It is essential for medical treatment that patients and medical staff can communicate about acute complaints, pre-existing conditions, and the treatment procedure. Misunderstandings can have far-reaching consequences, particularly in time-critical emergencies, which require rapid assessments and decision-making and in which interpreters are rarely available. In this study, we aim to develop a digital communication tool that is to help paramedics communicate with patients who speak hardly any or no German, to monitor its implementation, and to investigate its effect on communication between foreign-language patients and staff. Furthermore, a large amount of data on patients that are cared for in emergency medical services in Germany are collected for the first time. To consider the complex situations of paramedic care and to meet paramedics’ demands, we use an action-oriented research approach to develop the tool. We include the staff of the participating emergency medical service stations and software designers in our approach. The tool is then used and evaluated within an open interventional, non-randomised study with two control groups. Control group 1 (German-speaking patients) and control group 2 (non-German-speaking patients treated without the tool) are recruited starting from the first study phase. In the second study phase, an intervention group is additionally recruited, i.e. non-German-speaking patients with whom the tool is used. The primary outcome of the clinical trial is improved communication with non-German-speaking patients in emergencies by means of the communication tool. The secondary outcome is an improved quality and quantity of the collected information. We exploratively observe on-scene times, demands for emergency physicians, and the usage of the intervention. By recording patients’ clinical parameters, we consider the severity of the health restrictions. Our study is an innovative research project in paramedic healthcare comprising the development of a digital communication tool to overcome language barriers in emergency medical services and investigating its usability, acceptance, and effect on communication, in short, its usefulness and value for paramedic care. Additonally, we expect to gain comprehensive information on rescue operations. German Clinical Trials Register, DRKS00016719, registered 08 February 2019, World Health Organization Trial Registration Data Set, http://apps.who.int/trialsearch/Trial2.aspx?TrialID=DRKS00016719

中文翻译：

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克服护理人员护理中的语言障碍：干预试验“ DICTUM抢救”的研究方案，评估旨在改善护理人员与外语患者之间交流的应用程序

对于医疗而言，患者和医务人员可以就急性病，原有疾病和治疗程序进行沟通至关重要。误解会产生深远的影响，特别是在时间紧迫的紧急情况下，这种情况需要快速评估和决策，并且很少有口译员。在这项研究中，我们旨在开发一种数字通信工具，以帮助护理人员与几乎不会说德语或几乎不会说德语的患者进行交流，以监测其实施情况，并研究其对外语患者与工作人员之间交流的影响。此外，首次收集了德国急诊医疗服务中的大量患者数据。为了考虑护理人员护理的复杂情况并满足护理人员的需求，我们使用面向行动的研究方法来开发该工具。我们采用的方法包括参与紧急医疗服务站的人员和软件设计师。然后在具有两个对照组的开放式，非随机研究中使用和评估该工具。从第一个研究阶段开始招募对照组1（说德语的患者）和对照组2（不使用工具治疗的非德语的患者）。在第二个研究阶段，额外招募了一个干预小组，即使用该工具的非德语患者。该临床试验的主要结果是通过交流工具改善了紧急情况下与非德语国家患者的交流。次要结果是改善了所收集信息的质量和数量。我们探索性地观察现场时间，对急诊医生的需求以及干预措施的使用情况。通过记录患者的临床参数，我们考虑了健康限制的严重性。我们的研究是护理人员医疗保健领域的一项创新研究项目，其中包括开发一种数字通信工具来克服紧急医疗服务中的语言障碍，并研究其可用性，接受性以及对通信的影响，简而言之，它对护理人员医疗的有用性和价值。此外，我们希望获得有关营救行动的全面信息。德国临床试验注册簿DRKS00016719，于2019年2月8日注册，世界卫生组织试验注册数据集，http：//apps.who。