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Interpretation Challenges in Healthcare Settings as Experienced by Refugees and Healthcare Providers in the United States
No full textBackground: Language and interpretation barriers are significant challenges for refugees receiving healthcare in the United States. Both providers and refugee patients associate effective communication with a positive healthcare experience. Therefore, it is important to identify themes in interpretation barriers to promote productive communication between providers and refugee patients.
Purpose: To identify themes in literature surrounding interpretation challenges between refugees and healthcare workers in the United States and compare them to lived experience in a clinic in Northwest Arkansas.
Methods: Several databases were searched, including CINAHL, Medline, HealthSource, and Google Scholar, and articles were chosen with the inclusion criteria being research articles with studies related to interpretation challenges in healthcare settings with refugee patients in the United States published in the last seven years. Exclusion criteria included the research setting being in other countries, patient populations that were not refugees, and articles published prior to seven years.
Results: There were several themes identified from the literature, including linguistic barriers, time constraints, competence of interpreter and healthcare worker, and benefits of in-person or remote interpretation.
Conclusion: The themes identified were consistent with personal experience. Implications include advocating for a greater amount of time during appointments, exploring the option of using appropriately trained in-person interpretation, and assisting providers to grow in competence using interpretation services
A Town Divided: Leadership at Hoxie
No full textFive elected School Board members, a School Superintendent, and local leaders in rural Hoxie, Arkansas, were people of strong beliefs who in 1955 desegregated their school district. In this article, I argue that a combination of moral leadership and pocketbook concerns drove these men to oppose outside forces intervening in Hoxie, Arkansas, and that by doing so these men created a precedence of using the federal courts to uphold integration
Device for Ambient Thermal and Vibration Energy Harvesting
No full textAn integrated circuit on a chip may include a plurality of capacitors that are connected in series and generate an AC noise signal. A selected bandwidth of the AC noise signal transmits through the series of capacitors as a first AC power signal. Respective rectifiers are positioned for receiving a positive cycle of the first AC power signal and a negative cycle of the first AC power signal. Output terminals are connected to the respective rectifiers and configured for connection to an off chip circuit. The capacitors may be fixed or variable gap capacitors
