Abstract：
OBJECTIVE: Barriers to communication have been observed with patients and families who prefer a language other than English for medical conversations, referred to as individuals with limited English proficiency (LEP). We used the pediatric Family Satisfaction with ICU 24R (FS-ICU) survey to assess communication satisfaction for English-proficient (EP) and Spanish-speaking LEP caregivers. We added additional questions related to attendance at morning rounds, frequency of provider updates, interpreter use, and general satisfaction with communication.
METHODS: This was a single-center, prospective, observational cohort study in the pediatric intensive care unit (PICU) and cardiothoracic intensive care unit (CICU) of a tertiary, academic, free-standing children\'s hospital. Caregivers of children < 18 years old admitted for at least 48 h to the PICU or CICU between June and September 2022 were eligible for enrollment.
RESULTS: 24 LEP and 74 EP caregivers completed the survey questions. The LEP group had lower household income and education levels and higher incidence of public insurance. FS-ICU scores for both LEP and EP caregivers suggested high satisfaction, without significant difference between the groups. However, qualitative analysis revealed dissatisfaction for LEP caregivers related to information, inclusion, and language barriers. EP caregivers had more positive references to information and emotional connection but indicated dissatisfaction around consistency and responsiveness. 18% of LEP caregivers reported regularly attending rounds, versus 67% of the EP group (p value < .001). 39% of LEP versus 52% of EP caregivers reported multiple daily updates, although the difference was not statistically significant. 29% of LEP respondents reported nonfluent MD/NPs using an interpreter never, rarely, or some of the time.
CONCLUSIONS: There was no difference in satisfaction scores between LEP and EP caregivers. LEP caregivers had lower socioeconomic status based on public insurance and reported income and education level. Qualitative data allowed more nuanced understanding of communication satisfaction, which correlated with LEP caregivers\' reported lower attendance at morning rounds, inconsistent interpreter use, and a trend toward less frequent provider updates.
METHODS: This was a single-center, prospective, observational cohort study in the pediatric intensive care unit (PICU) and cardiothoracic intensive care unit (CICU) of a tertiary, academic, free-standing children\'s hospital. Caregivers of children < 18 years old admitted for at least 48 h to the PICU or CICU between June and September 2022 were eligible for enrollment.
RESULTS: 24 LEP and 74 EP caregivers completed the survey questions. The LEP group had lower household income and education levels and higher incidence of public insurance. FS-ICU scores for both LEP and EP caregivers suggested high satisfaction, without significant difference between the groups. However, qualitative analysis revealed dissatisfaction for LEP caregivers related to information, inclusion, and language barriers. EP caregivers had more positive references to information and emotional connection but indicated dissatisfaction around consistency and responsiveness. 18% of LEP caregivers reported regularly attending rounds, versus 67% of the EP group (p value < .001). 39% of LEP versus 52% of EP caregivers reported multiple daily updates, although the difference was not statistically significant. 29% of LEP respondents reported nonfluent MD/NPs using an interpreter never, rarely, or some of the time.
CONCLUSIONS: There was no difference in satisfaction scores between LEP and EP caregivers. LEP caregivers had lower socioeconomic status based on public insurance and reported income and education level. Qualitative data allowed more nuanced understanding of communication satisfaction, which correlated with LEP caregivers\' reported lower attendance at morning rounds, inconsistent interpreter use, and a trend toward less frequent provider updates.
摘要：
目的：在医疗对话中喜欢英语以外的语言的患者和家属之间存在沟通障碍，指英语水平有限（LEP）的个人。我们使用儿科家庭对ICU24R的满意度（FS-ICU）调查来评估精通英语（EP）和讲西班牙语的LEP护理人员的沟通满意度。我们增加了一些与上午查房有关的问题，提供程序更新的频率，解释器使用,以及对沟通的总体满意度。
方法：这是一个单中心，prospective,三级儿科重症监护病房（PICU）和心胸重症监护病房（CICU）的观察性队列研究，学术,独立儿童医院。2022年6月至9月期间入住PICUorCICU至少48小时的18岁以下儿童的照顾者有资格入学。
结果：24名LEP和74名EP护理人员完成了调查问题。LEP组的家庭收入和教育水平较低，公共保险的发生率较高。LEP和EP护理人员的FS-ICU评分均表明满意度较高，组间无显著差异。然而,定性分析显示LEP护理人员对相关信息的不满，inclusion,和语言障碍。EP护理人员对信息和情感联系有更多的积极参考，但对一致性和反应性表示不满。18％的LEP护理人员报告定期参加查房，与EP组的67%(p值<.001)。39%的LEP和52%的EP护理人员每天报告多次更新，尽管差异无统计学意义。29%的LEP受访者表示从不使用口译员不流利的MD/NP，很少,或者某些时候.
结论：LEP和EP护理人员的满意度评分没有差异。根据公共保险和报告的收入和教育水平，LEP护理人员的社会经济地位较低。定性数据允许对沟通满意度有更细致的理解，这与LEP护理人员报告的上午出勤率较低相关，解释器使用不一致，以及提供商更新频率降低的趋势。
方法：这是一个单中心，prospective,三级儿科重症监护病房（PICU）和心胸重症监护病房（CICU）的观察性队列研究，学术,独立儿童医院。2022年6月至9月期间入住PICUorCICU至少48小时的18岁以下儿童的照顾者有资格入学。
结果：24名LEP和74名EP护理人员完成了调查问题。LEP组的家庭收入和教育水平较低，公共保险的发生率较高。LEP和EP护理人员的FS-ICU评分均表明满意度较高，组间无显著差异。然而,定性分析显示LEP护理人员对相关信息的不满，inclusion,和语言障碍。EP护理人员对信息和情感联系有更多的积极参考，但对一致性和反应性表示不满。18％的LEP护理人员报告定期参加查房，与EP组的67%(p值<.001)。39%的LEP和52%的EP护理人员每天报告多次更新，尽管差异无统计学意义。29%的LEP受访者表示从不使用口译员不流利的MD/NP，很少,或者某些时候.
结论：LEP和EP护理人员的满意度评分没有差异。根据公共保险和报告的收入和教育水平，LEP护理人员的社会经济地位较低。定性数据允许对沟通满意度有更细致的理解，这与LEP护理人员报告的上午出勤率较低相关，解释器使用不一致，以及提供商更新频率降低的趋势。
