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Results for “Communication Barriers”

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PubMed1990

Can SEE-2 children understand ASL-using adults?

Signing Exact English or SEE-2, is one of several invented sign systems currently being used with hearing-impaired children in the United States. The system parallels the morphology of written English and differs from American Sign Language both in terms of the configuration of many of the lexical signs and in grammatical word order. The current study investigated whether students accustomed to an invented sign system could comprehend ASL signed by deaf adults. One group of subjects was exposed to SEE-2 in their day school classrooms. The other group attended residential programs and was exposed to Signed English, PSE and ASL. Both groups observed three videotaped short stories and answered questions following each. Both groups answered approximately 25 percent of the written comprehension questions correctly; their mean scores did not differ significantly. Results of the study suggest that students exposed to SEE-2 and lacking experiences with deaf adults were able to comprehend ASL as well as their peers who attended residential schools.

Adolescent↗
PubMed2005

Short communication: Effect of feed barrier design on the behavior of loose-housed lactating dairy cows.

The objective of this study was to evaluate the effects of 2 feed barrier systems on feeding and social behavior of dairy cows. Forty-eight lactating Holstein cows were subjected to each of 2 treatments in a cross-over design. The treatments were 2 types of feed-line barriers: 1) post-and-rail, and 2) headlock. Time-lapse video was used to quantify the feeding behavior and incidence of aggressive displacements of the cows at the feed bunk. Average daily feeding time did not differ when cows used the headlock barrier compared with the post-and-rail barrier. However, there were certain changes in feeding time during periods of peak feeding activity: cows that had lower feeding times relative to group mates when using the post-and-rail barrier showed more similar feeding times to group mates when using the headlock barrier. There were 21% fewer displacements at the feed bunk when cows accessed feed by the headlock barrier compared with the post-and-rail barrier. These results suggest that using a headlock barrier reduces aggression at the feed bunk and improves access to feed for socially subordinate cows during peak feeding periods.

Aggression↗
PubMed2005

Limited English proficiency and breast and cervical cancer screening in a multiethnic population.

OBJECTIVES: We examined the relationship between ability to speak English and receipt of Papanicolaou tests, clinical breast examinations, and mammography in a multiethnic group of women in the United States. METHODS: We used longitudinal data from the Study of Women Across the Nation to examine receipt of breast and cervical cancer screening among Chinese, Japanese, Hispanic, and White women who reported reading and speaking (1) only a language other than English, (2) another language more fluently than English, or (3) only English or another language and English with equal fluency. Logistic regression was used to analyze the data. RESULTS: Reading and speaking only a language other than English and reading and speaking another language more fluently than English, were significantly and negatively associated with receipt of breast and cervical cancer screening in unadjusted models. Although these findings were attenuated in adjusted models, not speaking English well or at all remained negatively associated with receipt of cancer screening. CONCLUSIONS: These findings suggest that language barriers contribute to health disparities by impeding adequate health communication.

Acculturation↗
PubMed2005

Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs.

Handoffs involve the transfer of rights, duties, and obligations from one person or team to another. In many high-precision, high-risk contexts such as a relay race or handling air traffic, handoff skills are practiced repetitively to optimize precision and anticipate errors. In medicine, wide variation exists in handoffs of hospitalized patients from one physician or team to another. Effective information transfer requires a solid foundation in communication skills. While these skills have received much attention in the medical literature, scholarship has focused on physician-to-patient, not physician-to-physician, communication. Little formal attention or education is available to reinforce this vital link in the continuity of patient care. The authors reviewed the literature on patient handoffs and evaluated the patient handoff process at Indiana University School of Medicine's internal medicine residency. House officers there rotate through four hospitals with three different computer systems. Two of the hospitals employ a computer-assisted patient handoff system; the other two utilize the standard pen-to-paper method. Considerable variation was observed in the quality and content of handoffs across these settings. Four major barriers to effective handoffs were identified: (1) the physical setting, (2) the social setting, (3) language barriers, and 4) communication barriers. The authors conclude that irrespective of local context, precise, unambiguous, face-to-face communication is the best way to ensure effective handoffs of hospitalized patients. They also maintain that the handoff process must be standardized and that students and residents must be taught the most effective, safe, satisfying, and efficient ways to perform handoffs.

Communication↗