Exploring the effect of language concordance between nurses and Limited English Proficient patients on their health outcomes.

Communication is essential to the medical field. Approximately 350 different languages are spoken in the USA. The commonality of language discordance between patients and health care providers causes poor communication, limited understanding of their condition, and a decrease in the patient’s satisfaction with their care. This literature review explored the effect that a language concurrent healthcare provider has on the health outcomes of LEP patients. LEP is defined as limited English proficiency. METHODS: CINHAL and Pubmed were used. The key terms used were communication barriers, language barriers, nurse, nurses, nursing, and health outcomes. The search revealed 719 articles. Seven articles were included from this search. Two were included from the recommendation function of the literature software Mendeley. Nine articles were included in total. The following filters were used: written in English, research articles, published between 2010-2020, full text, and peer-reviewed and available pdf. Inclusion factors were health outcomes of LEP patients, Health outcomes for patients who used interpreters, language concordance, and patient satisfaction based on language concordance. Seven articles were included based on the inclusion and exclusion criteria. Articles were excluded due to improper patient population, exclusion of language concordance, improper picot question, lack of professional hospital interpretation, or topics not exploring health outcomes of LEP patients. Nine articles were included in the literature review. RESULTS: Three common themes were identified, decreased patient satisfaction, missed points in care, and declining health outcomes. LEP patients had higher chances of being transferred to the ICU, death, and to be misassigned to lower acuity. Absence of crucial discharge information and dis-satisfaction with care were more likely to occur without language concordant care. CONCLUSION: For patients who are LEP, communication is impaired resulting in declining health outcomes, missed points in care, and decreased patient satisfaction. There was some contradiction in health outcomes for patients. Limitations were that interpreter presence and training level were not always known. Research should focus on health outcomes for LEP patients

Sarah Florentine

Florentine recalls Myers loaning her 18th Century cook books from his collection for a History 290 research project she worked on and continued as an intern at the David Davis Mansion. In recalling that incident, she reflects on how Myers\u27 willingness to loan his books allowed his collection to do something other than sit on a shelf. It could teach something to people he shared it with. She recalls Myers using his famous do good comment at Freshman Convocation. The book title is Managing Clover Lawn: From Ingredients to Enjoyment: A Guide to the Kitchen of Sarah Davis and the Life that Filled It

How Do Community Dwelling Non-English Speaking Patients and Caregivers Perceive their Medication Management?

Non-English-speaking individuals face a linguistic and cultural barrier to managing prescribed medications in the community. Wilson et al. (2005) found that limited English proficient (LEP) patients reported more misunderstanding and negative drug reactions when taking prescribed medication compared to English-speaking patients. Not only is the inappropriate management of medication dangerous, but it is also a disparity in health care that is inequitable. The purpose of this literature review is to collect community-dwelling non-English-speaking patient and caregiver experiences with managing medication. These perspectives will highlight what is successful and what needs to be improved regarding non-English-speaking patient medication interactions. Literature suggests that language interpretation, method of medication education, patient cultural variation, and relationships with health care professionals all impact medication management for this population. Recommendations to improve non-English-speaking patient and caregiver experience with medication management include increased use of trained medical interpreters and the development of a standardized assessment tool to measure medication knowledge

Elementary School Choice Through the Pandemic: Lessons Learned from Families’ Perspectives on Well-Being in School

As the pandemic drove a focus on education, many families had to choose alternative education models for their child. Families suddenly had a pressing need to evaluate the best schooling situation for their child (Gouëdard & Pont, 2020, Eggleston & Fields, 2021, Hynes, 2020, Hill et al., 2020, Hall-Mills, 2020). In education there are pendulum swings of focus and often an evaluation about how children are educated and why the particular methods are being used (Weisberg, 2014 and Hess, 2022). This study focused on how families made their decisions in regard to the education of their children, and well-being as an aspect of that decision as well as how they experienced their school choice and what impact do they see on their child’s well-being. Through looking at the experiences of families who made the choice for alternative education models, this study examined the family’s desires in education, what pieces of school philosophy they feel impact their child’s well-being needs, and what aspects of well- being they feel should belong in the school’s climate.Doctor of Education (Ed.D.)Doctor of Education in Educational LeadershipSchool of Educatio

Adolescent Burmese Refugees Perspectives on Determinants of Health

Over 70,000 Burmese refugees have resettled in the United States in the past decade. While Burmese adolescents quickly acculturate into American society, their perspectives on health are not well-known. The purpose of this study was to identify adolescent Burmese refugee perspectives on determinants of health and health-related experiences after resettlement. In this qualitative study, Burmese adolescents took photographs depicting health-related experiences that were used as elicitation tools during focus groups. These discussions were recorded, transcribed, and analyzed for themes. Participants described positive determinants of health, including family and church. Rampant tobacco use was identified by the participants as a determinant of poor health within the Burmese community. Notably, the participants were proud to serve as liaisons within their community, despite the stressful nature of this role. Our results highlight the need to screen this population for anxiety, secondary to serving as a liaison for their community, as well as tobacco use