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Strategies to Improve Care in the Emergency Department for Culturally and Linguistically Diverse Adults: a Systematic Review: a Systematic Review

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Title: Strategies to Improve Care in the Emergency Department for Culturally and Linguistically Diverse Adults: a Systematic Review: a Systematic Review
Authors: Nematullah Hayba, Colleen Cheek, Elizabeth Austin, Luke Testa, Lieke Richardson, Mariam Safi, Natália Ransolin, Ann Carrigan, Reema Harrison, Emilie Francis-Auton, Robyn Clay-Williams
Source: J Racial Ethn Health Disparities
Publisher Information: Springer Science and Business Media LLC, 2023.
Publication Year: 2023
Subject Terms: Adult, Emergency Service, Ethnic or racial minority, Hospital/statistics & numerical data, Disparity, Cultural Diversity, Humility, Quality Improvement, Article, 03 medical and health sciences, 0302 clinical medicine, Discrimination, Humans, Emergency Service, Hospital, Social accountability, Health equity, Language
Description: Background The emergency department (ED) is an important gateway into the health system for people from culturally and linguistically diverse (CALD) backgrounds; their experience in the ED is likely to impact the way they access care in the future. Our review aimed to describe interventions used to improve ED health care delivery for adults from a CALD background. Methods An electronic search of four databases was conducted to identify empirical studies that reported interventions with a primary focus of improving ED care for CALD adults (aged ≥ 18 years), with measures relating to ED system performance, patient outcomes, patient experience, or staff experience. Studies published from inception to November 2022 were included. We excluded non-empirical studies, studies where an intervention was not provided in ED, papers where the full text was unavailable, or papers published in a language other than English. The intervention strategies were categorised thematically, and measures were tabulated. Results Following the screening of 3654 abstracts, 89 articles underwent full text review; 16 articles met the inclusion criteria. Four clear strategies for targeting action tailored to the CALD population of interest were identified: improving self-management of health issues, improving communication between patients and providers, adhering to good clinical practice, and building health workforce capacity. Conclusions The four strategies identified provide a useful framework for targeted action tailored to the population and outcome of interest. These detailed examples show how intervention design must consider intersecting socio-economic barriers, so as not to perpetuate existing disparity. Registration PROSPERO registration number: CRD42022379584.
Document Type: Article
Other literature type
File Description: application/pdf
Language: English
ISSN: 2196-8837
2197-3792
DOI: 10.1007/s40615-023-01876-z
Access URL: https://pubmed.ncbi.nlm.nih.gov/38117444
https://portal.findresearcher.sdu.dk/da/publications/f399838e-ec95-4872-9fd0-7a1ed0f04f48
https://doi.org/10.1007/s40615-023-01876-z
https://acuresearchbank.acu.edu.au/item/90z0y/strategies-to-improve-care-in-the-emergency-department-for-culturally-and-linguistically-diverse-adults-a-systematic-review
Rights: CC BY
Accession Number: edsair.doi.dedup.....acaa5e7a1090e91787b084aecfefd0d0
Database: OpenAIRE
Description
Abstract:Background The emergency department (ED) is an important gateway into the health system for people from culturally and linguistically diverse (CALD) backgrounds; their experience in the ED is likely to impact the way they access care in the future. Our review aimed to describe interventions used to improve ED health care delivery for adults from a CALD background. Methods An electronic search of four databases was conducted to identify empirical studies that reported interventions with a primary focus of improving ED care for CALD adults (aged ≥ 18 years), with measures relating to ED system performance, patient outcomes, patient experience, or staff experience. Studies published from inception to November 2022 were included. We excluded non-empirical studies, studies where an intervention was not provided in ED, papers where the full text was unavailable, or papers published in a language other than English. The intervention strategies were categorised thematically, and measures were tabulated. Results Following the screening of 3654 abstracts, 89 articles underwent full text review; 16 articles met the inclusion criteria. Four clear strategies for targeting action tailored to the CALD population of interest were identified: improving self-management of health issues, improving communication between patients and providers, adhering to good clinical practice, and building health workforce capacity. Conclusions The four strategies identified provide a useful framework for targeted action tailored to the population and outcome of interest. These detailed examples show how intervention design must consider intersecting socio-economic barriers, so as not to perpetuate existing disparity. Registration PROSPERO registration number: CRD42022379584.
ISSN:21968837
21973792
DOI:10.1007/s40615-023-01876-z