Evidence map›Paper›PMID 31562199›Full record

ArticleHospital pediatrics2019

Translating Discharge Instructions for Limited English-Proficient Families: Strategies and Barriers.

Seethalakshmi H Davis, Julia Rosenberg, Jenny Nguyen, Manuel Jimenez, K Casey Lion, Gabriela Jenicek, Harry Dallmann, Katherine Yun

Abstract read
In one paragraph

Article in Hospital pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Review
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  14. Tools to improve discharge equity: Protocol for the pilot TIDE trial.Contemporary clinical trials communications · 2025
    Article
  15. Article
  16. A Cyclical Model of Barriers to Healthcare for the Hispanic/Latinx Population.Journal of racial and ethnic health disparities · 2024
    Review
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Seethalakshmi H DavisSwarthmore College, Swarthmore, Pennsylvania; seethalakshmi.davis@childrens.harvard.edu.
Julia RosenbergDepartment of Pediatrics, Yale New Haven Children's Hospital, New Haven, Connecticut.
Jenny NguyenLewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.
Manuel JimenezDepartment of Pediatrics, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, New Jersey.
K Casey LionCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, Washington.
Gabriela JenicekPolicyLab, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Harry DallmannDepartment of Pediatrics, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, New Jersey.
Katherine YunPolicyLab, Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Funding

Targeted Inpatient Navigation to Improve Care for Minority Children and FamiliesK23HD078507 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI LION, KATHERINE CASEY · 2014 to 2018
$692k
Development of a Healthcare Navigation Intervention K23HD082312 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI YUN, KATHERINE M · 2015 to 2018
$505k
NICHD NIH HHS K23 HD078507NICHD NIH HHS K23 HD082312
6 · The paper itself

Abstract

backgroundAccess to written hospital discharge instructions improves caregiver understanding and patient outcomes. However, nearly half of hospitals do not translate discharge instructions, and little is known about why.

objectivesTo identify barriers to and potential strategies for translating children's hospital discharge instructions.

methodsWe conducted a mixed-methods, multimodal analysis. Data comprised closed- and open-ended responses to an online survey sent to Children's Hospital Association language services contacts (

resultsMost survey respondents (81%) reported having a written translation policy at their hospital, and all reported translating a subset of hospital documents, for example, consent forms. Most but not all reported translating discharge instructions (74%). When asked how inpatient staff typically provide translated discharge instructions, most reported use of pretranslated documents (87%) or staff interpreters (81%). Reported barriers included difficulty translating uncommon languages, mismatched discharge and translation time frames, and inconsistent clinical staff use of translation services. Strategies to address barriers included document libraries, pretranslated electronic health record templates, staff-edited machine translations, and sight translation. Institutional policies differed regarding the appropriateness of allowing interpreters to assist with translation. Respondents agreed that machine translation should not be used alone.

conclusionsChildren's hospitals experience similar operational and organizational barriers in providing language-concordant discharge instructions. Current strategies focus on translating standardized documents; collaboration and innovation may encourage provision of personalized documents.

Indexed as

Hospitals, PediatricLimited English ProficiencyPatient DischargePatient Education as TopicTranslatingCommunication BarriersHumansLanguageSocieties, HospitalSurveys and Questionnaires

Identifiers

PMID31562199
PMCPMC6876295

What OpenQuestion holds

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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.