Language Assistance Telephone Service Case Study

Spanish is the second language in the world. With this being said, nurses that work in hospitals in all parts of the country will come in contact with patients whose primary language is Spanish. I believe it is very important to always respect the patient even when we cannot understand them. making eye contact, speaking slowly and clearly, using simple words are all ways to show our patients of a different language respect. The best way for nurses to improve communication with Spanish patients is to know and learn the language. Hospitals should offer free Spanish classes to employees or be able to take s Spanish class at a local community college. Nurses could also recommend our patients to Spanish speaking physicians.

I have observed that most of their MAs know how to speak Spanish. About 85% of the clients I have encountered during that day were Hispanics. I was helpful in doing the wound care that the MAs could communicate well with the Spanish-speaking clients. Although there was one Schizophrenic client, a caregiver was with her to talk to the LVN and MA.

Regardless of the chosen specialism a therapist decides to go into, we will always come into contact with those whom may have some kind of speech impediment or cannot speak English or are blind and cannot read. For those we must have an alternative way of communication so as all can be treated to the same standard and can understand all requirements, restrictions, advice given and costs, language line can be good for this or requesting the client brings long a

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,

In the state of Massachusetts the state law states that the emergency department patients with limited English proficiency have the right to a medical interpreter (Ginde, Clark, & Camargo, 2009). Having a medical interpreter for patients that have limited English proficiency will increase the quality of health care they receive; it also increases patient compliance and increases patient satisfaction. The use of professional interpreters is shown to decrease revisiting the emergency department, and increase this population’s use of outpatient clinics for follow up care (Ginde et al., 2009).

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.

For example; If a patient does not speak the language of which country they are in, interpreters or translators may be needed in order to help communicate with people from the local area. These are important to keep the person informed about what is happening and what is going to happen. Supporting individuals to express their needs and

• If a person using the service does not speak English, translation services should be provided in the short term and culturally appropriate services provided in the long term.

The agency forms are not available in the language appropriate for the population, such as Spanish speaking, etc. However, the agency employs clinicians fluent in many different languages including ASL to promote the client’s involvement and understanding into the services provided by the agency.

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.

The staff person did not take the correct approach in trying to communicate with the patient. The staff person should have made an effort to obtain a trained interpreter to speak with the patient. If unable to do this, the staff person could have sought to find a staff member who spoke Spanish. However, after touching basis on what the patient is seeking care for, a trained interpreter should be obtained. It is not appropriate to use family members as interpreters since this can result in a breach of confidentiality and misunderstanding of information. The patient son is also a minor, which is another reason he should not be used as an interpreter. This situation was not an emergency that required immediate need of a translator, thus an appropriate interpreter would have been the best approach.

Spanish is not only a language for Cuban, it is also a form of identity. Then, if healthcare providers are able to maintain a basic communication in Spanish, the Cuban patients will show increase respect and trust in their relationship.

One of the greatest things about nursing is that we have the opportunity to share with different cultures and learn about them. Our patients are complex; they each have their religion, culture, and life choices. Delivering health advice and not knowing much about a patient’s cultural background will influence how the patient may perceive the nurses’ advice. The article that I did my research on was published in 2011, by Perez-Avila, Sobralske and Katz; the name of the article is “No Comprendo: Practice Considerations When Caring for Latinos With Limited English Proficiency in the United States Health Care System”. In the United States, Hispanics form the largest minority. Most of this community has limited English

This reflection essay will discuss the written report of the group presentation on chapter entitled The Interpreter as Institutional Gatekeeper: The Social-Linguistic Role of Interpreters in Spanish-English Medical Discourse written by Brad Davidson. This will include how to build group discussion, the material presented, class discussion, and the conclusion. The data are taken from the work of Baker (2010).