Quantifying the Language Barrier-A Total Survey of Parents' Spoken Languages and Local Language Skills as Perceived by Different Professions in Pediatric Palliative Care

Abstract

To date, there are no specific figures on the language-related characteristics of families receiving pediatric palliative care. This study aims to gain insights into the languages spoken by parents, their local language skills and the consistency of professional assessments on these aspects. Using an adapted version of the "Common European Framework of Reference for Languages", the languages and local language skills of parents whose children were admitted to an inpatient pediatric palliative care facility (N = 114) were assessed by (a) medical staff and (b) psychosocial staff. Nearly half of the families did not speak the local language as their mother tongue. The most frequently spoken language was Turkish. Overall, the medical staff attributed better language skills to parents than the psychosocial staff did. According to them, only 27.0% of mothers and 38.5% of fathers spoke the local language at a high level while 37.8% of mothers and 34.6% of fathers had no or rudimentary language skills. The results provide important information on which languages pediatric palliative care practitioners must be prepared for. They sensitize to the fact that even within an institution there can be discrepancies between the language assessments of different professions.

Keywords: communication; language barriers; nursing; palliative care; pediatrics.

Figure 1

Adapted version of the “Common European Framework of Reference for Languages” as used for study purpose.

Figure 2

Overall distributions of language skills levels (i,iii) and competence levels (ii,iv) of mothers and fathers as assessed by medical and psychosocial staff.

Figure 3

Inter-professional agreement on mother’s and father’s competence levels (CL) and language skills levels (LSL) and information on which profession assigned better levels in the event of disagreement (striped).