Language awareness in the bilingual healthcare setting: A national survey
The significance of effective interpersonal communication in healthcare is well established, as is the importance of overcoming language barriers. This has a particular bearing for minority language speakers, where denying language choice can compromise the quality of healthcare provision. Neverthel...
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Veröffentlicht in: | International journal of nursing studies 2007-09, Vol.44 (7), p.1177-1186 |
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creator | Roberts, Gwerfyl Wyn Irvine, Fiona Elizabeth Jones, Peter Reece Spencer, Llinos Haf Baker, Colin Ronald Williams, Cen |
description | The significance of effective interpersonal communication in healthcare is well established, as is the importance of overcoming language barriers. This has a particular bearing for minority language speakers, where denying language choice can compromise the quality of healthcare provision. Nevertheless, there is limited empirical research exploring language awareness in healthcare and the factors that influence language choice for minority language speakers.
This paper reports on the nurses, midwives and health visitors (NMHV) data set of the first phase of a large-scale national study, commissioned by the Welsh Assembly Government, to examine the nature and extent of Welsh language awareness amongst healthcare professionals in Wales, UK.
The study involved a questionnaire survey of healthcare professionals working in the public, private and voluntary sectors of healthcare.
A stratified random sample of 3358 healthcare professionals was surveyed, of which 1842 (55%) were nurses, midwives and health visitors. The researcher-designed self-administered questionnaire was distributed by post to participants between July and September 2003. A total of 1042 (57%) NMHV returned their questionnaires for analysis.
A strong positive correlation is identified between the NMHV use of the Welsh language in practice and their Welsh language proficiency (
p
<
.
01
); language attitudes (
p
<
.
01
); and language region (
p
<
.
01
). Mean language attitude scores are more positive than expected, particularly amongst those with limited Welsh language proficiency and those working in regions with the lowest proportions of Welsh speakers.
In view of the universal drive for culturally and linguistically appropriate healthcare practice, the findings have important implications for bilingual and multilingual healthcare settings worldwide. The evidence emerging from this survey confirms that cross-cultural communication is enhanced by NMHV language attitudes as well as their proficiency levels. Language awareness training is therefore recommended as a way of enhancing care delivery for minority language speakers. |
doi_str_mv | 10.1016/j.ijnurstu.2006.03.019 |
format | Article |
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This paper reports on the nurses, midwives and health visitors (NMHV) data set of the first phase of a large-scale national study, commissioned by the Welsh Assembly Government, to examine the nature and extent of Welsh language awareness amongst healthcare professionals in Wales, UK.
The study involved a questionnaire survey of healthcare professionals working in the public, private and voluntary sectors of healthcare.
A stratified random sample of 3358 healthcare professionals was surveyed, of which 1842 (55%) were nurses, midwives and health visitors. The researcher-designed self-administered questionnaire was distributed by post to participants between July and September 2003. A total of 1042 (57%) NMHV returned their questionnaires for analysis.
A strong positive correlation is identified between the NMHV use of the Welsh language in practice and their Welsh language proficiency (
p
<
.
01
); language attitudes (
p
<
.
01
); and language region (
p
<
.
01
). Mean language attitude scores are more positive than expected, particularly amongst those with limited Welsh language proficiency and those working in regions with the lowest proportions of Welsh speakers.
In view of the universal drive for culturally and linguistically appropriate healthcare practice, the findings have important implications for bilingual and multilingual healthcare settings worldwide. The evidence emerging from this survey confirms that cross-cultural communication is enhanced by NMHV language attitudes as well as their proficiency levels. Language awareness training is therefore recommended as a way of enhancing care delivery for minority language speakers.</description><identifier>ISSN: 0020-7489</identifier><identifier>EISSN: 1873-491X</identifier><identifier>DOI: 10.1016/j.ijnurstu.2006.03.019</identifier><identifier>PMID: 17054959</identifier><identifier>CODEN: IJNUA6</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Analysis of Variance ; Attitude ; Attitude of Health Personnel - ethnology ; Attitudes ; Awareness ; Bilingual ; Bilingual people ; Bilingualism ; Choice Behavior ; Clinical Competence ; Communication Barriers ; Community Health Nursing - education ; Correlation analysis ; Female ; Health care ; Health Knowledge, Attitudes, Practice ; Health professional-Patient communication ; Health professionals ; Humans ; Interpersonal communication ; Language ; Male ; Minority groups ; Minority Groups - psychology ; Multilingualism ; Needs Assessment ; Nurse Midwives - education ; Nurse Midwives - psychology ; Nurse's Role - psychology ; Nurse-Patient Relations ; Nurses - psychology ; Nursing ; Nursing Methodology Research ; Qualitative Research ; Quality of care ; Self Efficacy ; Structured questionnaires ; Studies ; Surveys and Questionnaires ; Wales ; Welsh</subject><ispartof>International journal of nursing studies, 2007-09, Vol.44 (7), p.1177-1186</ispartof><rights>2006 Elsevier Ltd</rights><rights>Copyright Elsevier Science Ltd. Sep 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c456t-98dfea4c1e50aa93d8258e5ad2b5e250c554735cc1b5f500a0b31a792466ad13</citedby><cites>FETCH-LOGICAL-c456t-98dfea4c1e50aa93d8258e5ad2b5e250c554735cc1b5f500a0b31a792466ad13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0020748906001179$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,30978,30979,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17054959$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roberts, Gwerfyl Wyn</creatorcontrib><creatorcontrib>Irvine, Fiona Elizabeth</creatorcontrib><creatorcontrib>Jones, Peter Reece</creatorcontrib><creatorcontrib>Spencer, Llinos Haf</creatorcontrib><creatorcontrib>Baker, Colin Ronald</creatorcontrib><creatorcontrib>Williams, Cen</creatorcontrib><title>Language awareness in the bilingual healthcare setting: A national survey</title><title>International journal of nursing studies</title><addtitle>Int J Nurs Stud</addtitle><description>The significance of effective interpersonal communication in healthcare is well established, as is the importance of overcoming language barriers. This has a particular bearing for minority language speakers, where denying language choice can compromise the quality of healthcare provision. Nevertheless, there is limited empirical research exploring language awareness in healthcare and the factors that influence language choice for minority language speakers.
This paper reports on the nurses, midwives and health visitors (NMHV) data set of the first phase of a large-scale national study, commissioned by the Welsh Assembly Government, to examine the nature and extent of Welsh language awareness amongst healthcare professionals in Wales, UK.
The study involved a questionnaire survey of healthcare professionals working in the public, private and voluntary sectors of healthcare.
A stratified random sample of 3358 healthcare professionals was surveyed, of which 1842 (55%) were nurses, midwives and health visitors. The researcher-designed self-administered questionnaire was distributed by post to participants between July and September 2003. A total of 1042 (57%) NMHV returned their questionnaires for analysis.
A strong positive correlation is identified between the NMHV use of the Welsh language in practice and their Welsh language proficiency (
p
<
.
01
); language attitudes (
p
<
.
01
); and language region (
p
<
.
01
). Mean language attitude scores are more positive than expected, particularly amongst those with limited Welsh language proficiency and those working in regions with the lowest proportions of Welsh speakers.
In view of the universal drive for culturally and linguistically appropriate healthcare practice, the findings have important implications for bilingual and multilingual healthcare settings worldwide. The evidence emerging from this survey confirms that cross-cultural communication is enhanced by NMHV language attitudes as well as their proficiency levels. Language awareness training is therefore recommended as a way of enhancing care delivery for minority language speakers.</description><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Attitude</subject><subject>Attitude of Health Personnel - ethnology</subject><subject>Attitudes</subject><subject>Awareness</subject><subject>Bilingual</subject><subject>Bilingual people</subject><subject>Bilingualism</subject><subject>Choice Behavior</subject><subject>Clinical Competence</subject><subject>Communication Barriers</subject><subject>Community Health Nursing - education</subject><subject>Correlation analysis</subject><subject>Female</subject><subject>Health care</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health professional-Patient communication</subject><subject>Health professionals</subject><subject>Humans</subject><subject>Interpersonal communication</subject><subject>Language</subject><subject>Male</subject><subject>Minority groups</subject><subject>Minority Groups - psychology</subject><subject>Multilingualism</subject><subject>Needs Assessment</subject><subject>Nurse Midwives - education</subject><subject>Nurse Midwives - psychology</subject><subject>Nurse's Role - psychology</subject><subject>Nurse-Patient Relations</subject><subject>Nurses - psychology</subject><subject>Nursing</subject><subject>Nursing Methodology Research</subject><subject>Qualitative Research</subject><subject>Quality of care</subject><subject>Self Efficacy</subject><subject>Structured questionnaires</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Wales</subject><subject>Welsh</subject><issn>0020-7489</issn><issn>1873-491X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU1r3DAQhkVpSTZp_kIwPTQnuyPJ-uqpISRtYKGXHHoTsjyblfHaqSSn5N9Xy24p9NCcBPM-8wrmIeSSQkOByk9DE4ZpiSkvDQOQDfAGqHlDVlQrXreG_nhLVgAMatVqc0rOUhoAgGrQJ-SUKhCtEWZF7tduelzcI1bul4s4YUpVmKq8xaoLY9hnY7VFN-atL3mVMOcy_VxdV5PLYZ5KnJb4jC_vybuNGxNeHN9z8nB3-3DzrV5__3p_c72ufStkro3uN-haT1GAc4b3mgmNwvWsE8gEeCFaxYX3tBMbAeCg49Qpw1opXU_5Obk61D7F-eeCKdtdSB7H0U04L8kq2XKuhGKF_PhfUmrKtZTyVbCUMam5KuCHf8BhXmI5QbIMqJAUDBRIHiAf55QibuxTDDsXXywFu3dnB_vHnd27s8BtcVcWL4_tS7fD_u_aUVYBvhwALOd9Dhht8gEnj32I6LPt5_DaH78Bd3KtkA</recordid><startdate>20070901</startdate><enddate>20070901</enddate><creator>Roberts, Gwerfyl Wyn</creator><creator>Irvine, Fiona Elizabeth</creator><creator>Jones, Peter Reece</creator><creator>Spencer, Llinos Haf</creator><creator>Baker, Colin Ronald</creator><creator>Williams, Cen</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20070901</creationdate><title>Language awareness in the bilingual healthcare setting: A national survey</title><author>Roberts, Gwerfyl Wyn ; Irvine, Fiona Elizabeth ; Jones, Peter Reece ; Spencer, Llinos Haf ; Baker, Colin Ronald ; Williams, Cen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c456t-98dfea4c1e50aa93d8258e5ad2b5e250c554735cc1b5f500a0b31a792466ad13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Attitude</topic><topic>Attitude of Health Personnel - ethnology</topic><topic>Attitudes</topic><topic>Awareness</topic><topic>Bilingual</topic><topic>Bilingual people</topic><topic>Bilingualism</topic><topic>Choice Behavior</topic><topic>Clinical Competence</topic><topic>Communication Barriers</topic><topic>Community Health Nursing - education</topic><topic>Correlation analysis</topic><topic>Female</topic><topic>Health care</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health professional-Patient communication</topic><topic>Health professionals</topic><topic>Humans</topic><topic>Interpersonal communication</topic><topic>Language</topic><topic>Male</topic><topic>Minority groups</topic><topic>Minority Groups - psychology</topic><topic>Multilingualism</topic><topic>Needs Assessment</topic><topic>Nurse Midwives - education</topic><topic>Nurse Midwives - psychology</topic><topic>Nurse's Role - psychology</topic><topic>Nurse-Patient Relations</topic><topic>Nurses - psychology</topic><topic>Nursing</topic><topic>Nursing Methodology Research</topic><topic>Qualitative Research</topic><topic>Quality of care</topic><topic>Self Efficacy</topic><topic>Structured questionnaires</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Wales</topic><topic>Welsh</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roberts, Gwerfyl Wyn</creatorcontrib><creatorcontrib>Irvine, Fiona Elizabeth</creatorcontrib><creatorcontrib>Jones, Peter Reece</creatorcontrib><creatorcontrib>Spencer, Llinos Haf</creatorcontrib><creatorcontrib>Baker, Colin Ronald</creatorcontrib><creatorcontrib>Williams, Cen</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of nursing studies</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Roberts, Gwerfyl Wyn</au><au>Irvine, Fiona Elizabeth</au><au>Jones, Peter Reece</au><au>Spencer, Llinos Haf</au><au>Baker, Colin Ronald</au><au>Williams, Cen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Language awareness in the bilingual healthcare setting: A national survey</atitle><jtitle>International journal of nursing studies</jtitle><addtitle>Int J Nurs Stud</addtitle><date>2007-09-01</date><risdate>2007</risdate><volume>44</volume><issue>7</issue><spage>1177</spage><epage>1186</epage><pages>1177-1186</pages><issn>0020-7489</issn><eissn>1873-491X</eissn><coden>IJNUA6</coden><abstract>The significance of effective interpersonal communication in healthcare is well established, as is the importance of overcoming language barriers. This has a particular bearing for minority language speakers, where denying language choice can compromise the quality of healthcare provision. Nevertheless, there is limited empirical research exploring language awareness in healthcare and the factors that influence language choice for minority language speakers.
This paper reports on the nurses, midwives and health visitors (NMHV) data set of the first phase of a large-scale national study, commissioned by the Welsh Assembly Government, to examine the nature and extent of Welsh language awareness amongst healthcare professionals in Wales, UK.
The study involved a questionnaire survey of healthcare professionals working in the public, private and voluntary sectors of healthcare.
A stratified random sample of 3358 healthcare professionals was surveyed, of which 1842 (55%) were nurses, midwives and health visitors. The researcher-designed self-administered questionnaire was distributed by post to participants between July and September 2003. A total of 1042 (57%) NMHV returned their questionnaires for analysis.
A strong positive correlation is identified between the NMHV use of the Welsh language in practice and their Welsh language proficiency (
p
<
.
01
); language attitudes (
p
<
.
01
); and language region (
p
<
.
01
). Mean language attitude scores are more positive than expected, particularly amongst those with limited Welsh language proficiency and those working in regions with the lowest proportions of Welsh speakers.
In view of the universal drive for culturally and linguistically appropriate healthcare practice, the findings have important implications for bilingual and multilingual healthcare settings worldwide. The evidence emerging from this survey confirms that cross-cultural communication is enhanced by NMHV language attitudes as well as their proficiency levels. Language awareness training is therefore recommended as a way of enhancing care delivery for minority language speakers.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>17054959</pmid><doi>10.1016/j.ijnurstu.2006.03.019</doi><tpages>10</tpages></addata></record> |
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subjects | Adult Analysis of Variance Attitude Attitude of Health Personnel - ethnology Attitudes Awareness Bilingual Bilingual people Bilingualism Choice Behavior Clinical Competence Communication Barriers Community Health Nursing - education Correlation analysis Female Health care Health Knowledge, Attitudes, Practice Health professional-Patient communication Health professionals Humans Interpersonal communication Language Male Minority groups Minority Groups - psychology Multilingualism Needs Assessment Nurse Midwives - education Nurse Midwives - psychology Nurse's Role - psychology Nurse-Patient Relations Nurses - psychology Nursing Nursing Methodology Research Qualitative Research Quality of care Self Efficacy Structured questionnaires Studies Surveys and Questionnaires Wales Welsh |
title | Language awareness in the bilingual healthcare setting: A national survey |
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