The Diversity Of The U.s. Population

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.

In 2004 my grandmother and I moved from Haiti to United States without a speck of English in our language. After few years living in the states, my grandma started to get ill and she had to seek monthly medical assistance. At the time, my mother was working multiple jobs and I was a full time undergrad student that lived on college campus. Our busy schedule posed a challenge for us to bring grandma to her medical appointments. Most times it was hard for us to find someone to go with her and assist her with language translation. When it was time for her to go by herself, the health providers would have trouble finding a professional translator on the spot to assist my grandma. This became a repetitive problem and my grandma’s case was not getting any better. If she had the ability to communicate with her provider using her own language, she would have been able to be more expressive about her symptoms and the doctors would have assisted her to her needs. Just like my grandma, many people that speaks little to no English, are having trouble interpreting their medical diagnosis and communicating with their healthcare providers.

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.

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.

Diversity exists all across the United States. It is defined as the state of having people who are different races or who have different cultures in a group or organization, according to Merriam-Webster dictionary. Along with the ever-growing diversity in America, brings along intercultural communication. Intercultural communication can be defined as a situated communication between individuals or groups of different linguistic and cultural origins. Due to the limitless amounts of diversity and intercultural communication across the United States, misunderstandings and clashes between cultures are bound to occur. These clashes have been as extreme to be used to explain violence and crime not only in the United States, but also throughout our entire nation. On the other end, these cultural clashes can be so personal in our everyday lives because of our expectations of a certain behavior coming from our own cultural backgrounds, as many others have very different cultural backgrounds and expectations of us.

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.

Throughout the world social problems such as illiterate, elderly, handicapped, minority groups, and poverty have been the biggest part in our society for many years. Some of our social problems had died off, meanwhile, they’re still many problem that we are still facing as a society. One of the major social problem we face is people being illiterate. Being illiterate is meaning a person can not read nor write, and it can also mean that a person is grammatically incorrect. There is as much as 23% of the adult population that are ignorant to basic skills of the 4th grade level. In the U.S. the ethnic group that is most affected by not being able to read or write is

Malcolm Forbes once said, “Diversity: the art of thinking independently together.” The same diversity that shaped the United States going back to the sixteenth century when immigrants landed in North America. Diversity of people and species, but their real differences were religion, politics, economics, social issues, and the fantastic ways they dealt with those issues.

One example of conflicts that exist among providers and some of the people we serve are challenged with a trio of cultural, linguistic, and health literacy barrier. Nurses are the key people to facilitate the interconnections between patient’s

As the country begins to grow with the influx of non-English speaking immigrants, the need to communicate has become a great need in our country. In the medical community it is especially important to be able to communicate with one another and be understood. Providing goals that will support communication, will foster the communication between patients and providers to give and receive the best optimal care. Medical providers can deliver better communication with non-English speaking patients by conducting a primary assessment, using appropriate interventions, and continuous monitoring.

Offering language assistance to individuals with limited English proficiency and/or other communication needs, at no cost to them, to facilitate timely access to all health care and services. Informing all individuals of the availability of language assistance services clearly and in their preferred language, verbally and in writing. Ensuring the competence of individuals providing language assistance, recognizing that the use of untrained individuals and/or minors as interpreters should be avoided. Providing easy-to-understand print and multimedia materials and signage in the languages commonly used by the populations in the service area (U.S.

Communication plays a vital role in the healthcare setting, as the relationship with the healthcare professional sets the tone of the care experience and has a powerful impact on patient satisfaction. It is “the shared process in which messages are sent and received between two or more people which are made up of a sender, receiver, and message in a particular context” (cite, date). This essay highlights the importance of, and some common barriers to, effective communication in the healthcare setting. It involves many interpersonal skills such as effective observation, questioning and listening, giving feedback, recognizing and removing barriers.

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.

Language barriers between physicians and patients have been associated with a decrease in patient and provider satisfaction, lack of preventative health services, increased diagnostic testing, repeat visits to the ER, extended hospital stays, increased number and severity of medical errors and problems obtaining informed consent (Gany et. al, 312). A cross-sectional review study was conducted by Schwei, and others, in recent years. It was found that the awareness of the need for better language support services in health care has increased since 2003. However, the progress has been limited due to a small percentage of health care providers who have implemented services for LEP patients