance practice providers and attendings (mean scores 6.86 vs. 6.06 and 6, respectively, p = 0.03).ConclusionsEM providers with high exposure to DHH people and DHH culture training are more comfortable with and able to better identify nuances of Deaf culture. Additionally, EM providers with DHH culture training are less comfortable communicating using lipreading with DHH patients suggesting increased awareness of a common, yet ineffective and inaccurate, communication pitfall with this population. The study suggests that implementing Deaf culture education in areas with a large DHH population may enhance cultural awareness and comfort of future providers in caring for Deaf patients.

show abstract

Can you know before you go? Information about disability accommodations on US hospital websites

Kannam,

Haywood,

Morris

et al. 2024

Journal of Hospital Medicine

View full text Add to dashboard Cite

BackgroundPeople with disability (PWD) face challenges accessing healthcare. Websites are a public‐facing resource that can help PWD determine if a hospital can accommodate their needs, yet few studies have described whether hospital websites contain adequate accommodation information.ObjectiveTo characterize the extent to which information about disability accommodations is available on US hospital websites.MethodsWe manually reviewed hospital websites using a structured extraction form. We used the Centers for Medicare and Medicaid Services' Hospital General Information Data set to identify a stratified random sample of 600 nonspecialty hospitals in the United States. We excluded hospitals that shared a website with a previously reviewed hospital for a final sample of 445. We recorded (1) content about specific disability accommodations (in 11 predetermined categories); (2) descriptions of hospital policy mentioning disability; and (3) the point of contact to obtain more information about accommodations.ResultsAbout two‐thirds (65.6%) of sampled hospitals were acute care hospitals (vs 34.4% critical access); 53.5% had 26–299 beds. Overall, 73.7% websites had information about accommodations; of these, 36.3% had information solely within hospital policies. Of the 47.0% websites with accommodation information beyond hospital policies, the mean number of accommodations listed (excluding policy statements) was 2.37 (of 11 possible). Hospitals with 300+ beds had higher odds of listing any nonpolicy accommodations than those with 1–26 beds (odds ratio = 2.768, p = .02). Less than half (40.5%) hospitals listed a contact person.ConclusionsInformation about disability accommodations is sparse on hospital websites. Comprehensive and actionable communication about accommodations is needed to better protect PWD's rights to accessible healthcare.

show abstract

“They’re Not Willing To Accommodate Deaf patients”: Communication Experiences of Deaf American Sign Language Users in the Emergency Department

Cited by 53 publications

References 36 publications

Conceptual Model of Emergency Department Utilization among Deaf and Hard-of-Hearing Patients: A Critical Review

Conceptual Model of Emergency Department Utilization among Deaf and Hard-of-Hearing Patients: A Critical Review

Deaf culture awareness among physicians and advanced practice providers in the emergency department: A multicenter study

Can you know before you go? Information about disability accommodations on US hospital websites

Contact Info

Product

Resources

About