Brochez Nicholas, Islam Bonnieca, Mian Qaasim, Forbes Karen L
Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta.
Paediatr Child Health. 2025 Feb 25;30(3):176-183. doi: 10.1093/pch/pxae110. eCollection 2025 Jun.
Canada has a diverse population and one of the highest immigration rates in the world. Non-English or French language preference populations face barriers accessing health care, which leads to increased rates of adverse events. Adequate training of health care providers (HCPs) with language interpretation services (LIS) and having accessible LIS are crucial to improve the quality of patient care. We sought to identify HCPs' prior training, and use of and attitudes toward LIS in a Canadian tertiary pediatric centre.
An electronic survey was developed and distributed to a diverse group of pediatric HCPs at the Stollery Children's Hospital in Edmonton, Alberta between October 2022 and February 2023. Survey completion was anonymous and voluntary. Descriptive statistics were used for quantitative data and thematic analysis for free text responses.
Three hundred forty-five HCPs accessed the survey and 281 (81%) completed it. Fifty-three percent of respondents encountered a pediatric non-English or French language preference patient/family once weekly or more and 51.5% reported no previous training in the use of LIS in patient care. In-person interpreters were perceived as the most effective LIS modality. Barriers to using LIS included: inability to access desired modality and/or language; insufficient time; and lack of comfort in effective usage.
HCPs perceive LIS as integral to patient care and convenient to use, yet most report no prior training. This study identifies multiple barriers to using LIS and suggested improvements include enhancing LIS accessibility, reliability, and LIS education. These results will help inform local LIS initiatives and resource allocation.
加拿大人口多元化，是世界上移民率最高的国家之一。非英语或法语偏好人群在获得医疗保健方面面临障碍，这导致不良事件发生率上升。为医疗保健提供者（HCPs）提供充分的语言口译服务（LIS）培训以及提供可获取的LIS对于提高患者护理质量至关重要。我们试图确定加拿大一家三级儿科中心的HCPs之前接受的培训情况，以及他们对LIS的使用情况和态度。
2022年10月至2023年2月期间，在艾伯塔省埃德蒙顿市的斯托利儿童医院开发并向不同的儿科HCPs群体发放了一份电子调查问卷。调查完成是匿名且自愿的。定量数据采用描述性统计，自由文本回复采用主题分析。
345名HCPs访问了该调查问卷，281名（81%）完成了调查。53%的受访者每周至少遇到一次非英语或法语偏好的儿科患者/家庭，51.5%的受访者表示之前没有接受过在患者护理中使用LIS的培训。面对面口译员被认为是最有效的LIS方式。使用LIS的障碍包括：无法获得所需的方式和/或语言；时间不足；以及在有效使用方面缺乏信心。
HCPs认为LIS是患者护理不可或缺的一部分且使用方便，但大多数人表示之前没有接受过培训。本研究确定了使用LIS的多个障碍，建议的改进措施包括提高LIS的可及性、可靠性以及LIS教育。这些结果将有助于为当地的LIS举措和资源分配提供信息。
