Journal article
Disparities During Family-Centered Rounds for Families Using Languages Other Than English
Pediatrics (Evanston), v 156(2), e2024070285
28 Jul 2025
PMID: 40716767
Abstract
Patient- and family-centered rounds (PFCR) have become a pediatric standard of care. However, rounds experiences of families using languages other than English (LOE)-particularly languages other than English or Spanish (LOES; eg, Arabic)-receive less focus. We aimed to identify differences in PFCR communication and engagement by language.
We analyzed postintervention data from a 21-center structured PFCR study, assessing communication practices, quality, and family and nurse engagement during PFCR. Logistic regression adjusted by site compared PFCR between families using (1) LOE vs English, (2) Spanish vs English, and (3) LOES vs English.
Among 3051 PFCR encounters, 348 (11.4%) involved LOE (Spanish = 260; LOES = 85). Interpretation was not used in 7.2%, 5.8%, and 9.4% of encounters using LOE, Spanish, and LOES, respectively. PFCR in the following groups had lower adjusted odds (adjusted odds ratio [95% CI]) for the following domains: (1) LOE vs English: including providing verbal patient summaries (0.66 [0.46-0.95]), explaining diagnoses and differentials (0.62 [0.44-0.88]), family engagement (0.34 [0.20-0.57]), nursing inclusion (0.75 [0.60-0.93]), and nursing engagement (0.69 [0.52-0.90]). (2) Spanish vs English: diagnoses/differentials being explained (0.56 [0.37-0.85]), family engagement (0.35 [0.18-0.67]), nursing inclusion (0.77 [0.59-1.00]), and nursing engagement (0.68 [0.52-0.89]). (3) LOES vs English: families sharing concerns (0.66 [0.47-0.93]), family engagement (0.30 [0.16-0.54]), and nursing inclusion (0.74 [0.55-0.99]).
Even after implementing a PFCR intervention, families using LOE-especially LOES-experienced significant disparities in communication and engagement. Future approaches to improving PFCR should emphasize language access and promote nurse and family engagement for families using LOE, particularly LOES.
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Details
- Title
- Disparities During Family-Centered Rounds for Families Using Languages Other Than English
- Creators
- Judith S Pelpola - Stanford UniversityChristina R Rojas - Lurie Children's HospitalErin Abu-Rish Blakeney - University of WashingtonJonathan S Farkas - New York UniversityJennifer L Everhart - Lucile Packard Children's HospitalAngela L Fan - Boston Children's HospitalSonia Garcia - Boston Children's HospitalDionne Graham - Harvard UniversityTyler M Johnson - University of VirginiaYuko Kajiwara - I-PASS LISTEN Family Advisory Council, Boston, MassachusettsErin Knoebel - Mayo ClinicKheyandra D Lewis - Drexel UniversityNandini Mallick - Boston Children's HospitalPeggy Markle - Walter Reed National Military Medical CenterEileen M Romano - Lurie Children's HospitalErin Shaughnessy - University of Alabama at BirminghamJennifer D Baird - Children's Hospital of Los AngelesSharon Calaman - New York UniversityNancy D Spector - Drexel UniversityChristopher P Landrigan - Boston Children's HospitalAlisa Khan - Boston Children's Hospital
- Publication Details
- Pediatrics (Evanston), v 156(2), e2024070285
- Publisher
- American Academy of Pediatrics
- Number of pages
- 9
- Grant note
- Patient-Centered Outcomes Research Institute: PCORI DI-2017C3-9232, PCORI AD2021C3-24848 National Heart, Lung, and Blood Institute: 1K23HL144910-01A1
Primary funding courtesy of PCORI DI-2017C3-9232 from the Patient-Centered Outcomes Research Institute (PI Landrigan) and PCORI AD2021C3-24848(PI Khan). Erin Blakeney also received funding to support her participation in this project and manuscript from a National Heart, Lung, and Blood Institute K23(1K23HL144910-01A1) Career Development Award.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:001565989200016
- Scopus ID
- 2-s2.0-105012871499
- Other Identifier
- 991022065409504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics