Limited English Proficiency and Outcomes in the Intensive Care Unit: An Integrated Review.

IF 1.2 4区医学 Q3 NURSING Journal of Transcultural Nursing Pub Date : 2024-05-01 Epub Date: 2024-02-13 DOI:10.1177/10436596241229485

Rachel Lehman, Helene Moriarty

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Abstract

Introduction: Language barriers place patients at risk of substandard care. Hospitalized patients with limited English proficiency (LEP) face unique challenges, especially in the intensive care unit (ICU). The purpose of this review is to critique and synthesize quantitative evidence on LEP and ICU outcomes.

Methodology: Quantitative studies published in English between 1999 and 2022 were queried using intentional terminology.

Results: Searches yielded 138 results, with 12 meeting inclusion criteria. The analysis resulted in the extrapolation of five themes pertinent to outcomes of ICU patients or families with LEP: (a) knowledge deficit relating to conditions and care; (b) lack of language-appropriate care; (c) alienation from care process; (d) decreased confidence and ownership of care; and (e) relationship to clinical quality indicators.

Discussion: Outcomes associated with LEP were largely negative and revealed unmet needs for ICU patients with LEP. More research is needed to improve linguistically and culturally congruent care in the ICU.

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英语能力有限与重症监护室的治疗效果：综合回顾。

导言：语言障碍使患者面临护理不达标的风险。英语水平有限（LEP）的住院病人面临着独特的挑战，尤其是在重症监护室（ICU）。本综述旨在对有关 LEP 和重症监护室治疗效果的定量证据进行批判和综合：方法：使用特定术语对 1999 年至 2022 年间发表的英文定量研究进行检索：结果：搜索结果有 138 项，其中 12 项符合纳入标准。分析结果推断出与患有 LEP 的 ICU 患者或家属的治疗结果相关的五个主题：(a) 对病情和护理缺乏了解；(b) 缺乏与语言相适应的护理；(c) 与护理过程疏远；(d) 对护理的信心和自主性下降；(e) 与临床质量指标的关系：讨论：与 LEP 相关的结果大多是负面的，显示出 ICU LEP 患者的需求尚未得到满足。需要开展更多的研究，以改善重症监护病房中的语言和文化一致性护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Transcultural Nursing 医学-护理

CiteScore

4.60

自引率

4.80%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Transcultural Nursing (TCN) is a peer-reviewed journal that offers nurses, educators, researchers, and practitioners theoretical approaches and current research findings that have direct implications for the delivery of culturally congruent health care and for the preparation of health care professionals who will provide that care. This journal is a member of the Committee on Publication Ethics (COPE).