Emergency Room And Acute Care

Social policy has a role in limiting people’s exposure to risks and making sure that their basic needs are met. Yet, the high mortality rates and the insufficient access to health services shows the Government is not completely pursuing policies to save the refugees completely (McClelland, A. 2014.

Health care each day we are faced with new challenges and the decision essentially falls on administrators to strategies and address these issues and in order to continue to provide sufficient care for patients. As health care administrators it is important that we find ways to identify ways to help patient understand their medical care. Therefore, health care administrator is involved with almost every aspect of running the facility efficiently, effectively, and productively and ensuring delivery of quality healthcare by providers. One of the biggest challenges that arise the most is language barrier. Language barrier is a major problem in the medical field, this is will lead to patient lack of understanding. Pateron & Taylor (2013), “Language

With the increasing immigrant population a third barrier affecting access to health care is a cultural barrier. Culture barriers can include values and beliefs, language and race and ethnicity. Health beliefs and behavior can become a barrier when patients decide not to seek medical treatment and instead turn to home remedies and healers when treating illnesses. Approximately 10% of Americans speak a language other than English and can be classified ad being limited in their proficiency. For these patients language becomes a barrier and they are less likely to receive optimal medical treatment (Flores, 2006). Horton and Johnson (2010) stress the importance of communication in reducing disparities and increasing the trust of patients in the health care system. As reported by the American College of Physicians, evidence reveals that racial and ethnic minorities are more likely to receive inferior care when compared with non-minorities. This occurs even when minorities have access to insurance and adequate income (Racial and ethnic disparities in health care, 2010).

Non-English speaking citizens and immigrants are receiving improper medical care because of the miscommunication. The people who cannot speak English well are misunderstood, when they go to free clinics or hospital emergency rooms and attempt to explain their symptoms and illness or cannot understand the doctors or medical profession that are trying to help them. ” Interpreters are omitting questions about drug allergies. Patients are not telling nurses the correct symptoms. A mother misunderstood by putting oral antibiotic into the ears of the child instead of the mouth. The Puerto Rican word for mumps is not the same in Central America, so a child was mistreated. A doctor mistakenly told a parent to put a steroid crème on entire child instead of just the face” (Yolanda Prtida, 2005). Language barriers in the medical field are dangerous and some times even fatal. There is definitely a need for more translators in hospitals and doctors office. Clear communication is essential for safe quality healthcare. Poor communication can lead to disastrous outcomes, especially for patients with limited or no English ability.

Lor et al. (2016) examined the growing problem of language barriers for patients in the United States and around the world. The use of interpreters is often the solution to bridge the gap between languages. The purpose of this study was to examine patient perception of interpreter services.The population for this study included 10 English proficient Hmong patients and 10 Spanish speaking patients. The participants ranged from age 33 to 75 years old. The intervention was that poor quality interpretation could lead to poor relationships among patients, interpreters and providers. In addition poor interpretation could end up in the patient being unable to follow through with treatment plans. Lastly, poor quality interpretation can lead to emotional distress for patients. Comparison was that patients have expectations on how the

A vital foundation for a high-quality care delivery is an efficacious communication between the patient and the healthcare providers (Gengler & Jarrell, 2015). Fadiman (1997) recounted the conflict between a refugee family from Laos and a small hospital in California over the care of Lia Lee, a Hmong girl with severe epilepsy, in her book The Spirit Catches You and You Fall Down. Despite both sides wanting the best care for Lia, the lack of cross-cultural communication between her Hmong family and her American doctors, lead to her tragedy (Fadiman, 1997). Awareness regarding the disparities in culture and language of our patient with ours and how to address them should be taken into account when providing healthcare since the life of a

Additionally, urgent care centers have been able to offer patients an alternative to the significantly higher cost of emergency room visits. Following an emergency room visit, patients are charged according to the level of care they are receiving which is rated from minor to major injuries and illnesses. Insurance companies may reject coverage of patients who sought care for a low level injury or illness in an emergency room setting leaving the patient with a large bill for a moderate condition. In addition to the cost of the treatment, insurance companies charge patients an additional fee just for utilizing an emergency room. Furthermore, the cost of seeing an urgent care provider versus an emergency department provider is significantly cheaper.

Unfortunately, the world we live is a far cry from perfect. We have all types of barriers and roadblocks that we must face and attempt to overcome on a daily basis. When dealing with healthcare, these barriers and roadblocks can be much scarier – and in some cases even deadly. These barriers are not limited to only language, but also to differences in cultures as well.

Effective communication with patients is critical to the safety and quality care. From the last two decades ,number of researches has been conducted on the impact of language barrier on health and healthcare. It is observed that language barriers are the main cause of medical errors, complication and adverse event. But due to data limitations ,limited researches on impacts of language barrier has been conducted in Canadian setting. However, the researches conducted on other countries on the impact of language barrier on quality of care is applicable in the Canadian context. Some researches shows that there are several barrier which affect quality of care and patient safety. Now, researches has begun to know the complexity of language, culture, race, health literacy that may affect patient care. Current approaches are moved towards the knowledge of risk of language barrier rather than implementation of effective, evidence informed strategies.

Some practical obstacles that hinder the delivery of proficient and economical services include differences in language, cultural and knowledge of health issues. However, the prudent advanced practice nurse (APN) considers these obstacles to communication when providing patient-centered care. Nevertheless, when language barriers are not addressed, the provision of quality care to patient and families are undermined, which then transcends to both economic and ethical dilemmas. According to the centers for disease control and prevention (CDC, 2016), the gateway to healthcare is often hindered to a great extent by the lack of the ability to communicate medical necessities due to language barrier. In any clinical setting, efficient patient communication is essential in the delivery and accessibility of quality care and safety.

There is limited healthcare services and literature that is culturally and linguistically appropriate for culturally diverse populations. These barriers have been shown over the years to threaten how effective care is for these populations. The healthcare system depends on nurses to facilitate services, care plans and educate patients on various health issues.

The purpose of effective communication in healthcare is to provide first-class medical care, minimal to no medical errors and have precision; and without it there is room for medical errors, poor patient care and an ineffective team that produces undesired outcome. In the professional and patient relationship, the lack of good communication causes the patient to be apprehensive in asking questions, to worry about being bothersome because they feel other patients are sicker, and there is an assumption that the patient does not have any concerns. There are barriers to communication that include only one between the sender and receiver of the message understands the message, cultural differences, and lack of education. In sending the message it is essential that the message is received with clarity, it is concise and complete. If the patient has a language barrier, it can be masked by the patient not responding to information and it is detected as a result of poor or no compliance. In literacy concerns, all information should be presented on a 5th grade level to aid in the comprehension of the information. The care of the patient should be patient/family centered which helps in detecting any language, cultural or literacy barriers (Schyve, 2007). For example, a 46 year old single male patient that is functionally literate is admitted with a diagnosis of acute angina. During the

In delving into the economic impact of mental health issues possessed by refugees, researchers must seek to ascertain the limitations that these issues pose to the economic development of the refugee, as well as their possible reintegration into

In any case, providing competent care to a patient of a different culture must first start with an understanding of the culture itself (Potter & Perry, 2011). Culture is

When settling into a new country, asylum seekers face many challenges and often prioritize their asylum claim or securing basic needs for their families over healthcare (Foley). This in itself acts as a barrier, in the words of one participant “ when I get my documents then I can go and take care of all my problems” (ASS). Civil society organizations, healthcare charities, and government services sometimes provide information to asylum seekers about their healthcare entitlements. Unfortunately, it is not always available. In one U.K review article, participants from multiple countries complained of a lack of appropriate health information, a lack of translated leaflets and lack of knowledge of health promotion and screening programs (Odo07), limiting their access to care