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Barriers to communication in health and social care
The importance of understanding cultural differences in the medical environment
Barriers to communication in health and social care
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Overcoming Barriers to Communication
Good communication is at the heart of patient safety, cultural sensitivity, and the effectiveness of the care provided. The relationship between the physician, the nurse, and the patient is critical in the outcome of the patient’s treatment. A concern with health care today would be making sure the patient fully understands their diagnosis and the treatment plan the physicians have in mind. Health care information can be difficult for patients to understand and even more difficult for people of other cultures. A nurse who does not speak the same language as their patient can create a barrier for effective communication in the nurse-patient relationship. Language is just one of the problems that can occur
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Internal issues such as fear and anxiety related to not understanding, becoming emotional or being weak and the inability to express their feelings to the nurse. Health care professional barriers include lack of time or support for the patient, staff conflict and high workload. The nurse can also lack skills or strategies for coping with difficult emotions, reactions, or questions the patient may have. People of other cultures have a specific barrier to communication and that is the language difference in the nurse-patient relationship. Hospitals offer translators for families to better understand what the treatment team is trying to tell them but they are not always there when the nurse is in the room. Nurses can help themselves and the patient when it is one on one with them by trying to learn a few words of their language such as hello, how are you, goodbye, thank you, etc. Learning some words from their culture will make them feel as though you respect …show more content…
The wife is uncomfortable. They do not speak English well, so an interpreter is found. The interpreter appears to be having difficulty interpreting the woman's symptoms; the history that is obtained is nonspecific. The physician cannot find any abnormalities on physical examination and discharges the patient home. Later, she returns with a ruptured ectopic pregnancy and is immediately admitted to the operating room. A culturally sensitive approach to this situation would be that the physician notices that the interpreter is not able to communicate well with the couple. He asks the interpreter why the history is so difficult to obtain. It takes a few moments to discover that the couple speaks Dari and the interpreter speaks Pashto. ("Cultural Sensitivity and Awareness," 2011, p. 5) Therefore, it is extremely important to make sure that the
The goal of this lesson is to explore how we can improve communication to eliminate language barriers between healthcare providers and patients in our organization and to establish culturally and linguistically appropriate goals, that provide safe, equal, and quality care to all our clients regardless of race, ethnic, or socioeconomic status. At the end of this lesson we should be
The purpose of the study was to explore and produce statements related to patient’s experiences of how nurses communicate. To show that nurses are poor communicators, but only a small amount of research has been done in this area.
According to Boykin “Caring is the foundation of nursing” (Boykin et al, 2011), and it is the nurses’ responsibility to understand what it means to be caring toward patients, which can be achieved through having professional communication skills. Not only does not being able to communicate affect the patient, but also it affects how the nurse is able to do his or her job to the best they can. Smith and Pressman say that the Institute of Medicine has released reports, which stress, “good communication is critical to ensuring safe and reliable nursing” (Smith & Pressman, 2010). Bad communication skills have the potential to be more dangerous to the patient and can in tern make a life-threateni...
Nurses today need to have excellent communication skills. Receiving information from patients is the most important aspect of nursing. If nurses are unable to communicate with their patient then they would not be able to have a relationship with them. Communication is where two or more people interact with each other, by using sounds and words, this is verbal communication. Some individuals have different behaviors where they try to express themselves to others without using spoken words, this is non verbal communication. Once nurses have the proper communication tools, techniques and evidence based practice, when communicating with their patient, they would get the necessary information needed from the patient to properly diagnosis them.
This causes problems about the diagnosis as well as how nurses may tell patients about issues with their care. A way a nurse can overcome this is by having an interpreter when they know that a patient doesn’t know English, but this is not always the case for most nurses as there are not a lot of interpreters around. In health practice language isn’t always to do with culture but it can be the way a nurse or doctor speaks to the patients so they may adopt certain types of jargon and the patients may feel intimidated. Madeleine Leininger, who is the founder of transcultural nursing, says that providing competent care across all cultures and to be customized to fit patient’s different beliefs and traditions and different languages that a patient may speak. Divi et al (2007) claims that language barriers increase the risk of patient care and safety as they will find it difficult to understand what is going on with their care, so it is important for patients to have access to language services such as an
In this reflective analysis paper, I will discuss and analyze about my experience with a language-barrier patient that enhanced my learning in nursing practice. My clinical instructor assigned me to Mrs. Lee, who can only speak Cantonese. My experience with Mrs. Lee made me realize that language barrier clients are vulnerable for inadequate nursing care due to communication difficulties. I will link the ineffective communication experience with my client to culture and hierarchy context. Newman’s theory and Ethical practice.
Regular observation of the patient can determine the response and ability to accurately interpret the meaning of the message that the nurse have stated by doing so this can also convey the patient's culture and language issues. Older adults presents significant impairments on concentration tasks that require cognitive functions; therefore their perception of certain information and events may not be as clear and thus leading the nurse to be more specific and stern. Evidence have suggested that patients are unsatisfied with poor communication more than any other facet of their care so keep in mind the client's culture as well as the developmental and educational level. For instance, communication between a nurse and a client, nurses who are more familiar with their native language tend to speak more quickly than someone with English as a second language can respond to with ease. Avoid using medical jargon and complex abstract information that clients may have trouble understanding.
Understanding cultural differences not only improves the effectiveness of the treatment the patient receives, it is also help the nurse to prevent negliency of care. It is impostant to maintain a curiosity about each patient no matter how much we know abouth that person's culture.
I notice from the case study of week #1 and our various places of practices today that language barrier is becoming progressively more challenging for health care services. It is the job of teachers and employers to make sure future and current healthcare staffs have the resources and skills to communicate with their patient of different nationalities. With the increase growth of healthcare and technology, so should communication be growing along with it.
McCracken (2014) supports the idea of biculturalism and mentions that acknowledgment of cultural variance is showing respect to the patient which helps to build up the therapeutic nurse-client relationship and it empowers the patients permitting them to keep their level of self-respect and individuality. Communication helps to reduce the power imbalance between nurse and patients that benefits for nurse to provide efficient and culturally safe care for patient (McCracken,
(2009) examines about how a health literacy level effect on the physician-patient relationship and types of communication used for the interaction between patient and health professionals. Circumstantial factors and difficult to communicate due to speaking different languages and cultural differences, however, could be more impacting on impeding physician and consumer relationship than the poor level of health literacy. For instance, the possibility of ineffective communication would still exist, even if the patient is fluent in English and has not had any issues having a conversation on expressing their concerns. There would also be much higher chance of having unproductive communication, if the health professionals and patient have different cultural upbringing and conceptual knowledge (Lowell et al., 2005; Trudgen, 2000). Not only recognising the barriers explained above, but also there should have another consideration about extended cultural and linguistic impediment to Indigenous populations with ineffective communication skills for accessing health care services. Gould (2008) points out that Aboriginal people have been experiencing a high rate of the wrong diagnosis due to communication dissimilarities, inadequate assessment practices, and cognitive
Linguistic diversification within the United State presently is much greater than n the whole of Europe. In the vast growth of the populations with LEP is being a new problem where there are only few doctors to handle these risky situations. Generally, people who are recruited to help patients communicate with caregivers are not trained interpreters; instead, they are the family members, non-fluent healthcare professional untrained non clinical employees or the fellow patients themselves. Certainly, interpretation mistakes undergo many preventable results in