Australian e-Health Research Centre, CSIRO, Marsfield, New South Wales, Australia.
Speech Pathology Department, Western Health, St Albans, Victoria, Australia.
J Clin Nurs. 2018 Nov;27(21-22):4168-4178. doi: 10.1111/jocn.14604. Epub 2018 Jul 30.
To develop a communication app to support nursing staff during the provision of standard care of patients from non-English-speaking backgrounds (NESBs), when an interpreter is not available. This paper reports on the user needs analysis phase that informed the development, content and functionality of the app.
In 2014 we developed CALD Assist, a communication app to support patient interactions with allied health clinicians when interpreters are not present. It includes 95 commonly used phrases professionally interpreted into 10 languages and grouped by discipline. This work expands upon our previous app to meet the needs of the nursing workforce.
Qualitative through focus groups, observations and interviews, with a quantitative component from observational data and staff surveys.
Four focus groups with hospital staff, ten interviews with patients from NESBs and 85 observation sessions of everyday patient-staff interactions followed by staff surveys (n = 85) were held between January and June 2017.
Baseline data prior to app development revealed that staff confidence of the patients' level of understanding and the success of the interaction were significantly greater for English-speaking (ES) patients, than for non-English-speaking patients. A total of 143 phrases were identified and subdivided into 16 categories for inclusion in the new app.
Staff participants highlighted that patients from NESBs are a challenging patient group to interact with. Patient and staff participants identified a range of areas where the nursing app could benefit, including pain management, mobility, hygiene and nutrition.
The proposed app can be used to reduce variances in practice and provide a timely and positive patient experience for patients from NESBs who are unable to communicate in English during hospital admissions.
开发一种通信应用程序，在没有口译员的情况下，为无法用英语交流的背景（NESB）患者提供标准护理时，支持护理人员。本文报告了用户需求分析阶段，该阶段为应用程序的开发、内容和功能提供了信息。
2014 年，我们开发了 CALDAssist，这是一种通信应用程序，用于在没有口译员时支持患者与辅助医疗临床医生的互动。它包括 95 个常用短语，经过专业翻译，分为 10 种语言，按学科分组。这项工作扩展了我们之前的应用程序，以满足护理人员的需求。
通过焦点小组、观察和访谈进行定性研究，同时通过观察数据和员工调查进行定量研究。
在 2017 年 1 月至 6 月期间，共进行了 4 次医院工作人员焦点小组讨论、10 次 NESB 患者访谈和 85 次日常医患互动观察，随后进行了员工调查（n=85）。
在应用程序开发之前的基线数据显示，英语患者的理解水平和互动成功的员工信心明显高于非英语患者。共确定了 143 个短语，并将其细分为 16 个类别，纳入新应用程序。
工作人员参与者强调，来自 NESB 的患者是一个具有挑战性的互动患者群体。患者和工作人员参与者确定了护理应用程序可以受益的一系列领域，包括疼痛管理、移动性、卫生和营养。
拟议的应用程序可用于减少实践中的差异，并为在住院期间无法用英语交流的 NESB 患者提供及时和积极的患者体验。
