Enhancing Interpreter Use for Patients With Non-English Language Preference in a Pediatric Center for Cancer and Blood Disorders

Abstract

Background

Ineffective interpretation leads to delayed diagnoses and treatment plans and patient dissatisfaction.

Method

A guideline was developed for a center for cancer and blood disorders unit to improve interpretation services for patients and families with non-English language preference (NELP), signage was installed to adequately identify interpretation needs, video remote interpreter (VRI) devices were purchased for the unit, and patients and families were prompted daily to monitor if interpretation services had been used. Adherence to interpreter use was tracked via documentation in the electronic health record.

Results

There was a 59% increase in interpreter use for patients and families with NELP. The National Research Corporation Health Discharge Survey conducted for patients with NELP demonstrated a 6% improvement in questions regarding communication and input in their care while in the hospital.

Discussion

The continual increase in documentation of interpreter use for patients with NELP over a 12-month period alludes to the sustainability of this project. The multipronged approach allowed for patients with NELP to have increased access and contact with interpreters, which translated to improved patient and caregiver perception of communication with their medical team and increased input in their medical care.

Keywords

limited English proficiency oncology pediatrics interpreting devices health equity

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