Description
You are designing an executable population-based change project addressing identified practice-related problems or questions. This strongly emphasizes collaboration between advanced practice nurses and community agencies and includes working with an agency using practice data to provide answers, which are responsive to the needs of clinicians, administrators, and policy makers for improvement of programs or practices.
This section of the change project should include a discussion of key concepts.
Clarify the issue under study.
Propose solutions or interventions based on the literature review.
Compare other views on the problem and solutions.
Address the APRN role in the intervention and discuss implications for clinical practice.
Discuss the implications of your change project.
Some important things to consider and address:
Does your intervention have a clear connection to your research problem?
What are the specific methods of data collection you are going to use, such as surveys, interviews, questionnaires, or protocols?
How do you intend to analyze your results?
Provide a justification for subject selection and sampling procedure.
Describe potential limitations. Are there any practical limitations that could affect your data collection? How will you attempt to control the limitations?
How will your change project help fill gaps in understanding the research problem?
This section should be 6–7 pages in length, not including the cover or reference page. You must reference a minimum of 5 scholarly articles.
Use current APA format to style your paper and to cite your sources. Review the rubric for more information on how the assignment will be graded.
Points: 80
Due: Sunday, 11:59 p.m. (Pacific time)
Rubric
NURS_691A_DE – NURS 691-A Rubric Week 7: Intervention for Proposed Clinical Change Project
NURS_691A_DE – NURS 691-A Rubric Week 7: Intervention for Proposed Clinical Change Project
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeContent
64 to >52.48 pts
Meets Expectations
Succinctly clarifies the issue under study. Provides a brief summary of the project including main points and anticipated findings. Provides keen insight into obstacles and proposes sound, creative solutions or interventions based on the literature review findings. Expertly compares other views on the problem and solutions with detail. Uses examples to thoroughly address the FNP role in the intervention and discusses implications for clinical practice. Thoughtfully discusses the implications of the change project and its significance to the nursing profession and filling gaps in knowledge. Accurately categorizes and thoroughly explains specific methods of data collection to be used. Explains in detail how data will be analyzed and used. Provides a sound justification for subject selection and sampling procedure. Accurately and thoroughly describes potential limitations to data collection and control. Meets all of the criteria of the written assignment.
52.48 to >48.0 pts
Approaches Expectations
Provides an unclear explanation of the issue under study. Provides a brief summary of the project including main points and anticipated findings. Identifies some obstacles and proposes some solutions or interventions based on the literature review but few connections are made. Minimally compares other views on the problem and solutions. Minimally, addresses the FNP role in the intervention and discusses implications for clinical practice. Briefly discusses the implications of the change project and its significance to the nursing profession but may lack detail or specifics. Explains which methods of data collection will be used, and explains how data will be used. May be lacking analysis and accuracy in the explanation. Provides a general justification for subject selection and sampling procedure. Only briefly describes potential limitations to data collection and control. Meets most of the criteria of the written assignment.
48 to >37.76 pts
Falls Below Expectations
Provides no clarification of the issue under study. Provides little or no project summary or anticipated findings. Identifies few if any obstacles and proposes few if any solutions or interventions based on the literature review Minimal to no comparison to other views on the problem and solutions. Only suggests implications of the change project and its significance to the nursing profession or draws unreasonable conclusions. Identifies some methods of data collection to be used but may fail to explain how data will be used. Data collection methods are unsound, or unjustified for the change project. Justification for subject selection and sampling procedure may be missing or is unsound. Fails to describe potential limitations to data collection and control. Meets only a few of the criteria of the written assignment.
37.76 to >0 pts
Does Not Meet Expectations
No obstacles, opposing views, or comparisons are made to support the project. Data collection methods are not explained, analyzed, or discussed. Does not meet the assignment criteria.
64 pts
This criterion is linked to a Learning OutcomeOrganization
8 to >6.56 pts
Meets Expectations
Content is well written throughout. Information is well organized and clearly communicated.
6.56 to >6.0 pts
Approaches Expectations
Content is overly wordy or lacking in specific language. Information is reasonably organized and communicated.
6 to >4.72 pts
Falls Below Expectations
Content is disorganized in many places and lacks clarity.
4.72 to >0 pts
Does Not Meet Expectations
Content lacks clarity and information is disorganized. May be an outline or a list.
8 pts
This criterion is linked to a Learning OutcomeAPA Format/Mechanics
8 to >6.56 pts
Meets Expectations
Follows all the requirements related to format, length, source citations, and layout. The assignment is free of spelling and grammatical errors.
6.56 to >6.0 pts
Approaches Expectations
Follows length requirement and most of the requirements related to format, source citations, and layout. The assignment is mostly free of spelling and grammatical errors.
6 to >4.72 pts
Falls Below Expectations
Follows most of the requirements related to format, length, source citations, and layout. The assignment contains some spelling and grammatical errors.
4.72 to >0 pts
Does Not Meet Expectations
Does not follow format, length, source citations, and layout requirements. The assignment contains many spelling and grammatical errors.
8 pts
Unformatted Attachment Preview
1
Language Barrier Among the Hispanic Population in Miami, FL
2
Language Barrier Among the Hispanic Population in Miami, FL
Project’s Benefits
This project has several benefits in terms of addressing the requirements of persons
within the Hispanic group experiencing language barriers. Given that language barriers bring
about various challenges when it comes to attaining high satisfaction levels among health
professionals and patients from this population, this project will aim to provide ways to address
these barriers. Specifically, this project will focus on ways to achieve high-quality healthcare and
sustain patient safety in the Hispanic population. At present, various healthcare organizations and
institutions serving the Hispanic population are offering interpreter services to advance
healthcare access, communication, and patient involvement and satisfaction (Kwan et al., 2023).
However, these interpreter resources increase the duration of treatment approaches as well as the
cost. For these reasons, this project will aim to provide useful insights into the influence of
language barriers on healthcare access within this population and recommend solutions to
address these challenges.
Also, language difficulties significantly influence the cost and healthcare quality,
especially when it comes to the Hispanic population. Despite the language limitations, healthcare
providers serving this population need to deliver top-notch healthcare that aligns with their
healthcare needs and follows the principles of health equity and human rights. As a result, this
project will aim to address health disparities faced by members of this population. More
importantly, this project will venture into health inequalities such as unequal treatment and
discrimination related to language differences. This is because these health disparities within this
population often result in unequal health outcomes as well as inadequate access to healthcare. A
study by Al Shamsi et al. (2020) outlines that individuals who have dialectal difficulties tend to
3
experience various challenges concerning healthcare services access and as a result, these
patients often have poorer health results in comparison to patients who speak or understand the
local language. Considering the evidence that language barriers within this population in one
way or another influence the quality of healthcare they receive, this project will focus on ways to
advance communication between Hispanic patients and their medical professionals.
Considering that Hispanic patients with language difficulties are likely to utilize more
preventive and clinical healthcare services and have more adverse events, this project will
provide strategies on how to improve the utilization of these services, especially among persons
with limited English proficiency. Also, research indicates that patients who receive medical care
from healthcare professionals who do not speak the local language have challenges
comprehending medical instructions, resulting in increased occurrence of medical errors and
poor treatment adherence (Green & Nze, 2017). Taking that into account, this project will aim to
provide patients from the Hispanic population with the means to adhere to medical follow-ups so
that they do not miss health appointments due to language barriers. One benefit associated with
this is that these patients will have higher levels of satisfaction with the quality of healthcare they
receive.
Goals and Objectives
The project’s goals and objectives include:
1. To increase and improve patient satisfaction concerning access to healthcare access by
90% among members of the Hispanic population with language limitations within 6
months.
4
2. To demonstrate the importance of interpreter resources when it comes to healthcare
access among the Hispanic population within the first month of the project
implementation.
3. To advance the utilization of interpreter resources in all healthcare centers serving
members of the Hispanic population within the first year of introduction of these
resources.
4. To increase the use of inpatient services and medical care follow-ups using interpreter
services in the first month of project implementation.
5. To reduce healthcare disparities and improve patient safety as well as healthcare delivery
within the Hispanic population by 60% by the first year of the project implementation.
6. To minimize miscommunication between healthcare professionals and patients by 100%
to achieve better patient outcomes and advance healthcare delivery quality in the first two
months of project initiation.
7. To minimize indirect healthcare costs associated with language barriers within the
Hispanic population by 50% in the first year of project implementation.
Variables to be Considered
Several variables need to be considered for this project to be successful. One of these
variables is patient satisfaction. According to Funk and Lopez (2022), most members of the
Hispanic population tend not to utilize preventive and clinical services due to a lack of health
coverage as well as language and cultural obstacles. These limitations in one way or another
contribute to disparate health results for members of the Hispanic population, resulting in low
levels of patient satisfaction. Therefore, patient satisfaction needs to be considered within this
population because high levels of satisfaction indicate Hispanic Americans are receiving
5
equitable healthcare that aligns with their healthcare needs. Healthcare providers serving
members of this population experiencing language barriers do not have control over patient
satisfaction as this factor depends on the quality of care delivered and the patient’s perception of
that care.
The other variable that needs to be considered when it comes to addressing the needs of
the members of the Hispanic population with language difficulties is interpreter resources. This
is because to overcome some of the language obstacles faced by this population concerning
healthcare access, interpreter services are essential. However, the implementation and utilization
of these resources are associated with various challenges such as misinterpretation, confusion,
and financial burden (Al Shamsi et al., 2020). For these reasons, some healthcare providers may
opt out of utilizing interpreter services or they may access subpar interpreter resources. Given
that these interpreter resources may contribute to high levels of patient satisfaction as well as
improved patient care among members of the Hispanic population with language differences,
this variable must be considered by healthcare providers. These providers have control of this
variable because they either choose to hire language assistants or provide healthcare services
without interpreter resources as they are associated with several challenges, including increased
healthcare costs and length of physician visits. Lastly, if I were to implement this study, I would
apply mixed-method research to obtain both qualitative and qualitative data.
6
References
Al Shamsi, H., Almutairi, A. G., Al Mashrafi, S., & Al Kalbani, T. (2020). Implications of
language barriers for healthcare: A systematic review. Oman Medical Journal, 35(2),
e122. https://doi.org/10.5001%2Fomj.2020.40
Funk, C., & Lopez, M. H. (2022). Hispanic Americans’ experiences with health care. Pew
Research. https://www.pewresearch.org/science/2022/06/14/hispanic-americansexperiences-with-health-care/
Green, A. R., & Nze, C. (2017). Language-based inequity in health care: who is the “poor
historian”? AMA journal of ethics, 19(3), 263-271. https://journalofethics.amaassn.org/article/language-based-inequity-health-care-who-poor-historian/2017-03
Kwan, M., Jeemi, Z., Norman, R., & Dantas, J. A. (2023). Professional interpreter services and
the impact on hospital care outcomes: An integrative review of the
literature. International Journal of Environmental Research and Public Health, 20(6),
5165. https://doi.org/10.3390%2Fijerph20065165
1
Language Barrier Among the Hispanic Population in Miami, FL: Theoretical Frameworks
2
Language Barrier Among the Hispanic Population in Miami, FL: Theoretical Frameworks
Theoretical Frameworks
It is evident that individuals from minority populations, including those from the
Hispanic population, experience a variety of challenges when it comes to accessing and utilizing
healthcare services because of language limitations. As a result, this change project paper will
apply the Access to Healthcare framework and framework of Communication Accommodation
Theory (CAT) to explore the implications of language barrier among the Hispanic population.
Within minority groups, language barriers significantly contribute to the underutilization
of clinical and preventive health services, patient dissatisfaction, increased care costs, poor
communication between care providers and patients, and adverse health outcomes. Taking that
into account, the issue of language barrier has been addressed mostly by focusing on
communication. However, language is more than communication as it is associated with
relationship-building and social interactions. As a result, it is critical to address the language
barrier among the Hispanic population from various contexts, including access to medical
services and not only communication. This is the reason why the Access to Healthcare
framework and the framework of CAT were selected for the study.
Access to Healthcare Framework
Access to Healthcare framework is a model that focuses on understanding and improving
healthcare delivery and how individuals access various medical services from the patient’s
perspective (Levesque et al., 2013). This model outlines vital dimensions and components that in
one way or another influence healthcare access by considering various factors that limit or
improve the utilization of healthcare services. These dimensions include availability,
3
accommodation, acceptability, approachability, and affordability. Based on this model, these
dimensions are connected and influence how people access and utilize care services.
The mentioned five dimensions of the Access to Healthcare framework guide this study
in various ways. First, the availability dimension focuses on the existence of various medical
care services in a certain location (Levesque et al., 2013). When it comes to addressing the issue
of the language barrier, this dimension entails identifying the need for interpreter resources in all
clinical settings or the need to hire healthcare providers who can speak more than one language.
In that way, patients with language limitations can access care without fear of discrimination as
there is a diverse medical staff.
The accommodation dimension of this framework involves providing care services that
align with the needs of minority patients. To mitigate language limitations, based on this
framework, healthcare providers must initiate plans to promote linguistic and cultural sensitivity.
In that way, these care providers can respect and appreciate the individual differences and
cultural backgrounds of their patients and in turn, change their styles of communication
accordingly. The third dimension of this framework is approachability, and it guarantees that
individuals irrespective of language barriers can access medical services (Levesque et al., 2013).
This can be achieved by offering language support through the utilization of interpreter services
to ensure patients present their cases and comprehend conveyed health information.
Under this framework, acceptability entails the inclination of patients to seek out medical
services. To address the language barrier issue among the Hispanic population, this framework
suggests that healthcare practitioners must communicate effectively and build trust with
individuals from this group. The last dimension under this framework is affordability and this
entails the costs associated with care access. To mitigate language limitations, this model
4
outlines that language barriers should not contribute to healthcare costs increment. In other
words, interpretation services should be provided free or covered by insurance.
By applying the Access to Healthcare framework, healthcare facilities serving the
Hispanic population in Miami can recognize and at the same time, mitigate language barriers that
hinder some of the members of this population from accessing optimal healthcare. This
framework applies to this change project as it provides a guideline on how various components
can be utilized to address the language barrier among minority groups. Additionally, this model
demonstrates that persons from minority groups with language limitations can access equitable
and optimal care irrespective of their linguistic needs.
Framework of the Communication Accommodation Theory (CAT)
CAT is a theoretical model that describes how individuals change their communication
habits so that they can understand those they interact with. Dragojevic et al. (2015) outline that
CAT suggests that individuals are likely to utilize convergence and divergence tactics to
effectively communicate or avoid interactions with other people. Considering the challenges that
persons from minority groups face due to language barrier issues, this framework can be
employed to overcome language hurdles. This is because by utilizing CAT, healthcare
practitioners can initiate programs and interventions to close healthcare access gaps brought
about by language limitations and in doing so, advance communication and engagements
between patients and care providers.
The two components of this framework are convergence and divergence, and they can be
applied differently to mitigate the issue of language barrier among persons from the Hispanic
population. Based on CAT, healthcare providers, and organizations can introduce convergence
approaches to ensure their communication styles align with those of patients from minority
5
groups. According to Squires (2018), healthcare practitioners can do so not only by using
interpreter resources but also by trying to be culturally competent and sensitive. In that way, they
can build trust and meaningful relationships with the patients they serve. Also, divergence
approaches can be applied to mitigate language limitations where care providers create a
supportive setting that inspires patients from minority groups to express their issues related to
language barriers without fear of discrimination. Also, they can employ divergence to address
language obstacles by using clear language, and visual aids, and encourage those with language
limitations to make inquiries.
By utilizing CAT, healthcare institutions and providers serving the Hispanic population
in Miami, can improve communication with persons facing language difficulties. In doing so,
these providers can build trust with members of this population. More importantly, with
improved communication, they can offer patient-focused and equitable care, resulting in better
health outcomes within this population.
Pertinent Research that Used These Theoretical Frameworks
The Access to Healthcare model is utilized in the research by Bayram and Sakarya
(2023). This research explores how language influences healthcare access among persons who
have problems speaking the official language. These authors discovered that individuals who
have challenges using the official language experience language-related obstacles such as delay
in seeking treatment. In my opinion, this research uses the Access to Healthcare framework
appropriately to outline interventions that can be implemented to mitigate care access language
barriers.
CAT is utilized in research conducted by Meuter et al. (2015). Using this framework, this
research attempts to comprehend the language barriers that often arise between care providers
6
and patients in healthcare settings. These authors discovered that understanding a second
language in healthcare settings is essential in delivering patient-centered care as poor
communication can result in severe health consequences. In my opinion, this research applied
CAT appropriately to understand issues that can arise from language limitations.
7
References
Bayram, T., & Sakarya, S. (2023). Oppression and internalized oppression as an emerging theme
in accessing healthcare: findings from a qualitative study assessing first-language related
barriers among the Kurds in Turkey. International Journal for Equity in Health, 22(1), 6.
https://doi.org/10.1186/s12939-022-01824-z
Dragojevic, M., Gasiorek, J., & Giles, H. (2015). Communication accommodation theory. The
international encyclopedia of interpersonal communication, 1-21.
https://doi.org/10.1002/9781118540190.wbeic006
Levesque, J. F., Harris, M. F., & Russell, G. (2013). Patient-centred access to health care:
Conceptualising access at the interface of health systems and populations. International
journal for equity in health, 12, 1-9. https://doi.org/10.1186/1475-9276-12-18
Meuter, R. F., Gallois, C., Segalowitz, N. S., Ryder, A. G., & Hocking, J. (2015). Overcoming
language barriers in healthcare: A protocol for investigating safe and effective
communication when patients or clinicians use a second language. BMC Health Services
Research, 15(1), 1-5. https://doi.org/10.1186%2Fs12913-015-1024-8
Squires, A. (2018). Strategies for overcoming language barriers in healthcare. Nursing
management, 49(4), 20. https://doi.org/10.1097%2F01.NUMA.0000531166.24481.15
1
Language Barrier Among the Hispanic Population in Miami, FL: The Integrative
Literature Review
2
Language Barrier Among the Hispanic Population in Miami, FL: The Integrative
Literature Review
Literature Review
To guarantee patient safety, care quality, and the satisfaction of both healthcare providers
and patients, good and effective communication between these two parties is crucial. Whitaker et
al. (2022) outline that excellent communication between healthcare providers and patients is
associated with effective care management and the provision of accurate diagnosis. Generally,
good communication, which is not hampered by language limitations, is very important at every
phase of the medical care process, from recognizing the health issue of a patient and delivering
patient-focused treatment and care through patient engagement and involvement.
A study conducted by Bombard et al. (2018) indicates that patient care experiences and
outcomes may be negatively influenced by the capability of healthcare providers to listen,
demonstrate, and understand the complaints presented by the patient. However, the presence of a
language barrier makes it challenging for healthcare providers, including nurses among other
healthcare professionals to communicate. This is because, problems associated with language
barriers in one way or another may impact persons from minority populations in terms of the
level of healthcare quality delivered (De Moissac & Bowen, 2019). As a result, effective
communication and appropriate patient interactions are required to address some of the health
disparities in healthcare access and the level of care delivered among minority populations as
well as to improve the patient’s understanding of treatment approaches. At present, healthcare
systems are heavily investing in the utilization of interpreter resources and other forms of
language access services as well as advancing cultural competency and establishing meaningful
relationships with patients and healthcare providers to eliminate some of the negative
3
consequences linked to language issues (Al Shamsi et al., 2020). Apart from the use of
interpreter resources, health systems are utilizing digital technologies, signage, and translated
health information to provide essential services.
Given that every human being has the right to receive the best probable form of
healthcare regardless of ethnicity or socioeconomic status, healthcare providers must deliver
optimal medical care that aligns with human rights as well as equity to all patients (Al Shamsi et
al., 2020). Taking into account that language barriers in one way or another hinder minority
populations from accessing and utilizing healthcare services leading to various health disparities
and poor health outcomes, language differences pose a significant problem to healthcare
delivery. For example, a study by De Moissac & Bowen (2019), outlines that patients who do not
speak the common dialect tend to be disadvantaged when it comes to healthcare services access
and availability. Also, results from research performed by Al Shamsi et al. (2020) highlight that
patients who face language obstacles have worse health outcomes in comparison to those who
communicate and interact using the common dialect. As a result, persons who experience
language limitations tend to utilize more healthcare services to address their health issues and
have more adverse events due to a lack of healthcare comprehension and fear of receiving lowquality care and discrimination.
Taking a look at the Hispanic population in Miami, FL, some of the individuals from this
minority group face various issues associated with language barriers. Since most persons from
this population do not speak fluent English, healthcare providers must adapt to their needs and
initiate strategies to minimize these language obstacles to prevent or reduce health disparities.
This is because, the inability of healthcare providers to mitigate language differences among the
Hispanic population can lead to health inequality (Velasco-Mondragon et al., 2016). In addition
4
to that, these language differences can put the safety of persons from this population at risk in
terms of increased prevalence of medical errors and providing care that does not align with their
health needs. Within the Hispanic population, according to CMS (2022), healthcare providers
need to implement strategies to overcome language barriers, particularly when it comes to
offering language assistance services, to avoid discriminating against non-English-speaking
patients.
Key Findings of the Research
Research indicates that language barriers among the Hispanic population are associated
with various impacts, especially when the level of healthcare provided does not meet their needs
or is inaccurate. According to Kelson et al. (2022), language limitations within the Hispanic
population significantly contribute to the increased prevalence of medical errors. In all healthcare
settings, the medical history and information of a patient should be considered when providing
medical care. However, several studies outline that language differences can make healthcare
delivery challenging, particularly when it comes to engaging with patients to receive their
medical history and other healthcare-related information. If the patient does not entirely
understand the information that is needed from them, language limitations could be an issue
because they could contribute to numerous adverse events. As a result, research indicates that
when language proficiency and understanding pose a significant problem to healthcare delivery,
professional interpreters must be involved in the process. This is because the use of interpreter
resources advances patient teaching and in turn, promotes their safety as well as ensures the
efficacy of the suggested treatment approaches.
Also, research outlines inaccurate assessment as an impact of language barriers among
minority groups, including the Hispanic population. Hollingshead et al. (2016) outline that
5
patients from the Hispanic population who experience language difficulties tend to undergo
inaccurate assessment in all aspects of care, especially when it comes to pain management.
Several studies state that there is a lot of patient teaching and instruction that is needed when
describing the scale of pain to patients. This is because the described level of pain may be wrong
if the patient cannot rate their pain level as a result of language differences. In all healthcare
settings, different cultural groups have varying ways of explaining their health conditions and as
a result, miscommunication can lead to inaccurate diagnosis as well as undermedication or
overmedication, which could lead to poorer health outcomes. Taking that into account,
individuals need to understand that when providing medical care to persons from the Hispanic
population with language problems, inaccurate assessments can significantly influence their
treatment plans and this can result in the aggravation of existing health conditions.
Another key finding of the research is that patients with language problems may be
psychologically stressed and this can to severe consequences. According to Funk and Lopez
(2022), members of the Hispanic population facing language barriers are likely to miss medical
appointments, which makes follow-up and treatment difficult. Besides that, these persons have
an increased chance of misunderstanding their treatment plan and this minimizes their potential
for medical adherence. Considering that, we need to know that medical decisions within the
Hispanic population could be dangerous if the patient does not understand the diagnosis or if the
healthcare provider cannot comprehensively explain the risk factors that are linked to the
diagnosis. Many persons do not know that understanding medical information presents a
significant issue for any patient, regardless of their ethnicity. Therefore, all persons, especially,
healthcare providers need to know that language obstacles influence the level of health literacy
of a patient, making it more difficult for the patient to comprehend sophisticated medical
6
treatments and diagnoses. Moreover, language barriers among the Hispanic population are
associated with health inequity. For this reason, some members of this population have a higher
chance of not obtaining the level of patient care that aligns with their health needs.
There are two things that we do not know regarding addressing the care needs of the
Hispanic group. One of the things is the influence of interpreting services in healthcare delivery.
According to Whitaker et al. (2022), interpreter resources do not substitute direct communication
and may lead to various safety risks. This is because, in one way or another, the use of interpreter
services limits the capacity of patients to be involved in their own care, pushing them to play a
passive part. Generally, this leads to a disconnect between patients and their healthcare providers
as various interactions may not be interpreted appropriately. The second thing that we do not
know concerning addressing the care needs of persons from the Hispanic group is the impact of
the current health policies. These policies need to be reviewed to promote the health and safety
of persons from the Hispanic population with language problems.
Gaps in Knowledge
The issue of language barriers in care delivery poses more threat than it appears. For
instance, healthcare policies are designed to guarantee there is no discrimination towards persons
from minority groups, according to Yearby et al. (2022). However, there are no well-established
guidelines on how to utilize the policies to minimize health disparities faced by minority groups.
Given the ineffectiveness of some of the implemented health policies on language differences,
healthcare institutions need to hire qualified medical interpreters and provide language assistance
services. This is because, research indicates that the use of interpreter services is associated with
various healthcare delivery benefits such as better patient health results, low rates of
readmission, and increased healthcare utilization. Also, in all healthcare settings, patient
7
involvement is associated with culturally consistent care as this facilitates trust development and
provides patients from minority groups with a chance to communicate their health needs directly
and effectively to healthcare providers. As a result, health systems need to implement programs
that bridge the gap in the Hispanic population and healthcare provider communication.
8
References
Al Shamsi, H., Almutairi, A. G., Al Mashrafi, S., & Al Kalbani, T. (2020). Implications of
language barriers for healthcare: a systematic review. Oman Medical Journal, 35(2),
e122. https://doi.org/10.5001%2Fomj.2020.40
Bombard, Y., Baker, G. R., Orlando, E., Fancott, C., Bhatia, P., Casalino, S., … & Pomey, M. P.
(2018). Engaging patients to improve quality of care: a systematic
review. Implementation Science, 13, 1-22. https://doi.org/10.1186/s13012-018-0784-z
CMS. (2022). Providing language services to diverse populations: Lessons from … – CMS.
Centers for Medicare & Medicaid Services. https://www.cms.gov/About-CMS/AgencyInformation/OMH/Downloads/Lessons-from-the-Field.pdf
De Moissac, D., & Bowen, S. (2019). Impact of language barriers on quality of care and patient
safety for official language minority Francophones in Canada. Journal of Patient
Experience, 6(1), 24-32. https://doi.org/10.1177/2374373518769008
Funk, C., & Lopez, M. H. (2022). Hispanic Americans’ experiences with health care. Pew
Research. https://www.pewresearch.org/science/2022/06/14/hispanic-americansexperiences-with-health-care/
Hollingshead, N. A., Ashburn-Nardo, L., Stewart, J. C., & Hirsh, A. T. (2016). The pain
experience of Hispanic Americans: A critical literature review and conceptual model. The
Journal of Pain, 17(5), 513-528. https://doi.org/10.1016%2Fj.jpain.2015.10.022
Velasco-Mondragon, E., Jimenez, A., Palladino-Davis, A. G., Davis, D., & Escamilla-Cejudo, J.
A. (2016). Hispanic health in the USA: a scoping review of the literature. Public Health
Reviews, 37, 1-27. https://doi.org/10.1186/s40985-016-0043-2
9
Whitaker, K. L., Krystallidou, D., Williams, E. D., Black, G., Vindrola-Padros, C., Braun, S., &
Gill, P. (2022). Addressing language as a barrier to healthcare access and quality. British
journal of general practice, 72(714), 4-5. https://doi.org/10.3399/bjgp22X718013
Yearby, R., Clark, B., & Figueroa, J. F. (2022). Structural racism in historical and modern us
health care policy: Study examines structural racism in historical and modern US health
care policy. Health Affairs, 41(2), 187-194. https://doi.org/10.1377/hlthaff.2021.01466
Purchase answer to see full
attachment
