Guest guest Posted February 23, 2003 Report Share Posted February 23, 2003 Hi! I am with a group of senior nursing students connected to the La Buena Salud Wellness project in Idaho, which attempts to bring wellness services to Hispanic Migrant Farmworkers. We are looking for ways to evaluate client satisfaction satisfaction with the student's services. One of the difficulties encountered is that many clients are not literate in their primary language or english so written surveys are out. Any ideas? Is anyone using something that is working? We appreciate any leads you can give us! R. Hulen, RN _________________________________________________________________ MSN 8 helps eliminate e-mail viruses. Get 2 months FREE*. http://join.msn.com/?page=features/virus Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 24, 2003 Report Share Posted February 24, 2003 Hi R. Hulen, A few years ago I did surveys in rural Niger, West Africa on women's satisfaction with health care services (and also on adherence to medical advice and sources of social and financial support). I used a variety of qualitative and quantitative techniques to elicit information. I wrote a survey in English and translated it into the local language. The questions were geared towards the various spheres in which the local health department had stated quality goals. It asked for responses of the type " very much, somewhat, average, not much, very little " to which I assigned values of 1-5 for my own use. I personally interviewed each woman and marked down her answers. Another technique I used comes from the field of participatory evaluation (some expertise in this at the University of Sussex in England). I did it with individuals but it could also be done with groups. The basic idea is to discuss something abstract like help or safety or cleanliness, and ask the participants to make an analogy with something concrete. For example, I had a box of 20 sorghum seeds. I first asked the subject to generate a list of the people who helped her when her child was ill (husband, mother-in-law, sister, neighbor, doctor, traveling pill salesman, etc. were typical replies). Then I said, okay, this box of sorghum seeds represents how helpful these people were to you in total. I want you to divide the seeds up, some for each person, but not necesarily equally. I want you to assign more seeds to whoever helps you more, and fewer to whoever helps you less. Another way might be to ask them to rate the overall quality of care from different providers or at different clinics. You could set the value of X Clinic to 10 seeds (or pebbles, or pennies, or whatever) and ask them to tell you what value they would assign to Y Clinic and Z Clinic by comparison. Make sure to take notes on why they give higher or lower ratings. This can be especially valuable with a group where they need to argue with each other to arrive at consensus on what value to assign. By what is said in the arguments, and what people seem to find convincing, you can get a lot of information. Yet another way of finding out how people think about health care is to ask them to help you sketch a map of all the places that health care or health promotion activities happen for them. You could just do that and take notes on the discussion. Or you could add another layer and have them assign value with piles of seeds, etc. to the different places. This would give the same information as in the paragraph above, but with another layer of richness because of all the conversation around building the map (where should/should not be included, and why). With all these methods, people may have a tendency to try to be polite and say everyone's doing a good job. Two things can help with this. One is to assure people of confidentiality, and make the investigators/sureyors people who are not also delivering the care being studied. Another is to use a preliminary study to find what end of the scale most responses will be and try on the larger scale study to give more options on that end (e.g. okay, good, very good, excellent, outstanding, amazing). The numerical analogy activities after some opportunity for free generation of categories are also helpful in finding out what issues are important to the clients. Good luck! Alix alix@... andra Barstow, Resident University of Vermont Family Practice Residency Milton, VT On 24 Feb 2003 20:00 EST you wrote: > > Hi! > I am with a group of senior nursing students connected to the La Buena Salud > Wellness project in Idaho, which attempts to bring wellness services to > Hispanic Migrant Farmworkers. We are looking for ways to evaluate client > satisfaction satisfaction with the student's services. One of the > difficulties encountered is that many clients are not literate in their > primary language or english so written surveys are out. Any ideas? Is anyone > using something that is working? We appreciate any leads you can give us! > R. Hulen, RN > > > > > _________________________________________________________________ > MSN 8 helps eliminate e-mail viruses. Get 2 months FREE*. > http://join.msn.com/?page=features/virus > > > > To Post a message, send it to: Groups > > To Unsubscribe, send a blank message to: -unsubscribe > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 25, 2003 Report Share Posted February 25, 2003 Using the "one-on-one" personal interview method is a viable option for administering the evaluation instrument to clients, if you have access to bilingual community health workers and a budget to pay for their time. Or, maybe you can work out some sort of sweat equity exchange between agencies. Lots of studies have been done among migrant workers, using the interview method. Contact Bobi Ryder at the National Center for Farmworker Health (NCFH) : ryder@.... She should be able to direct you to individuals who have used that method, for some practical advice. The NCFH sponsors this listserv, but she may not have seen your request, yet. N. Tolentino, Oregon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2003 Report Share Posted February 26, 2003 Hello, I work for Migrant Health Promotion, and we run programs for promotores de salud. Over the last several years, we have also worked successfully with lay health workers in FL, MI, and IL to adminster surveys with farmworkers. We have achieved very good response rates, but it is time intense. If you would like more information, feel free to contact me at: tbooker@.... Thank you, Tori Booker At 10:43 AM 2/23/2003 -0700, you wrote: > >Hi! >I am with a group of senior nursing students connected to the La Buena Salud >Wellness project in Idaho, which attempts to bring wellness services to >Hispanic Migrant Farmworkers. We are looking for ways to evaluate client >satisfaction satisfaction with the student's services. One of the >difficulties encountered is that many clients are not literate in their >primary language or english so written surveys are out. Any ideas? Is anyone >using something that is working? We appreciate any leads you can give us! >R. Hulen, RN > > > > >_________________________________________________________________ >MSN 8 helps eliminate e-mail viruses. Get 2 months FREE*. >http://join.msn.com/?page=features/virus > > > >To Post a message, send it to: Groups > >To Unsubscribe, send a blank message to: -unsubscribe > > Quote Link to comment Share on other sites More sharing options...
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