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Establishing effective communication with the patient is a critical factor in promoting patient quality care. Good communication is fundamental when providing safe and effective care at the beside in order to increase the quality of patient care. One of the many communicative barriers that exists between patients and the healthcare team are language barriers. Language barriers are considered an initial problem of translation or code-switching. Individuals who speak different languages require a certain code breaker in order to facilitate effective communication (Gregg & Saha, 2007). Furthermore, language barriers may hinder the quality of patient care and interfere with optimal clinical outcomes. According to Happ et al., 2011, nurses have the unique responsibility to engage in communication with patients and have control over the timing and method of communication. Evidenced based interventions such as communication boards are needed to improve nurses’ communication skills in order to achieve effective communication.

Can you imagine the how the healthcare industry would be without language, what seems to be impossible to imagine is the everyday reality of some patients because of their native language. Language is a major contribution to the health disparities that some populations face, because it makes it difficult for some patients to communicate their problems as well as understand the care they provided. Language contributes to the health disparities that some populations face because it creates a barrier between the patient and the care provider, making it difficult for a patient to receive proper care. Language barriers create a communication gap between a patient and a provider, forcing the patient to feel misunderstood and unable to trust his/her provider to properly care for them. I come from a family that speaks more than one language, so I have seen the impact language barriers can have on someone who doesn’t speak fluent English.

According to the 2011 U.S. Census, twenty-one percent of the population speaks other language at home besides English. Hence, one of the biggest challenges in Healthcare is the language barrier between the providers, Health care administrators and patients that speak foreign languages. This poses a challenge for medical entities,

I am a Brazilian black male with military experience and diplomatic knowledge who grew up in a low-income household in a developing country. In addition, I have traveled to about 35 countries and am acquainted with people from different socioeconomic backgrounds, religions, ethnic groups and nationalities. These characteristics and experiences allow me to see the world from perspectives that are unusual for most people. Besides being open-minded and non- judgemental toward all my future patients, I personally understand the difficulties faced by people of color, immigrants and individuals from low-income families. In sum, my background and my cultural literacy will allow me to be a sensitive and culturally aware patient-centered care.

Cultural Competence is important for many reasons. First, it can help develop culturally sensitive practices which can in turn help reduce barriers that affect treatment in health care settings. Second, it can help build understanding, which is critical in competence, in order wards knowing whom the person

Adapting to different cultural beliefs and practices requires flexibility and a respect for others view points. Cultural competence means to really listen to the patient, to find out and learn about the patient's beliefs of health and illness. To provide culturally appropriate care we need to know and to understand culturally influenced health behaviors. However, becoming culturally competent is a much more daunting task. Culture (and ethnicity) often influences a patient’s perceptions of health and illness. Therefore, if healthcare providers appear insensitive to cultural diversity, their actions may negatively affect the quality of the healthcare that they provide.

In my point of view, there are three important themes from the story. Firstly, the communication is essential and important in healthcare settings. As we all know, the language barrier is the main problem to be solved when interacting with another culture. In other words, communication is a two-way interaction. Only people can understand each other, the conversation and consultation could start. To be specific, in health care settings, communication is the key to grasping the health condition of patients, know the patients’ need, as a result, provide the most suitable and best care plan for

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.

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

Cultural diversity has different meaning to each and every one. Some of us considering cultural diversity to be acquired where for the others it’s a skill that they have to learn. It’s very important that the health care providers are knowledgeable and sensitive to cultural differences because they are the ones to deal with the patients of different background on a daily basis. Being cultural savvy will help them to give the best patient care. For that reason, health care workers must be especially aware that addressing cultural diversity goes above the values, beliefs, practices and customs. An outstanding medical professional has a good manner and makes patients feel comfortable and at ease during exams and treatments. Cultural knowledge is the skill to respond appropriately to people of different cultures, ages, races, religions, sexual orientations, abilities, and ethnicities, and embrace on the way that will allow a person to feel respected and valued. The article "Diversity & Cultural Competency in Health Care Settings" discusses diversity in health care environment, "A health care professional who has learned cultural competence engages in assistive, supportive, facilitative, or enabling acts that are tailor-made to fit with individual, group, or institutional, cultural values, beliefs, and life ways in order to provide quality health care. In other words, they demonstrate the attitudes and behaviors that enable them to effectively work with individuals with diverse

Cultural competency is especially important in health care because there is an increase immigrant. In 2015 the UK alone received 558,000 immigrants. (Full Fact Charity 2015). The increase in diverse cultures brings about new

To communicate seems easy enough to most of us. We have been doing this from the moment we were born. We expressed ourselves with grunts, moans, crying, smiling and yelling. We started communicating even before we made words with our nonverbal forms of communication. Communication is important. It allows individuals to share information and messages in the form of ideas and feelings (Giger, 2013). It gives us direction and allows us to interact with others. Can you image getting the entertainment system in parts in the mail with no instructions as to how to put it together? It is essential that we all communicate effectivity in order to ensure the best quality of care. Language barriers threaten the patient safety and overall quality of care of these individuals. By having efficient practices in place it will lower those risks and increase quality care.

Culture competence is a quality that any nurse should have. The article that I decided to research refers to the impact that language and different cultures have on a patient’s health. It is the duty of health care professionals to attempt to learn about different cultures and to be sensitive to the way patient’s feel about their beliefs. Once the nurse understands a patient’s

The intercultural patient encounters are fraught with the miscommunication because different sources of communication noise. It further results in unsatisfactory interactions for the patients and the clinicians. The concept of noise in nursing involves the communication noise, which refers to the influences on effective communication that influences on the effective communication that further influences the interpretation of conversations. The communication noise can have a profound impact on the perception of interactions with other people while analyzing the proficiency of communication (Price, 1980; Schroetter & Wendler, 2008). Considering these aspects, this paper is providing the considerable understanding about the noise and communication concept in nursing.