This study investigated healthcareprovider-patient communication in a referral hospital where the doctors are mainly monolingual in the main working language of the hospital, Amharic,and the clients are from a linguistically and culturally diverse background, and many of whom do not speak Amharic.It investigated communication barrier,focusing more particularly on language and cultural barriers encountered during healthcare provider–patient interaction.The study sought to answer three main research questions namely: describe what features and patterns language use in healthcare at the hospital has, identify languages encountered and level of bilingualism of the healthcare providers and patients; determine how language and cultural barriers affect both patients and care providers, and how health care providers and patients deal with and/or cope with the communiation barriers. A mixed methods approach that draws on both qualitative and qualitative data and methods is used.Multiple data collection instruments consisting of questionnaire and focus group discussion, interview, observation and document analysis are used to elicit relevant data.Two additional quaitative approaches, Conversation Analysis (CA) and Critical Discourse Analysis (CDA) are used.Critical Discourse analysis is used to explore power relations in the client-healthcare encounters, and to describe patterns and characteristics of language use at the hospital.
The study findings showed that the hospital
Communication in the healthcare field may be a little different for some people. Healthcare requires the communication to have a purpose, and that purpose is revolved around a person’s needs. A patient with good staff communication during
Within a health care setting communication is a necessity. This communication not only includes the need for professional communication but also the way in which information is shared to the patient and to other healthcare workers. Another important aspect of health care worker such as a nurse is the effectiveness off a handover. Within the video, Effective Communication in nursing these three aspects of communication (Professional communication, provision of information and handover) were seen and will be analysed further, within this essay. These will be analysed through the three aspects, the care of the patient, the image of the individual nurse and the health outcomes of the patient. All of these three aspects of communication are vitally important to the overall patient needs.
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.
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.
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
Professional Communication is a very important element in the foundation for a strong health care system. Communication can also serve as a basis for basic health care administered. Communication is not only the one tool in health care in which we can control, but also what helps prevent the derailment in patient-healthcare professional trust.. Types of model that can help express how important professional communication is within health care is the movie titled, The Doctor. There are various examples in this movie in which the importance of professional communication is portrayed and supports the argument, as well. These types of examples and supporting data can also be found in real life testimonies of what type of situations can result from lack of professional communication in the health care setting. Communication teaches the importance in human-to-human contact that some hospitals and health care setting may lack due to the certain personality type that is more attracted to the roles of doctors. Professional communication should remain at the forefront of bed side manner and proper etiquette in the health care field and setting.
The HITECH act of 2009 brought about the revolution of health information technology (HIT) by providing billions of dollars to aid in implementation throughout the health care industry. HIT has allowed for improved patient-centered care secondary to improvement in communication channels, allowing for greater access of protected health information (PHI) for healthcare providers, which in turns, has improved the efficiency of patient care. Patient centered communication has been achieved through means of patient portals and electronic health records (EHR). EHR connects various disciplines and aids interdisciplinary communication. Furthermore, HIT such as telemedicine and clinical decision support systems allow for improve communication of health information between provider and patient, allowing for better patient care delivery (Finney et al., 2014).
According to Schyve, 2007, without comprehension of both participants, effective communication does not occur, the medical delivery of care ends or resulting in medical errors, critical to patient safety and quality of care. Language barriers include cultural differences, various manners of speaking, and poor knowledge
The reason for this essay is to reflect on a critical incident that took place during my three week placement as a student nurse at Foster ward in Ankaful Psychiatric Hospital. The incident chosen is on language barrier in communication. This incident has made an impact on me due to the fact that effective communication is key to patient health outcomes and language has influence on effective communication. .
Describe strategies you gained from the course for improving outcomes of care and patient safety in the setting in which you are engaged in. Provide examples and rationale.
Most people that speak English have little or no problem understanding his or her healthcare provider when they seek medical services; this situation is not as common as it was just 30 years ago. The continued growing lack of quality health care caused by the language barrier has produced federal regulations to help bridge this gap, helping to better ensure all patients receive equal quality care. It is imperative that the patient have options to choose from to remove or decrease the patient-provider miscommunication barrier.
Supporting this concept, Juve-Udina et al. (2014) proposed that active listening and silence were important communication strategies in this point of care since they helped to establish this 'safe environment' where patients can freely express their concerns and feelings. This particular strategy is meaningful towards patients of another culture since it relays the message that they are being heard and acknowledged despite the disparities they might feel due to differences in culture (Abdolrahimi, Ghiyasvandian, Zakerimoghadam & Ebadi, 2017). Evidence-based literature puts an emphasis on the importance of empathising with patients who experience inadequacies such as this; ensuring that action and communication initiated within the care helps to alleviate such negative feelings (Abdolrahimi et al., 2017). Entailing this trend of empathy includes the alteration of language used when communicating with patients from diverse cultural backgrounds (Gower et al., 2016). Gower et al. (2016) expressed that this includes simplifying the information provided in order to ensure that the patient has a certain level of understanding about the procedure, therefore, involving them within their
Populations at risk of experiencing communication gaps. Communicating effectively about health care relies on understanding three factors—the audience’s culture, language, and health literacy skills. Therefore, populations whose members have limited or no English proficiency, a culture that is not well understood by personnel in an organization and/or limited health literacy skills should be considered communication vulnerable.(Juckett & Unger,
My first exposure to medicine was when I worked as a Clinical Research Associate at the Mount Sinai Hospital. Working with the Emergency Department, I learned about the importance of patient communication and the effects it has on a patient’s overall care. I remember meeting a patient, whom came to the ER with symptoms of a miscarriage. Already having a history of miscarriages, she came into the ER distressed about the wellbeing of her fetus. As we talked about her background and previous experiences with miscarriages, I had the opportunity to better understand her as an individual and how she was feeling. As we talked, her facial expressions slowly changed; she was not only smiling more, but she also slowly started opening up to me, as she