The Importance Of Language Barriers To Effective Communication

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,

To have quality of care within the health care system, effective communication is needed. Barriers arise when effective communication is not meet, patients with limited English proficiency are at risk for misdiagnosis, poor treatment decisions, trust between provider and patient is not there, and patients to not adhere to treatment plans and follow up if they do not understand what they need to do (Regenstein, Mead, Muessig, & Huang, 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.

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.

Miscommunication, medication errors, and lack of compliance commonly occur in the healthcare field. These are just a few of the errors that occur due to the patient being from a different culture than the physician or healthcare worker. Those three errors alone have a huge impact on our healthcare today. If we could have a better understanding of other cultures that are different from our own we could have a dramatic decrease in errors and a great increase in healthcare participation. Training must be completed and must be done in more than one way. The first step is to make sure that all physicians and health care workers get the same nationwide training that focuses on improving cultural competence. How this is completed must be done in more than one way (Horwitz, 2001).

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

The system failures identified by Judy Smetzer in the case of the newborn Miguel revealed interesting views concerning patient safety. In the article,” Lessons from Colorado: Beyond Blaming Individuals”, the difficulties of healthcare system and medication use system led to a fatal error that killed a newborn. This case emphasized that medication errors were not caused by a failure of one single element, but the whole system. According to Smetzer (1998), one of the system failures, “staff inexperience and poor documentation had tremendously contributed to the sentinel event of the article” (p.49). When health care providers put their actions lower than their knowledge, practice without proper safety measures and documentation, then it affects

Lack of interpreter services as well as lack of culturally and linguistically appropriate health education materials has been associated with patient dissatisfaction, poor comprehension, low treatment compliance, and lower quality health care (Advocates for Youth, 2008). For example, when predominantly Spanish-speaking patients were discharged from an emergency room, they were less likely than predominantly English-speaking patients to understand their diagnosis, medications, treatment plans, and follow-up care instructions. Consequently, predominantly Spanish-speaking patients were also less likely to indicate satisfaction with their health care and were often reluctant to return for follow-ups (Betancourt

It is evident that patient safety is one of the most important principal in place as a nurse. To insure this there are many standards that are set in place that as a registered nurse need to be met, some including, professional responsibility and accountability, having knowledge based practice, ethical practice, service to the public and self-regulation (SRNA, 2014). “These standards and foundation competencies serve as the criteria against which all registered nurses, practising in all domains of nursing practice (direct care, education, administration, and research, and the evolving domain of policy) will be measured by clients, employers, colleagues and themselves”(SRNA, 2014). Having these standards allows register nurses and the public to have a clear understanding of what needs to be met in order to insure that there is proper patient safety. However there are still many issues that contribute to unacceptable patient safety, including medication administration errors, post operative care, and patients mental health. However, “medication errors are one of the most common types of medical errors that occur in healthcare institutions” (J.Choo, 2010). A medication error, according to The National Coordinating Council for Medication Error Reporting and Prevention “is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient or

In 1966, a Spanish couple welcomed a new baby to the world in a Denver hospital. Because the couple only spoke Spanish, communication between the couple and the healthcare staff was impaired. The mother had a history of syphilis, and it was difficult for the hospital to understand how the mother had been treated for this disease. After discussion between employees, a decision was made to treat their newborn for congenital syphilis and an order was written for Benzathine penicillin G 150,000U IM. The hospital pharmacist read the order incorrectly, mistaking the “U” for a zero making the order 1,500,000 units. The nurse caring for the baby expressed concern about injecting a high amount intramuscularly as the label on the bag instructed. Further discussion took place between staff, and a decision was made to administer the medication intravenously (IV) instead. The IV administration resulted in the death of the infant died. An autopsy later revealed that the baby did not have congenital syphilis, and therefore no treatment was truly needed (Aspden, 2007, p.43-44). Medication errors can be deadly as the previous example shows. A medication error is defined as, “any preventable event that may cause or lead to inappropriate medication use or patient harm while

Effective communication is important in providing safe health care. Miscommunication can lead to many errors, which can inadvertently affect compliance, accurate diagnosis, and health promotion. There are a variety of translation services offered in the United States; however,

Nobody’s born with the language they speak today. Everyone is born with a clean tongue that is transformed to make sounds and words that are native to their homeland and people they were raised by. Language can’t be described as a trait, like the color of your skin or the width of your shoulders. When society discriminates against individuals that speak differently, they are judging them based on how they were raised and how they were taught to speak, people don’t see them as just a person that didn’t have a choice of how they wanted to communicate, and conformed to fit into a puzzle of a whole area of people that sound the same way. I believe that people are molded by experience and adapt to the environment they were placed in. Life is