Evidence map›Paper›PMID 31339836›Full record

ArticleJournal of hospital medicine2019

Inpatient Communication Barriers and Drivers When Caring for Limited English Proficiency Children.

Angela Y Choe, Ndidi I Unaka, Amanda C Schondelmeyer, Whitney J Raglin Bignall, Heather L Vilvens, Joanna E Thomson

Abstract read
In one paragraph

Article in Journal of hospital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Trial
  2. A Qualitative Study of Parent and Health Care Provider Perspectives on Polypharmacy in Children With Medical Complexity.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2026
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  7. Tools to improve discharge equity: Protocol for the pilot TIDE trial.Contemporary clinical trials communications · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Angela Y ChoeDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Ndidi I UnakaDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Amanda C SchondelmeyerDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Whitney J Raglin BignallDivision of Psychology in the Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio.
Heather L VilvensAllied Health Department, University of Cincinnati Blue Ash College, Cincinnati, Ohio.
Joanna E ThomsonDivision of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.

Funding

Hospital Management of Acute Respiratory Illness in Children with Neurologic Impairment.K08HS025138 · AHRQ · CINCINNATI CHILDRENS HOSP MED CTR · PI THOMSON, JOANNA · 2017 to 2021
$741k
AHRQ HHS K08 HS025138
6 · The paper itself

Abstract

backgroundAchieving effective communication between medical providers and families with limited English proficiency (LEP) in the hospital is difficult.

objectiveOur objective was to identify barriers to and drivers of effective interpreter service use when caring for hospitalized LEP children from the perspectives of pediatric medical providers and interpreters. DESIGN/PARTICIPANTS/

settingWe used Group Level Assessment (GLA), a structured qualitative participatory method that allows participants to directly produce and analyze data in an interactive group session. Participants from a single academic children's hospital generated individual responses to prompts and identified themes and relevant action items. Themes were further consolidated by our research team and verified by stakeholder groups.

resultsFour GLA sessions were conducted including 64 participants: hospital medicine physicians and pediatric residents (56%), inpatient nursing staff (16%), and interpreter services staff (28%). Barriers identified included: (1) difficulties accessing interpreter services; (2) uncertainty in communication with LEP families; (3) unclear and inconsistent expectations and roles of team members; and (4) unmet family engagement expectations. Drivers of effective communication were: (1) utilizing a team-based approach between medical providers and interpreters; (2) understanding the role of cultural context in providing culturally effective care; (3) practicing empathy for patients and families; and (4) using effective family-centered communication strategies.

conclusionsParticipants identified unique barriers and drivers that impact communication with LEP patients and their families during hospitalization. Future directions include exploring the perspective of LEP families and utilizing team-based and family-centered communication strategies to standardize and improve communication practices.

Indexed as

InpatientsLimited English ProficiencyPhysician-Patient RelationsAttitude of Health PersonnelChildCommunication BarriersEmpathyHospitals, PediatricHumansPatient Care TeamProfessional RoleQualitative ResearchTranslating

Identifiers

PMID31339836
PMCPMC6817305

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.