Evidence map›Paper›PMID 40888549›Full record

ArticleInquiry : a journal of medical care organization, provision and financing

Improving Hospital Care for Patients Experiencing Communication Barriers Through Nurse-Endorsed Strategies.

Kathryn Jane Muir, Kathy S Sliwinski, Lee Ang, Kelvin Amenyedor, Antonia M Villarruel, Ann Kutney-Lee, Jacqueline Margo Brooks Carthon

Erratum issuedAbstract read
In one paragraph

Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Kathryn Jane MuirCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.ORCID 0000-0003-0815-1340
Kathy S SliwinskiNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Lee AngUniversity of Pennsylvania, Philadelphia, PA, USA.
Kelvin AmenyedorYale University, New Haven, CT, USA.
Antonia M VillarruelCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Ann Kutney-LeeUniversity of Pennsylvania School of Nursing, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Jacqueline Margo Brooks CarthonCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.ORCID 0000-0002-9797-7007

Funding

Achieving High Quality Outcomes for Patients with Acute Respiratory Distress Syndrome: Lessons Learned from Nurses in High Performing HospitalsR01NR020471 · NINR · UNIVERSITY OF PENNSYLVANIA · PI BROOKS CARTHON, JACQUELINE MARGO, KUTNEY LEE, ANN · 2023 to 2025
$1.2M
Identifying Nursing Models of Care to Improve Emergency Department Patient OutcomesK01NR021419 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Kathryn Jane Muir · 2025 to 2026
$337k
AHRQ HHS R01 HS028978AHRQ HHS T32 HS000078NINR NIH HHS K01 NR021419NINR NIH HHS R01 NR020471
6 · The paper itself

Abstract

Patients with limited English proficiency (LEP) are more likely to experience suboptimal health care outcomes, including avoidable emergency department visits and hospital readmissions. Despite legal requirements in the United States to provide patients with LEP language access services such as certified interpreters during care encounters, gaps in these necessary care processes persist. Nurses provide the majority of direct care to patients with LEP in hospitals and oversee the implementation of necessary language access services. The objective of this qualitative study was to describe nurses' experiences providing care to patients with LEP in hospitals to inform actionable strategies for high-quality patient care for this population. A directed content and thematic analysis of 1295 open text responses from the RN4CAST-NY/IL survey of hospital nurses was conducted, informed by the Social Ecological Model. Four themes were identified: (1) Sufficient and Expert Nurse Staffing ; (2) Community-Integrated Teams and Programs; (3) Variation in Language Access Availability and Modalities; and (4) Tailored Language Access. Nurse-endorsed strategies to improve LEP patient care, informed by the themes, include: improving the adequacy and expertise of nurse staffing to include a multilingual workforce; developing community-integrated teams and programs informed by the lived experiences of LEP patients; developing hospital standards for the type of language access services patients receive in care encounters; and developing protocols to ensure that tailored services are delivered to patients depending on their unique care needs (eg, visual or hearing impairment).

Indexed as

Communication BarriersLimited English ProficiencyNursing Staff, HospitalQuality ImprovementAdultFemaleHumansMaleMiddle AgedQualitative ResearchSurveys and QuestionnairesUnited Stateshospital carelanguagelimited English proficiencynursenurse work environments

Identifiers

PMID40888549
PMCPMC12402610

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.