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Teaching focused medical Spanish phrases to anesthesia providers for communication improvement during emergence

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TitleInfo
Title
Teaching focused medical Spanish phrases to anesthesia providers for communication improvement during emergence
TitleInfo (type = alternative)
Title
Will teaching focused medical Spanish phrases to anesthesia providers improve communication abilities with Spanish speaking intubated patients?
Name (type = personal)
NamePart (type = family)
Cortes
NamePart (type = given)
Steven
NamePart (type = date)
1987-
DisplayForm
Steven Cortes
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Nawracaj
NamePart (type = given)
Maciej
DisplayForm
Maciej Nawracaj
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
McLaughlin
NamePart (type = given)
Michael
DisplayForm
Michael McLaughlin
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
Role
RoleTerm (authority = RULIB)
school
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Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (encoding = w3cdtf); (keyDate = yes); (qualifier = exact)
2020
DateOther (encoding = w3cdtf); (qualifier = exact); (type = degree)
2020-05
Language
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English
Abstract (type = abstract)
Purpose of Project: Communication is an essential aspect between providers and patients in the healthcare setting. Adequate communication can help attenuate potential risks posed to patients as a result of the ineffective transfer of information. The potential for patient safety compromise is increased in situations that present barriers to communication, regardless of the healthcare setting (Agency for Healthcare Research and Quality [AHRQ], 2012). Limited English Proficiency (LEP) patients are subjected to increased safety risks resulting from ineffective communication with their providers (The Joint Commission [JCAHO], 2015). It is imperative in the healthcare setting to develop methods of communication that can reduce the potential safety risks to patients. It is equally important to increase provider confidence in their abilities to successfully communicate.

Methodology: Student Registered Nurse Anesthetists (SRNAs), attending Rutgers University, partook in a study that involved educating them on medical Spanish phrases focused on assessing LEP patients emerging from anesthesia via interactive e-Learning modules with audio-visual features as the intervention. Data was gathered from 44 SRNAs in their third-year or second-year student cohorts to analyze self-efficacy in communication abilities with LEP Spanish speaking intubated patients encountered in the operating room. Prior to the intervention, a written pre-test was administered to gather baseline data. After the intervention, a written post-test was administered for comparative analysis. Thereafter, a 30-day post-intervention provider self-efficacy survey via a questionnaire produced data on perceived experiences, and self-efficacy as a result of utilizing learned course content.

Results: Scores were averaged from pre-tests (38.24%) and post-tests (85.52%). There was a 47.3% improvement following the intervention (e-Learning course). 30-day post-intervention provider self-efficacy survey results in communicating with LEP patients yielded a positive correlation identified between the e-Learning course & enhancement in provider self-efficacy.

Implications for Practice: It is perceived that improving provider communication abilities with respect to the emergence of an intubated LEP patient will allow for an increase in efficiency of care delivered, will promote safe extubation, and will enhance both provider and patient satisfaction during interactions. As communication barriers are overcome through enhanced provider communication, thereby attenuating negative patient outcomes, it is perceived that cost reductions of care are likely as communication barrier associated adverse events decrease.
Subject (authority = local)
Topic
Communication barriers
Subject (authority = RUETD)
Topic
Nurse Anesthesia
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
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ETD
Identifier
ETD_10689
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application/pdf
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text/xml
Extent
1 online resource (59 pages) : illustrations
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
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TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier (type = local)
rucore10004500001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/t3-kzpq-gx52
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Cortes
GivenName
Steven
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-04-03 13:04:20
AssociatedEntity
Name
Steven Cortes
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
Type
Embargo
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-05-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2022-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2022.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2020-02-01T19:16:45
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2020-07-27T16:51:12
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