ArticleInternational journal of nursing studies2019
How language barriers influence provider workload for home health care professionals: A secondary analysis of interview data.
Article in International journal of nursing studies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The experiences of minority language users in health and social care research: A systematic review.The International journal of health planning and management · 2025Pooled it
- Home Health Care to Asian Americans: a Systematic Review.Journal of racial and ethnic health disparities · 2024Pooled it
- Implementing system-wide digital medical interpretation: a framework for healthcare organizations.JAMIA open · 2025Article
- Testing a novel theoretical framework to study language services implementation in health care.PEC innovation · 2025Article
- Nurse Work Environment and Hospital Readmission Disparities Between Patients With and Without Limited English Proficiency.Research in nursing & health · 2025Article
- Investigating the Connections Between Delivery of Care, Reablement, Workload, and Organizational Factors in Home Care Services: Mixed Methods Study.JMIR human factors · 2023Article
- Potentially More Out of Reach: Public Reporting Exacerbates Inequities in Home Health Access.The Milbank quarterly · 2023Article
- Demand and influencing factors of "Internet + Traditional Chinese Medicine" home nursing service for older adult patients with chronic diseases: a mixed research perspective.Frontiers in public health · 2023Article
- What are the common areas of risk and their characteristics found in intermediate care from an occupational therapy perspective? A scoping review.The British journal of occupational therapy · 2022Review
- Assessing the influence of patient language preference on 30 day hospital readmission risk from home health care: A retrospective analysis.International journal of nursing studies · 2022Article
- Language barriers between nurses and patients: A scoping review.Patient education and counseling · 2021Article
- Functional outcome in home health: Do racial and ethnic minority patients with dementia fare worse?PloS one · 2020Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundIncreasingly, patients with limited English proficiency are accessing home health care services in the United States. Few studies have examined how language barriers influence provider role implementation or workload in the home health care setting.
objectivesTo explore home health care professionals' perspectives about how workload changes from managing language barriers influence quality and safety in home health care.
designA qualitative secondary data analysis using a summative content analysis approach was used to analyze existing semi-structured interview data.
settingA large urban home health care agency located on the East Coast of the United States.
participantsThirty five home health care providers [31 registered nurses, 3 physical therapists, 1 occupational therapist].
resultsA total of 142 discrete incidents emerged from the analysis. Overall, home health care providers experienced distinct shifts in how they implemented their roles that added to their workload and time spent with Limited English Proficiency patients and family members. Providers were concerned about interpretation accuracy and perceived it as potentially posing risks to patient safety. Changes in work patterns, therefore, sought to maximize patient safety.
conclusionsHome health care providers decision-making about how they adapt practice when faced with a language barrier is a sequence of actions based on awareness of the patient's language preference and if they spoke another language. Subsequent choices showed proactive behaviors to manage increased workload shaped by their perceived risk of the threats posed by the quality of interpreter services. Future research should develop quantitative models examining differences in workload when caring for limited English proficiency versus English speaking patients as well as the relationship between visit length and patient outcomes to determine optimal quality models.
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