Communication Barriers
Conditions
Keywords
Communication barriers, Language barriers, Video-Interpreting, Emergency Medicine, Emergency physician
Brief summary
Background: Global migration increases the likelihood of language barriers. In medical situations language barriers have a negative effect on quality of treatment and thus endanger patient safety. In-hospital settings feasibility of video-translation has been demonstrated, yet there is lack of evidence in emergency trauma rooms. There, the physicians have to deal with time-critical decisions. Aims: This feasibility trial aims to investigate technical feasibility, usability as well as the impact on decision-making (e.g. alteration of treatment strategies). Methods: In this study 50 responsive patients with language barriers will be included. The anesthesiologic emergency physician will start video-translation via a tablet. Feasibility, quality of communication, usability as well as changes in diagnosis and treatment will be gathered and analyzed.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients, at least 18 years old * awake, responsive patients * language barrier (Albanian, Dari, Romanian, Turkish, Modern Standard Arabic, Arabic, Farsi, Russian, Hungarian, Bosnian-Croatian-Serbian, Kurdish (Kurmanci), Slovakian, Bulgarian, Polish, and Czech)
Exclusion criteria
* unconscious patients * cardiac arrest patients * delay of treatment due to e-translation * refusal of video-translation by the patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Technical Feasibility | Directly after use of video-interpreting | Occurance of technical problems will be reported |
| Usability of video-interpreting | Directly after use of video-interpreting | The usability will be evaluated afterwards by the anesthesiologic emergency physician using a questionnaire including following items on a 7-point Likert scale (strongly disagree to strongly agree): * Video-interpreting was easy to use. * I feel comfortable to use video-interpreting during the situation. * The amount of time involved to use video-interpreting has been fitting for me. * I would use video-interpreting again. * Video-interpreting was useful for my healthcare practice in this situation. |
| Impact on emergency physician's decisions | Directly after use of video-interpreting | The impact of video-translation will be evaluated regarding alteration of medical history or treatment (yes/no) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Demographic parameters | Directly after use of video-interpreting | Following characteristics of the patients will be recorded: Age, gender, primary diagnosis of the physician |
Countries
Austria