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DOI

https://doi.org/10.25035/jsmahs.09.02.06

Abstract

Purpose: When seeking services from healthcare providers language barrier challenges are experienced by patients and clinicians. To purpose of this study was to investigate AT’s experience with Non-native English Speaking (NNES) patient care. Method: Level of agreement to question in four themed areas was measured using The Athletic Trainers Non-Native English Speaking Survey (ATNNESS). Data of agreement were organized by other languages spoken, setting of practice, years of experience, and interaction frequency with NNES patients. Results: The ATNESS yielded satisfactory internal consistency and validity (α = 0.79). Paired sample t-test indicated significant difference in bilingual and monolingual presence of bilingual resources to create a welcoming environment (mean=4.64 versus mean=4.13, P=.032) and multi-language resources improving communication (mean=4.27 versus mean=3.83, P=0.048). One-way ANOVA of ATNESS questions yielded significant variation between groups agreement in settings access to interpreter services, Hospital (4.0 + .816) > Secondary School (2.13 + .619), Collegiate (1.8 + .789), Occupational and Industrial (2.0 + 1.732), and Other (2 +. 894), and formal process to identify patients’ native language, Hospital (4.0 + .816) >Collegiate (2.0 + .816). One-way ANOVA of ATNESS questions by Experience yielded significant variation between groups agreement on participation in training improving interaction with NNES patients; AP (5.0 + 0.0) > N (3.0 + .577), YP (2.75 + .931); level of patient’s satisfaction; AP (5.0 + 0.0) > N (3.15 + .555), YP (3.69 + .793), P (3.33 + .500); and patient compliance to follow-up care; AP (5.0 + 0.0) > YP (3.06 + .998). One-way ANOVA yielded significant variation between groups agreement on participation of training improved interaction; most of the time (5.0 + 0.0) > sometimes (2.91 + .996), half the time (3.0 + 0.816); and having translation P&P updated annually; never (3.57 + 0.787)> half the time (2.14 + 0.690). Conclusion: Most settings of athletic training do not have readily available interpreter’s services for communication with NNES patients. ATs with more years of experience and interacted more with NNES patients found that annual training events improved patient interaction. Providers typically agreed that NNES patients experience less patient satisfaction and less compliance to follow-up care.

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