Stephen Jennifer M
Cook Children's Health Care System, Fort Worth, TX, USA.
J Transcult Nurs. 2021 Nov;32(6):690-696. doi: 10.1177/1043659620986607. Epub 2021 Jan 15.
Language barriers challenge patient- and family-centered care. Literature guiding pediatric nurses caring for patients and families with limited English proficiency in the inpatient setting is nonexistent. The purposes of this phenomenological study were to understand pediatric nurses' experiences in caring for patients and families with limited English proficiency and to explore how nurses navigate the communication gap.
A purposive sample of 15 pediatric Registered Nurses at a large urban children's medical center participated in face-to-face semistructured interviews. Verbatim transcribed interviews were analyzed line-by-line and categorized into themes.
Themes included personal framework of care, consequences of caring, starting off right, nurse sensing, verbal/nonverbal methods, and interpreters.
Nurses did not perceive differences in task-oriented care; they described compromised personal paradigms, held negative feelings, and utilized verbal/nonverbal communication methods. Future research is needed exploring patients' and families' perceptions regarding care by other language-speaking nurses.
语言障碍对以患者和家庭为中心的护理构成挑战。目前尚无指导儿科护士在住院环境中护理英语水平有限的患者及其家庭的文献。这项现象学研究的目的是了解儿科护士护理英语水平有限的患者及其家庭的经历，并探讨护士如何跨越沟通障碍。
在一家大型城市儿童医疗中心，对15名儿科注册护士进行了有目的抽样，参与面对面的半结构化访谈。对逐字转录的访谈进行逐行分析，并归类为主题。
主题包括个人护理框架、护理的后果、良好开端、护士感知、言语/非言语方法和口译员。
护士没有察觉到以任务为导向的护理存在差异；他们描述了个人护理模式受到影响，持有负面情绪，并使用了言语/非言语沟通方法。未来需要开展研究，探索其他语言背景的护士护理时患者及其家庭的看法。
