ArticleJournal of perinatology : official journal of the California Perinatal Association2026
Language access in the neonatal intensive care unit: inequities, legality, practice, and call to action.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveEvaluate Neonatal Intensive Care Unit (NICU) interpreter access and utilization, unit-based interpreter policies and initiatives, staff awareness and confidence in understanding language-access laws, and perceptions of language-based inequities. STUDY
designAn exploratory national survey of NICU staff was distributed via the National Association of Neonatal Nurses and the American Academy of Pediatrics (AAP) (10/2024-4/2025). Descriptive statistics and qualitative analysis were used for survey results.
resultThe 189 respondents represented all ten AAP districts. Most were aware of NICU-based interpreter policies (76%). 81% were not aware of additional state laws/provisions and many lacked confidence understanding federal (43%) or state (63%) language-access laws. Many respondents disagreed that language-discordance resulted in worse quality of care (40%) and outcomes (59%) in their NICU.
conclusionResults highlight the need for additional education on federal and state laws and provisions as well as the broad and systemic nature of language-based healthcare inequities across institutions.
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Registered trials
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