Professional Interpreters and Medication Adherence in Hispanic Patients
This paper presents a stakeholder education plan for a clinical project examining whether professional interpreters improve medication adherence among elderly Hispanic patients aged 50–75 who have limited English proficiency (LEP). The paper identifies administrative, clinical, and financial stakeholders—including hospital management, healthcare providers, nurses, patients, and government or non-governmental agencies—and outlines each group's role in implementation. Grounded in Transcultural Nursing Theory, the project frames effective communication as central to culturally competent care. The paper also describes a phased implementation approach, including pilot testing, staff education, and quarterly evaluations, aimed at reducing language-barrier-related health disparities.
- Introduction and Stakeholder Overview: Problem framing, population, and stakeholder categories
- Theoretical Foundation and Conceptual Framework: Transcultural Nursing Theory and conceptual model
- Implementation of Change: Proposed intervention, roles, and pilot phases
- Roles of Stakeholders in Project Execution: Assumptions, training needs, and evaluation schedule
- Conclusion: Synthesis of collaboration and project rationale
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What makes this paper effective
- Clearly identifies multiple stakeholder categories—administrative, clinical, and financial—and assigns distinct, concrete roles to each, giving the implementation plan practical grounding.
- Anchors the intervention in an established nursing theory (Transcultural Nursing Theory), lending academic credibility to a practice-focused proposal.
- Moves logically from problem identification (language barriers, LEP status) through theoretical justification to a staged implementation model, maintaining a coherent argument throughout.
Key academic technique demonstrated
The paper demonstrates theory-to-practice bridging: it introduces Transcultural Nursing Theory as a conceptual lens, then translates that theory into specific operational steps—stakeholder training, pilot implementation, and quarterly evaluation cycles—showing how abstract frameworks guide real clinical decisions.
Structure breakdown
The paper opens with a stakeholder overview that frames the clinical problem and population. It then develops the theoretical foundation, including a conceptual framework diagram. The implementation section follows, detailing resource allocation, assumption sets, staff education needs, and an evaluation schedule. A brief conclusion synthesizes the collaborative rationale. The paper reads as a graduate-level clinical planning document, integrating nursing theory with project management principles.
Introduction and Stakeholder Overview
The Hispanic population is one of the largest populations in the United States, with more than 50 million people. Elderly Hispanic residents and Mexican Americans who are predisposed to various health conditions—including diabetes—account for a significant portion of this group. One of the major issues facing elderly Hispanic patients aged 50–75 years when seeking healthcare services is communication difficulty, as many are not proficient in English. This project examines whether the use of professional interpreters enhances medication adherence compared to using family members as interpreters.
The implementation of this project requires the involvement of various stakeholders who control resources and are necessary to the implementation process. The administrative stakeholders required for this project include hospital management, while the clinical stakeholders include healthcare providers, nurses, patients, and professional interpreters. The necessary financial stakeholders include the healthcare provider and governmental or non-governmental healthcare agencies.
References
de Moissac, D., & Bowen, S. (2017). Impact of language barriers on access to healthcare for official language minority Francophones in Canada. Healthcare Management Forum, 30(4), 207–212. http://dx.doi.org/10.1177/0840470417706378
Hadziabdic, E. (2011). The use of interpreters in healthcare: Perspectives of individuals, healthcare staff and families. Retrieved July 21, 2018, from https://www.diva-portal.org/smash/get/diva2:444194/FULLTEXT01.pdf
Karliner, L. S., Jacobs, E. A., Chen, A. H., & Mutha, S. (2007, April). Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Health Services Research, 42(2), 727–754.
Wayne, G. (2014, August 26). Madeleine Leininger's transcultural nursing theory. Retrieved July 21, 2018, from https://nurseslabs.com/madeleine-leininger-transcultural-nursing-theory/
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