| 2024 Core Educator Education Scholarship Retreat | Categories Abstract

Addressing Cultural Humility and Language Needs in Pediatric Care at Primary Children’s Hospital: Perspectives of Patients and Care Providers

by Rebekah Ford ↓; Arielle Melen, MSc ↓; Holland Howe, BSN, RN ↓; Janine Roberts, MS, RN ↓; David West ↓; Amanda Ball, BSN, RN ↓; Esteban Barreto, PhD ↓; Julie Gee, PhD, MSNEd, RN ↓; Perry Gee, PhD, RN ↓ & Erin Avondet, MD ↓

Abstract

Objective:
1) Identify from patients and their families the largest unmet language and cultural practice needs within Primary Children’s Hospital (PCH)
2) Identify from care providers at PCH areas in which they feel they both succeed in and struggle with meeting patients’ cultural needs and providing culturally humble care.

Background: Significant disparities persist in healthcare access and outcomes among minority patient populations, including heightened risks of experiencing adverse safety events, worsened health outcomes, and increased adverse medications reactions. These disparities are even more drastic for patients with limited English proficiency (LEP).

Design: We will conduct semi-structured interviews with both PCH patients’ parents/guardians (unless the patients are 18 or older) and caregivers at PCH. We will interview 10 English speaking, 10 Spanish speaking patients, and 20 care team members. The interviews will consist of 6 broad questions related to admission, language services, faith services, social work, and discharge education, with multiple more specific probes that interviewers can select based on participant answers.

Conclusions: We aim for this research to allow us to pinpoint specific areas in which we can propose systemic and individual changes to help PCH and Intermountain Health continue to improve in their mission to value and celebrate diversity in the care they provide at PCH.

References

  1. Baker, D. W., Parker, R. M., Williams, M. V., Coates, W. C., & Pitkin, K. (1996). Use and effectiveness of interpreters in an emergency department. JAMA, 275(1), 783-788. https://doi.org/10.1001/jama.1996.03530340047028.
  2. Chauhan, A., Walton, M., Manias, E., Walpola, R. L., Seale, H., Latanik, M., Leone, D., Mears, S., & Harrison, R. (2020). The safety of healthcare for ethnic minority patients: A systematic review. International Journal for Equity in Health, 19(118). https://doi.org/10.1186/s12939-020-0122302.
  3. Hebb, J. H., Fitzgerald, D., & Fan, W. (2003). Healthcare disparities in disadvantaged Medicare beneficiaries: A national project overview. Journal of Health and Human Services Administration, 25(3). http://www.jstor.org/stable/41288035.
  4. Wilson, E., Chen, A. H., Grumbach, K., Wang, F., & Fernandez, A. (2005). Effects of limited English proficiency and physician language on health care comprehension. Journal of General Internal Medicine, 20(9), 800-806. https://doi.org/10.1111/j.1525-1497.2005.0174.


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Addressing Cultural Humility and Language Needs in Pediatric Care at Primary Children’s Hospital: Perspectives of Patients and Care Providers by Rebekah Ford, Arielle Melen, MSc, Holland Howe, BSN, RN, Janine Roberts, MS, RN, David West, Amanda Ball, BSN, RN, Esteban Barreto, PhD, Julie Gee, PhD, MSNEd, RN, Perry Gee, PhD, RN & Erin Avondet, MD