Filtering by
- All Subjects: Self-efficacy
- All Subjects: Biomedical Technology
- Creators: Ross, Heather
This qualitative study aimed to explore the experiences of first responders in communicating with patients with limited English proficiency (LEP) in emergency situations and the impact those language barriers have on their self-efficacy. After the completion of a literature review, 20 first responders (fire, police, EMT, paramedic) were interviewed about their experiences and perceptions of language barriers. These interviews were transcribed and analyzed thematically, resulting in the identification of these main themes: regional language variability, urban vs. rural language resource availability and incentives, differing language needs of police vs. non-police, language barrier impacts on the quality of care received by LEP individuals, cultural understanding vs. language proficiency, desire for a video/facetime translation resource, and the role of children as bilingual translators. Findings suggest that language barriers do have an impact on the self-efficacy of first responders and the quality of care provided to LEP patients, with 50% of participants recalling an experience in which a language barrier impacted the quality of care they provided to LEP patients. Overall, this study contributes to a better understanding of the experiences and challenges faced by first responders in communication with LEP individuals and provides insights into much needed and desired strategies for overcoming language barriers to improve professional self-efficacy and equitable patient care in emergency situations.
It is in this context that this dissertation, informed by critical disability studies and feminist science and technology studies, examines the understanding and enactment of disability and responsibility in relation to biomedical technologies. I draw from qualitative empirical data from three distinct case studies, each focused on a different biomedical technology: prenatal genetic screening and diagnosis, deep brain stimulation, and do-it-yourself artificial pancreas systems. Analyzing semi-structured interviews and primary documents through an inductive framework that takes up elements of Grounded Theory and hermeneutic phenomenology, this research demonstrates a series of tensions. As disability becomes increasingly associated with discrete biological characteristics and medical professionals claim a growing authority over disabled bodyminds, users of these technologies are caught in a double bind of personal responsibility and epistemic invalidation. Technologies, however, do not occupy either exclusively oppressive or liberatory roles. Rather, they are used with full acknowledgement of their role in perpetuating medical authority and neoliberal paradigms as well as their individual benefit. Experiential and embodied knowledge, particular when in tension with clinical knowledge, is invalidated as a transgression of expert authority. To reject these invalidations, communities cohering around subaltern knowledges emerge in resistance to the mismatched priorities and expectations of medical authority, creating space for alternative disabled imaginaries.