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Objective <p>To understand the experiences of mothers with a preferred language other than English (PLOE) in communicating with staff and engaging in the care of their hospitalized infant.</p> Design <p>We qualitatively analyzed a previously collected and a prospective dataset comprised of transcripts of 36 interviews with Spanish-, Haitian Creole-, and Brazilian Portuguese-speaking mothers of preterm infants from 3 NICUs. We applied the constant comparative method to develop codes and themes, which were inductively structured using the socio-ecological framework.</p> Results <p>We identified themes across socio-ecological levels: <i>Individual</i> (unaddressed language barriers, varied maternal empowerment, and justification of suboptimal interpreter use); <i>Interpersonal</i> (family-staff language concordance facilitating engagement, positive impact of non-interpreted informal interactions, and differential treatment based on maternal language status); <i>Institutional</i> (system-level interpretation barriers and varied interpreter service quality).</p> Conclusion <p>Mothers with PLOE face multilevel communication and engagement barriers in the NICU; we discuss potential interventions to improve equity in these areas.</p>

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Experiences of communication in the neonatal intensive care unit for mothers with a preferred language other than English

  • 期刊论文

  • 发表日期：

    2025年2月20日

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  • Nikita S. Kalluri,
  • Rachel E. Witt,
  • Zuzanna Kubicka,
  • Margaret G. Parker,
  • Erika G. Cordova-Ramos

摘要

Objective

To understand the experiences of mothers with a preferred language other than English (PLOE) in communicating with staff and engaging in the care of their hospitalized infant.

Design

We qualitatively analyzed a previously collected and a prospective dataset comprised of transcripts of 36 interviews with Spanish-, Haitian Creole-, and Brazilian Portuguese-speaking mothers of preterm infants from 3 NICUs. We applied the constant comparative method to develop codes and themes, which were inductively structured using the socio-ecological framework.

Results

We identified themes across socio-ecological levels: Individual (unaddressed language barriers, varied maternal empowerment, and justification of suboptimal interpreter use); Interpersonal (family-staff language concordance facilitating engagement, positive impact of non-interpreted informal interactions, and differential treatment based on maternal language status); Institutional (system-level interpretation barriers and varied interpreter service quality).

Conclusion

Mothers with PLOE face multilevel communication and engagement barriers in the NICU; we discuss potential interventions to improve equity in these areas.