Browsing by Subject "Communication"
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Item An Exploratory Study of the Influence of Language and Ethnic Concordance on Hispanic Patients' Trust in their Healthcare Providers in Tarrant County(2007-08-01) Macias, Isela; Holly E. Jacobson; Francisco Soto-Mas; Daisha CipherMacias, Isela. An Exploratory Study of the Influence of Language and Ethnic Concordance on Hispanic Patients’ Trust in Their Healthcare Providers in Tarrant County. Master of Public Health (Health Interpreting & Health Applied Linguistics), August 2007, 76 pp., 8 tables, references, 57 titles. There is a scare number of Spanish-speaking, Hispanic physicians to serve a growing Spanish-speaking Hispanic population. A survey and interview were conducted in a primary health clinic with fifty-two Spanish-speaking Hispanic patients. The Introduction (Chapter 1), included the problem and purpose; Literature Review (Chapter 2), analyzed supporting literature; Methodology (Chapter 3), described data process; Results (Chapter 4), reported the findings; and Conclusions and Recommendations (Chapter 5), included the decision. Spanish-speaking Hispanics in the study had more trust in Spanish-speaking Hispanic physicians than in non-Hispanic physicians who did not speak Spanish. More studies should include Spanish-speaking Hispanics and focus on differences in acculturation and the patient-physician relationship.Item Development of a Subjective Comfort Questionnaire for Hydrogel Contact Lens Wearers(2003-12-01) Hays, Brian Hunter; Sheedlo, Harold; Stein, Jerry; Atiles, LuisThroughout this paper it is written that I would complete this study in its entirety. Due to time constraints and the length of this study, it was planned from the beginning that I would only accomplish the beginning phases, phases one and two. The reason why this paper was written this way, planning the complete research plan, is to aid the individuals that will finish this study in its entirety. I. Purpose. The purpose of this project is to develop a questionnaire that can be used as a tool to measure the subjective symptoms of ocular comfort or discomfort reported by soft contact lens wearers. After a questionnaire has been developed, it will be tested to determine its reliability and validity in capturing the ocular sensations experienced by hydrogel contact lens wearers. II. Overview of the study. The research for the study will be conducted in six phases while pursuing three specific aims. The phases will consist of: A. reviewing literature in the form of reported soft contact lens symptomatology and interviewing skill improvement, compiling and B. examining previously developed questionnaires, developing open-ended interview questions and collecting data from the field. C. developing preliminary questionnaire items based on data gained during the first phase. D. administering the preliminary questionnaire to receive feedback from volunteers with regards to each item’s appropriateness, and tallying the volunteer's responses to graphically analyze each item’s answer distribution. E. refining each item based on the data obtained during the third phase to create a revised draft of the questionnaire. F. determining if the revised draft conveyed and captured the ideas reported by the volunteers by receiving feedback after it is administered. G. demonstrating reliability and validity by psychometrically validating the questionnaire. During each administrational phase of the study (phases three, five and six) two groups of volunteers will be used to gain a broader spectrum of data. Each group will be composed of a sub-set of previously interviewed volunteers and a sub-set of new volunteers. Before any information is obtained, a confidentiality agreement will be discussed with each volunteer. All volunteers will be given a simple, easy to read informed consent form and a randomly assigned number.Item Getting Lost in Translation: The Dangers in Literal Translation(2008-04-18) Pena, Itzel; Gwirtz, Patricia A.; Gladue, Brian; Espinoza, AnnaCurrently 16 million Hispanics in the U.S. do not speak any English making the need for Spanish translation apparent. Within the clinical research realm, accurate translation is important for complete comprehension of the informed consent process, as it is the application of the ethical principle of respect for persons (autonomy). This study found that literal translations might not always be the best form of translation. Instead, non-literal translations may offer better comprehension of the consent process. However, the effect of being bilingual and attaining high education levels are significant factors influencing the comprehension of the informed consent document. Additionally these factors may actually facilitate the understanding of the consent form more than the literal and non-literal translation. Lastly, the perception and meaning behind different translations can affect comprehension of consent concepts. Subjects preferred to be called participants showing that the two different translations can hold different meanings.Item Language and Cultural Access Services for Healthcare of Latinos: A Study of Their Experiences in Dallas County(2006-04-04) Prieto, Juan; Coggin, Claudia; Gonzalez, Adela; Cipher, DaishaPrieto, Juan G., Language and Cultural Access Services for Healthcare of Latinos: A Study of Their Experiences in Dallas County. Master of Public Health (Community Health), April 4, 2006, pp 53, tables 5, bibliography, titles 29. The American healthcare system largely serves English-speakers, but 21 million Latinos in this country speak limited English. This cross-sectional study examines language laws and patient experiences in overcoming communication barriers. The study’s responses suggest lack of awareness of language access rights among Latinos and non-compliance with language laws by some public and private healthcare providers. Communication gaps can result in untreated or misdiagnosed illness, injury or death. However, life-threatening disparities experienced by Latinos could be alleviated if patients learned of their language rights through media campaigns. Medical treatment would drastically improve the hiring, training and supporting bilingual healthcare professionals; through the strengthening the enforcement of language services laws; and through the allocating funds for cultural and linguistic services in healthcare.Item Optimizing Workflows to Enhance Principal Investigator Satisfaction and Boost Patient Recruitment(2023-12) Maldonado, Marilyn L.; Krishnamoorthy, Raghu R.; Mathew, Stephen O.; Leach, YeseniaThe success of a research study can be significantly compromised when principal investigators (PIs) express their dissatisfaction with the clinical research process. Additionally, poor communication between the PIs and research staff can lead to discouragement from participating in research. This communication barrier can also negatively impact subject recruitment and influence the overall success of the research study. In 2022, a survey conducted within the ophthalmology department at the University of Texas Southwestern Medical Center (UTSW) revealed a notable communication disconnect among the PIs, research staff, and clinic staff. This project aimed to reevaluate PI satisfaction, participation, and patient recruitment outcomes after introducing new workflows within the department, which facilitated a closer communication and collaboration with the clinical research staff. The Ophthalmology and Optometry clinical and research providers were administered the same survey as the previous year. Ten of the 35 providers responded, giving a 29% response rate. The responses revealed some improvement in some areas, such as PI's knowledge of resources available to conduct research and awareness of active enrolling studies. Other areas remained unchanged and in need of further work, such as a lack of a clear understanding of the research process and whom to contact to start a research study at UT Southwestern.Item Relationship Between Clinical Rounding Practices and Patient Perception of Communication in the Intensive Care Unit (ICU)(2018-05) Stokes, Vanetria D.; Millar, J. Cameron; Gwirtz, Patricia A.; Mathew, Stephen O.In the neurosurgical intensive care unit (NSICU), families were being included in the medical rounds conducted by the healthcare team in an effort to improve communication options with family members who had patient family in the unit. As a result, simultaneous research was conducted. This research focused on perception of communication in the NSICU by patients. The study aimed to find if there are positive differences between patients whose families participated in rounds and families who did not participate in rounds. Using a 16-item survey this research problem was investigated in addition to patient preferences concerning how and if their families should be included in medical rounds. The study was considered a descriptive study design. The survey responses were scaled and were converted into numerical responses to assess results. The major finding for the study was that although many families did not attend rounds, patients still preferred that their family had the opportunity to participate. Also patients had a positive perception of their communication experience in the neurosurgical intensive care unit.