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Identifying second language speech tasks and ability levels for successful nurse oral interaction with patients in a linguistic minority setting: an instrument development project.

https://arctichealth.org/en/permalink/ahliterature135055
Source
Health Commun. 2011 Sep;26(6):560-70
Publication Type
Article
Date
Sep-2011
Author
Talia Isaacs
Michel D Laurier
Carolyn E Turner
Norman Segalowitz
Author Affiliation
Graduate School of Education, University of Bristol, UK. talia.isaacs@bristol.ac.uk
Source
Health Commun. 2011 Sep;26(6):560-70
Date
Sep-2011
Language
English
Publication Type
Article
Keywords
Clinical Competence - standards
Communication Barriers
Factor Analysis, Statistical
Focus Groups
Humans
Language
Minority Groups
Nurse-Patient Relations
Quebec
Questionnaires
Speech
Abstract
One of the most demanding situations for members of linguistic minorities is a conversation between a health professional and a patient, a situation that frequently arises for linguistic minority groups in North America, Europe, and elsewhere. The present study reports on the construction of an oral interaction scale for nurses serving linguistic minorities in their second language (L2). A mixed methods approach was used to identify and validate a set of speech activities relating to nurse interactions with patients and to derive the L2 ability required to carry out those tasks. The research included an extensive literature review, the development of an initial list of speech tasks, and validation of this list with a nurse focus group. The retained speech tasks were then developed into a questionnaire and administered to 133 Quebec nurses who assessed each speech task for difficulty in an L2 context. Results were submitted to Rasch analysis and calibrated with reference to the Canadian Language Benchmarks, and the constructs underlying the speech tasks were identified through exploratory and confirmatory factor analyses. Results showed that speech tasks dealing with emotional aspects of caregiving and conveying health-specific information were reported as being the most demanding in terms of L2 ability, and the most strongly associated with L2 ability required for nurse-patient interactions. Implications are discussed with respect to the development and use of assessment instruments to facilitate L2 workplace training for health care professionals.
PubMed ID
21512923 View in PubMed
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