Barriers to Timely Dementia Diagnosis in Older Latinos With Limited English Proficiency: An Integrative Review

作者：Moroni Fernandez Cajavilca, Allison Squires, Bei Wu, Tina Sadarangani · 发表于：Journal of Transcultural Nursing · 年份：2024 · DOI：10.1177/10436596241268456 · 被引用次数：6 · 研究领域：Interpreting and Communication in Healthcare、Hearing Impairment and Communication、Cultural Competency in Health Care

INTRODUCTION: Timely diagnosis is critical for persons with Alzheimer's disease and related dementias (ADRD) to ensure they receive adequate services; however, timely diagnosis may be prevented by a person's English language skills. The purpose of this integrative review was to understand how limited English proficiency (LEP) impacts older Latino's ability to access a timely ADRD diagnosis. METHODS: Whittemore and Knafl's methodological approach guided the review. Searches in five databases yielded 12 articles for inclusion. RESULTS: Lack of culturally congruent health care systems, health care providers, and knowledge of ADRD resulted in delays in obtaining a timely ADRD diagnosis among older Latinos with LEP. DISCUSSION: Latinos with LEP and risk for ADRD benefit from language assistance and support in navigating the health care system. Nurses must be advocates, even when a language barrier is present, and recognize that interpreters are not a single source solution.