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Patients with limited proficiency in the primary language who do not receive a healthcare interpreter have poorer health outcomes. Clinician preference is an important factor in determining whether a healthcare interpreter will be used; yet little is known about their experiences and preferences for working with healthcare interpreters.
To review and synthesise the evidence examining nurses' experiences of working with healthcare interpreters when caring for patients with limited proficiency in the primary language.
This review follows the reporting items contained within the ENTREQ statement. A systematic search of the literature was undertaken from inception to August 2024 in the databases CINAHL, Embase, Medline, PsychInfo, PubMed, Scopus, and ProQuest Dissertations and Theses Global. Included studies were assessed using the Critical Appraisal Skills Programme tool for qualitative studies. Thematic synthesis was undertaken on studies meeting the inclusion criteria, including studies undertaken in acute settings. Articles were limited to English-language papers and peer-reviewed.
Eighteen studies representing the experiences of 416 nurses from eight countries were included in the review. Four themes were identified: (1) working with Interpreters, (2) tensions and challenges, (3) making connections, and (4) workarounds.
Nurses' experiences of working with healthcare interpreters were overwhelmingly positive; however, concerns about interpretation accuracy, unreliable technology, additional time required when working with a healthcare interpreter, and being sidelined were evident. Nurses commonly resorted to using bilingual nurse colleagues and family members when healthcare interpreters were unavailable.
This review highlights the need for nurses to be allocated additional time in their patient loads when caring for patients with limited proficiency in the primary language. Healthcare policy that accommodates the use of bilingual healthcare professionals as well as the need for nurses to receive formal training on working collaboratively with healthcare interpreters is needed.
Not applicable due to systematic review.
To explore residents' experiences of the mealtime environment in nursing home.
An exploratory qualitative design was employed to gain in-depth insights.
Twenty semi-structured interviews were conducted with residents at a nursing home. Data were analysed using thematic analysis as outlined by Braun and Clarke. The consolidated criteria for Reporting Qualitative research checklist were used to support the research process.
Four main themes emerged from the analysis: (1) The significance of food, emphasising the centrality of food quality and variety in residents' mealtime experiences. (2) Security through routines, illustrating how established mealtime routines provide comfort and predictability. (3) Variability in staff influence, reflecting residents' perceptions of staff competence and their impact on the dining experience. (4) Limited social interactions, highlighting the varied social dynamics and their effects on residents' sense of community and isolation.
The study underscores the critical importance of food quality, staff compliance and consistent routines in enhancing mealtime experiences in nursing homes. Additionally, it reveals that the ability to choose social interactions plays a significant role in residents' satisfaction and social well-being.
This study provides valuable insights for improving mealtime experiences in nursing homes, suggesting that person-centred care and resident involvement in meal planning can enhance satisfaction and nutritional intake.
The findings offer practical guidance for healthcare management, emphasising the need to prioritise and personalise mealtime environments to better meet residents' needs and preferences.
To explore patients' and healthcare professionals' (HCPs) experiences of oral care during hospitalisation to identify needs and challenges.
Daily oral care is important to patients' health and well-being, to prevent diseases in the oral cavity, systemic infections and increased morbidity, which subsequently can lead to prolonged hospitalisation and, at worst, increased mortality. Despite this knowledge, oral care is a neglected part of nursing practice. Studies do not clearly identify barriers regarding oral care, as the existing knowledge is inadequate.
A qualitative study exploring participants' experiences to gain new in-depth knowledge of oral care among hospitalised patients.
A phenomenological-hermeneutic approach was applied. Participant observations were conducted on five hospital wards, combined with individual semi-structured interviews with 16 patients and 15 HCP. Data analysis was based on Ricoeur's theory of narrative and interpretation.
Four themes describing the challenges regarding oral care emerged: Oral care as a gut feeling; oral care fades into the background; even self-reliant patients need help with oral care; and the mouth reflects the life lived.
The identified challenges show there is a need for improvement in the health professional approach to oral care in nursing practice. Focus on increasing HCPs' knowledge, skills and competences can increase their nursing agency and support patients' self-care capacity.
Investigation of oral care during hospitalisation revealed four main challenges concerning both patients' and HCPs' lack of knowledge and awareness of oral care. Thus, patients and HCPs should be included in developing solutions to improve oral care in nursing practice.
The COREQ criteria for reporting qualitative research were adhered to.
A patient representative was involved in the discussion of the proposal, conduct and results of the study.
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