What is the asscoiacted risk for neglect, unethical treatment, and/or labor and delivery complications in non-English speaking obstetric patients due to a language barrier compared to primarily English speaking patients?

Disciplines

Family Practice Nursing | Maternal, Child Health and Neonatal Nursing | Nursing Administration | Nursing Midwifery

Abstract (300 words maximum)

Background:

Even though the U.S. is a developed nation, there are some areas that are not as developed as they should be. One of these areas is women’s health, particularly the labor and delivery experience. Unfortunately, the labor and delivery experience is not the same for all women and some women face discrimaination, neglect, or unethical treatment. Some women can’t effectively communicate with providers due to a language barrier. These issues directly impact Georgia’s high maternal mortality rate and Georgia’s rank as 49th out of all the states as the worst states to give birth in. The purpose of this project is to gather data supporting the acknowledgment of language barriers being an obstacle in fair obstetric treatment.

Brief Literature review:

Liese et al. conducted a study that focuses on obstetric iatrogenesis. The authors recognize how this maltreatment affects minorities. Nara et al. recognized the reproductive services in Uganda were inadequate and conducted a study on how to improve those services. Schaefer et al. recognized the rising rates of cesarean deliveries and wanted to find the correlation between language preference and associated risks. Sujana et al. call attention to the importance of knowing another language for the healthcare field and acknowledges the lack of implementation.

Methods:

Data will be collected from multiple groups including: patients over 18 years old from 2011–2016, four focus group discussions with married and unmarried Congolese women, 98 midwifery students, and immigrant women. The gathered information will come from over 30 interviews and questionnaires.

Evaluation:

Collected data will be compared and contrasted to current practices to assess the success of current and new interventions. These interventions will be used to increase obstetric patient satisfaction and decrease the high maternal mortality rate by providing a blueprint for Georgia healthcare professionals to consider.

Academic department under which the project should be listed

Nursing

Primary Investigator (PI) Name

Karen Fegely

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What is the asscoiacted risk for neglect, unethical treatment, and/or labor and delivery complications in non-English speaking obstetric patients due to a language barrier compared to primarily English speaking patients?

Background:

Even though the U.S. is a developed nation, there are some areas that are not as developed as they should be. One of these areas is women’s health, particularly the labor and delivery experience. Unfortunately, the labor and delivery experience is not the same for all women and some women face discrimaination, neglect, or unethical treatment. Some women can’t effectively communicate with providers due to a language barrier. These issues directly impact Georgia’s high maternal mortality rate and Georgia’s rank as 49th out of all the states as the worst states to give birth in. The purpose of this project is to gather data supporting the acknowledgment of language barriers being an obstacle in fair obstetric treatment.

Brief Literature review:

Liese et al. conducted a study that focuses on obstetric iatrogenesis. The authors recognize how this maltreatment affects minorities. Nara et al. recognized the reproductive services in Uganda were inadequate and conducted a study on how to improve those services. Schaefer et al. recognized the rising rates of cesarean deliveries and wanted to find the correlation between language preference and associated risks. Sujana et al. call attention to the importance of knowing another language for the healthcare field and acknowledges the lack of implementation.

Methods:

Data will be collected from multiple groups including: patients over 18 years old from 2011–2016, four focus group discussions with married and unmarried Congolese women, 98 midwifery students, and immigrant women. The gathered information will come from over 30 interviews and questionnaires.

Evaluation:

Collected data will be compared and contrasted to current practices to assess the success of current and new interventions. These interventions will be used to increase obstetric patient satisfaction and decrease the high maternal mortality rate by providing a blueprint for Georgia healthcare professionals to consider.