Experiences of people with hearing functional diversity and optometrists in visual health care
DOI:
https://doi.org/10.15332/us.v21i1.2608Keywords:
Hearing impairment, health services, communication barriersAbstract
Objective: Describe the experience of people with hearing functional diversity and visual health professionals regarding the dynamics that occur within health care. Methodology: Qualitative interpretive study. Semi-structured interviews were carried out by telephone, given the condition of pandemic by covid-19, to people with hearing functional diversity, optometrists and sign interpreters. For the analysis process, the methodological design from Taylor and Bogdan was used. Results: From the analysis carried out, two categories emerge: Lack of knowledge of health professionals about the meanings of functional auditory diversity and positive practices for clinical care. The lack of knowledge of the professionals can be explained by the lack of training for the care of diversity, which is reflected in the lack of minimum tools to implement to facilitate communication in the context of clinical care. Some positive experiences are identified in relation to the implementation of some practices in which communication mechanisms are carried out in which the right to health of those who attend the consultation is guaranteed. Conclusions: The findings show the barriers to the establishment of communication in the exercise of optometric care; There are still gaps to guarantee accessibility for people with hearing functional diversity.
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References
2. Angel Obando FR, Casas Monsegny AM, Gómez Gómez O, et al. Audiología básica. Sección de Publicaciones de la Universidad Nacional de Colombia sede Bogotá, https://repositorio.unal.edu.co/handle/unal/7199 (2006, accessed 15 June 2021).
3. Olusanya BO, Davis AC, Hoffman HJ. Hearing loss grades and the International classification of functioning, disability and health. Bull World Health Organ 2019; 97: 725–728.
4. Haile LM, Kamenov K, Briant PS, et al. Hearing loss prevalence and years lived with disability, 1990–2019: findings from the Global Burden of Disease Study 2019. The Lancet 2021; 397: 996–1009. DOI:https://doi.org/10.1016/S0140-6736(21)00516-X
5. Departamento Administrativo Nacional de Estadística. Censo General 2005: Discapacidad, personas con limitaciones permanentes., https://www.dane.gov.co/files/censo2005/discapacidad.pdf (2006).
6. Graydon K, Waterworth C, Miller H, et al. Global burden of hearing impairment and ear disease. J Laryngol Otol 2019; 133: 18–25. DOI: 10.1017/S0022215118001275
7. Kritzinger J, Schneider M, Swartz L, et al. ‘I just answer “yes” to everything they say’: access to health care for deaf people in Worcester, South Africa and the politics of exclusion. Patient Educ Couns 2014; 94: 379–383. DOI: 10.1016/j.pec.2013.12.006
8. Lezzoni LI, O’Day BL, Killeen M, et al. Communicating about health care: observations from persons who are deaf or hard of hearing. Ann Intern Med 2004; 140: 356–362.
9. Arteaga D, Correa S, Duque k, Ruiz S. Abordaje prehospitalario del paciente con discapacidad auditiva [Especialización]. Universidad CES; 2013.
10. Newton VE, Shah SR. Improving communication with patients with a hearing impairment. Community Eye Health 2013; 26: 6–7.
11. Pakulski LA, McCormick M, Robbins T, et al. Understanding and addressing the impact of hearing acuity on healthcare and healthcare communication. J Interprofessional Educ Pract 2019; 15: 138–141. DOI: https://doi.org/10.1016/j.xjep.2019.03.003
12. De la Cuesta C. The quality of qualitative research: from evaluation to attainment. Texto Contexto - Enferm 2015; 24: 883–890. DOI: https://doi.org/10.1590/0104-070720150001150015
13. Naciones Unidas. Convención sobre los derechos de las personas con discapacidad, https://www.un.org/esa/socdev/enable/documents/tccconvs.pdf (2006).
14. Congreso de Colombia. Ley Estatutaria 1618 de 2013, https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/PS/documento-balance-1618-2013-240517.pdf (2013, accessed 23 April 2019).
15. Agaronnik N, Campbell EG, Ressalam J, et al. Communicating with Patients with Disability: Perspectives of Practicing Physicians. J Gen Intern Med 2019; 34: 1139–1145. DOI: 10.1007/s11606-019-04911-0.
16. Villamizar AG, Gutiérrez OY, Ruiz LJP. Dificultades y retos del psicólogo clínico en la atención a personas sordas. Rev Elec Psic Izt. 2020;23(4):1612-1629.
17. Sanz Lledó AI, García Vallejo R. Percepción de la atención sanitaria recibida en atención primaria por personas con discapacidad auditiva. Rev Rol Enferm 2019; 408–412.
18. Santos AS, Portes AJF. Perceptions of deaf subjects about communication in Primary Health Care. Rev Lat Am Enfermagem 2019; 27: e3127. DOI: 10.1590/1518-8345.2612.3127.
19. Dickson M, Magowan R, Magowan R. Meeting deaf patients’ communication needs. Nurs Times 2014; 110: 12–15.
20. Barranco Morente S, Ventura Puertos PE, Coronado Carvajal P. Estrategias de comunicación de los profesionales de enfermería con personas sordas o ciegas. Index Enferm 2016; 25: 253–257.
21. Hommes RE, Borash AI, Hartwig K, et al. American Sign Language Interpreters Perceptions of Barriers to Healthcare Communication in Deaf and Hard of Hearing Patients. J Community Health 2018; 43: 956–961. DOI: 10.1007/s10900-018-0511-3
22. Rodríguez Silva H. La relación médico-paciente. Rev Cuba Salud Pública 2006; 32: 0–0.
