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Serving Limited English Proficient Callers: A Survey of 9-1-1 Police Telecommunicators

Published online by Cambridge University Press:  28 March 2013

Lauren N. Carroll ,
Rebecca E. Calhoun ,
Cleo C. Subido ,
Ian S. Painter  and
Hendrika W. Meischke
Lauren N. Carroll*
Affiliation:
Department of Health Services, University of Washington, Seattle, Washington USA
Rebecca E. Calhoun
Affiliation:
Department of Health Services, University of Washington, Seattle, Washington USA
Cleo C. Subido
Affiliation:
Seattle-King County Public Health, Emergency Medical Services Division, Seattle, Washington USA
Ian S. Painter
Affiliation:
Department of Health Services, University of Washington, Seattle, Washington USA
Hendrika W. Meischke
Affiliation:
Department of Health Services, University of Washington, Seattle, Washington USA
*
Correspondence: Lauren N. Carroll, MS Department of Health Services Northwest Center for Public Health Practice University of Washington 1107 NE 45th St., Suite 400 Seattle, WA 98105 USA E-mail [email protected]
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Abstract

Introduction

The emergency telephone number 9-1-1 serves as a lifeline to the public during emergencies, and first responders rely on information gathered by 9-1-1 telecommunicators who speak with callers. Timely, accurate information from the telecommunicators is essential for providing appropriate care on scene. Language barriers can hamper these efforts and result in less efficient information exchange. Although 9-1-1 telecommunicators may access over-the-phone interpreter (OPI) services to facilitate communication, managing three-way communication during an emergency is challenging.

Problem

There is little published on the relationship between limited English proficient (LEP) callers and 9-1-1 police telecommunicators, and the role of OPI services during these calls. Further, little is known about effective strategies to manage such calls.

Methods

In King County, Washington, 9-1-1 police telecommunicators were surveyed about their experiences handling LEP calls and managing three-way communication with OPI services. The survey contained 13 multiple-choice and three open-response questions addressing communication strategies, challenges with LEP callers, and three-way communication with OPI services. Goodman-Kruskal Gamma and chi-square tests were conducted with OPI use as the dependent variable. Additional analyses were conducted using stress levels as the dependent variable.

Results

Of 123 respondents, 69 (56.5%) 9-1-1 telecommunicators reported utilizing OPI services at least 75% of the time when receiving a call from an LEP caller. Further, 35 (28.7%) of these telecommunicators reported calls with LEP individuals as more stressful than calls with fluent English speakers. Dispatcher stress level during LEP calls compared with stress during calls with fluent English speakers was positively associated with use of OPI services (P < .01). Further, stress level was also positively associated with telecommunicator difficulties in assessing the situation with respect to officer safety (P < .01). Sixty-three (58.3%) of the telecommunicators described difficulties assessing the situation to determine the appropriate response as the biggest challenge with LEP callers. Additionally, 62 (53%) identified knowing their location in English as information LEP callers need to know prior to calling 9-1-1.

Conclusion

These results highlight intervention opportunities for both 9-1-1 telecommunicators and LEP communities. Together, interventions such as working with LEP communities to educate them on best communication practices during 9-1-1 calls, and with 9-1-1 telecommunicators to help them manage three-way communication and reduce stress associated with concern for officer safety may improve emergency communication during 9-1-1 calls.

CarrollLN, CalhounRE, SubidoCC, PainterIS, MeischkeHW. Serving Limited English Proficient Callers: A Survey of 9-1-1 Police Telecommunicators. Prehosp Disaster Med. 2013;28(3):1-6.

Keywords

emergency communicationEnglish proficiencylanguage proficiencyoccupational stresspolice officer
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 28 , Issue 3 , June 2013 , pp. 286 - 291
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2013 

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References

1.Andrulis, D, Brach, C. Integrating literacy, culture, and language to improve health care quality for diverse populations. Am J Health Behav. 2007;(Suppl 1):S122-S133.CrossRefGoogle ScholarPubMed
2.Andrulis, DP, Siddiqui, NJ, Purtle, JP. Integrating racially and ethnically diverse communities into planning for disasters: the California experience. Disaster Med Public Health Prep. 2011;5(3):227-234.CrossRefGoogle ScholarPubMed
3.Meischke, H, Chavez, D, Bradley, S, Rea, T, Eisenberg, M. Emergency communications with limited-English-proficiency populations. Prehosp Emerg Care. 2010;14(2):265-271.CrossRefGoogle ScholarPubMed
4.Andrulis, DP, Siddiqui, NJ, Gantner, JL. Preparing racially and ethnically diverse communities for public health. Health Affair. 2007;26(5):1269-1279.CrossRefGoogle ScholarPubMed
5.US Census Bureau. Census Questionnaire Content, 1990: Languages Spoken at Home. 1994:1-2.Google Scholar
6.US Census Bureau. Language Spoken at Home: United States and King County, WA; 2010. http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=ACS_10_5YR_S1601&prodType=table. Accessed June 6, 2012.Google Scholar
7.Hacker, K, Choi, Y, Trebino, L, et al. Exploring the impact of language services on utilization and clinical outcomes for diabetics. PLoS One. 2012;7(6).CrossRefGoogle ScholarPubMed
8.Ramirez, D, Engel, K, Tang, T. Language interpreter utilization in the emergency department setting: a clinical review. J Health Care Poor Underserved. 2008;19(2):352-362.CrossRefGoogle ScholarPubMed
9.Karliner, L, Jacobs, EA, Chen, A, Mutha, S. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Health Serv Res. 2007;42(2):727-754.CrossRefGoogle ScholarPubMed
10.Hawkins, S, Shapiro, A, Sever, A, Delbridge, T, Mosesso, V. The role of law enforcement agencies in out-of-hospital emergency care. Resuscitation. 2007;72:386-393.CrossRefGoogle ScholarPubMed
11.Boudreaux, E, Mandry, C, Brantley, P. Stress, job satisfaction, coping and psychological distress among emergency medical technicians. Prehosp Disaster Med. 1997;12:242-249.CrossRefGoogle ScholarPubMed
12.Donnelly, E. Work-related stress and posttraumatic stress in emergency medical services. Prehosp Emerg Care. 2012;16(1):76-85.CrossRefGoogle ScholarPubMed
13.Burke, TW. Stress issues. In: Umeh DE, editor. Protect your Life!: A Handbook for Law Enforcement Professionals. Flushing, NY, USA: Looseleaf Law Publications, Inc; 2006:79-83.Google Scholar