Thesis on "24 Communication With Patients With No or Limited English"

Thesis 4 pages (1199 words) Sources: 5 Style: APA

[EXCERPT] . . . .

Communication With Patients With No or Limited English

Research on cross-cultural communication shows significant barriers between healthcare personnel and their patients who are from different ethnic backgrounds. Language barriers are the primary problem, as patients who speak no English or limited amounts of English simply cannot communicate effectively with health care personnel who do not speak the patient's language. This topic is of major importance to the author and to society because of the dangerous impact that miscommunication can have in the medical field.

Hagman (2006) reports that many nurses, when surveyed by an instrument known as the Cultural Self-Efficacy Scale, admit to feeling uncomfortable around patients from foreign cultures. In fact, one study that measured nurses' level of comfort with African-American, Puerto Rican, and Southeast Asian patients revealed that the vast majority of the nurses surveyed had very little confidence in their ability to communicate effectively with patients in any of these three categories (Hagman, 2006).

Language barriers are clearly a critical obstacle when it comes to treating limited and non-English speaking patients. According to the Journal of Health Care for the Poor and Underserved "Among non-English speakers who said they needed an interpreter during a health care visit, only 48% said they always or usually had one. Of those who were assisted by an interpreter (staff, family, friend), only 70% fully understood what the doctor was saying. Thirty three percent of Hispanics vs. 16% whites reported either: their doctor did not listen to everything they said, they did not fully understand their docto
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r, or they had questions but did not ask them" (p.1)

Language barriers can be a significant problem not only for adults but also for the children of Hispanic adults who do not speak English proficiently. Flores et al. (2005) report the following statistics:

Forty-seven million Americans, or 18% of the U.S. population, speak a language other than English at home. Twenty-one million Americans, or 8% of the population, have limited English proficiency.

Among study parents who said they speak English "not at all," 27% of their children were uninsured. Among parents who speak English "very well," only 6% of their children were uninsured.

For six of nine access barriers studied, parents with limited English proficiency were less likely than English-proficient parents to bring their children to a doctor for needed care (p. 420).

Impact of the Issue on Society

Society is negatively affected when people are not receiving the proper medical treatment. Diseases are more likely spread and healthcare costs are more likely to rise when medical care is subpar. Some patients may actually avoid seeking medical help because of the frustrating task of trying to communicate with medical personnel who do not understand them. This can result in illnesses worsening due to delays in seeking treatment and can even lead to death (Langlie, 2005).

Impact of the Issue on Health Care

Effective communication between the patient and the healthcare provider is essential not only in terms of making the patient feel comfortable, but also in the actual level of care they are able to receive (Zabar, et al. 2006). If the healthcare provider is not able to understand the symptoms the patient is trying to describe then they are at a serious disadvantage when it comes to diagnosing the problem. If the patient cannot understand the questions that the healthcare provider is asking him, then he may provide answers that are inaccurate or inconsequential. These types of miscommunications can lead to misdiagnoses, improper pharmaceutical prescriptions, the implementation of tests that are unnecessary and overall, a lower quality of healthcare delivery (Dressler & Pils,… READ MORE

Quoted Instructions for "24 Communication With Patients With No or Limited English" Assignment:

Each student is expected to develop a 3 page paper (excluding title page and reference page) examining a current nursing or health care issue topic that is of interest to the student. A list of potential topics is available, but students should select topics that are of interest to them and have relevance to the course. The topic should be a nursing or health care issue and not a clinical topic (for example, not the merits of one treatment modality vs. another).

This assignment is considered a *****formal paper***** and requires the use of third person as explained in the APA manual. APA format should also be utilized in text citations and presentation of the reference page. The paper will be carefully evaluated for appropriate use of the APA citation format so review that section very carefully. Please note that points will be deducted for papers which are LONGER than the requirement. The issue topic should be submitted to the instructor at least by the date noted in the schedule.

The paper should include the following elements:

a. Introduction of the topic.

This section should include an explanation of the issue. The issues***** impact and importance should be addressed and why it is of particular interest to the student.

b. Review of the literature.

This section should include an overview of the information available in the literature about the topic. What is the current state of the issue based on the information available? What are the factors which impact and influence this issue? This should include at least five current, scholarly sources (references should not older than 5 years, unless of historical significance). The text may be cited but will not count in the minimum number of references.

c. Impact of the issue on society.

This section should address the impact of the issue on the public. What influence will this issue have on citizens of this country?

d. Impact of the issue on health care.

What is the impact of this issue on the general health of citizens or the health care system in general?

e. Impact of the issue on the profession of nursing.

How will the issue impact nursing and nursing practice? What are the potential concerns that the issue present to the nursing profession?

f. Suggestions for addressing the issue.

Develop a creative, multidisciplinary response to the issue. For example, could political action, social change, or a change in economics or health care delivery influence or solve the problem?

g. Summary:

Information presented should be summarized. The summary should not include new information.

The grading criteria follow. The assignment should be submitted at the assignment section of Blackboard as a document attachment and the file should include the student*****s last name and assignment (for example: Smithissues).

Please do not include ONLY the summary/review of the literature on the health care issue. This is only one portion of the paper. You should also follow the above guidelines closely, including reasons why this topic is of interest to you, its societal significance, importance to nursing and health care, implications for nursing, and develop a possible multidisciplinary response to solve the problem or issue.

After the paper is completed, students should write an executive summary (not to exceed 300 words) of the paper and post to the Discussion Board at the course Blackboard site for that purpose. The references should be included (we realize that Blackboard does NOT support correct APA). The reference portion will not be counted in the 300 page limitation. An executive summary is much like an abstract, and should include the key elements of the paper in a summarized form. Students should NOT simply copy the paper and include that as the *****˜executive summary*****. Please see the document, The Executive Summary, posted under the Health Care Issues Project section of the Assignment link.

Executive Summary

An executive summary is a report, proposal, or portfolio, etc in miniature (usually one page or shorter). That is, the executive summary contains enough information for the readers to become acquainted with the full document without reading it. Usually, it contains a statement of the problem, some background information, a description of any alternatives, and the major conclusions. Someone reading an executive summary should get a good idea of main points of the document without becoming bogged down with details.

An executive summary differs from an abstract in that an abstract is usually only about six to eight lines long. Its purpose is to inform the reader of the points to be covered in the report without any attempt to tell what is said about them. Covering no more than a page in length, the executive summary is longer and is a highly condensed version of the most important information the full document contains. Both the executive summary and the abstract are independent elements rather than a part of the body of the document. Both are placed at the beginning of the document.

With the possible exception of the conclusion and recommendation, the executive summary is the most important part of a report. As such, it should be the best-written and most polished piece of the document. This is because many readers may only look at the executive summary when deciding whether or not to read the entire document. In some companies, the executive summaries are distributed so that employees are informed as to what information is available, and interested readers may request the entire document. In short, you may expect that an executive summary will be read more frequently and by more people than will your entire document.

When writing your executive summary, ask yourself if those who read the summary will be those who will read the entire report. If you are dealing with two different groups of people, you will have to decide how much technical detail to include in the summary. If it is likely that some who read only the executive summary will not have the technical background of the ***** or final reader, keep the technical information and vocabulary to a minimum. You might have three types of readers: those who want a full picture but won't check the details (they might read the executive summary, some of the body, the conclusions, and the recommendations), those who read everything (they read the appendixes, all the data, the calculations, etc.), and those who are in executive positions, wish to be kept informed on what is going on in the company, and will say "yes" or "no" to a project (they will read the executive summary, the conclusions, and the recommendations). Your executive summary must address all three types of readers.

Since the executive summary is a condensation, when creating it, you omit any preliminaries, details, and illustrative examples. You do include the main ideas, the facts, the necessary background to understand the problem, the alternatives, and the major conclusions. Brevity and conciseness are the keys to a well-written summary. Do not take a few sentences from key sections of the document and string them together. Rather, go over the entire document and make notes of the elements you consider important. From your notes, create a rough draft of the summary. Then, polish what you have written until it is smooth and seamless without unnecessary wordiness. Do not include any introductory or transitional material. Finally, ensure that your executive summary is accurate and representative of your full document. It should not be misleading, but it should give readers the same impression as if they had read the entire report.

So just to summarize, the paper should be no more than 3 pages with 5 scholarly sources not more than 5 years old, and an Executive summary not more than 300 words on the 4th page.

How to Reference "24 Communication With Patients With No or Limited English" Thesis in a Bibliography

24 Communication With Patients With No or Limited English.” A1-TermPaper.com, 2010, https://www.a1-termpaper.com/topics/essay/communication-patients/6992161. Accessed 1 Jul 2024.

24 Communication With Patients With No or Limited English (2010). Retrieved from https://www.a1-termpaper.com/topics/essay/communication-patients/6992161
A1-TermPaper.com. (2010). 24 Communication With Patients With No or Limited English. [online] Available at: https://www.a1-termpaper.com/topics/essay/communication-patients/6992161 [Accessed 1 Jul, 2024].
”24 Communication With Patients With No or Limited English” 2010. A1-TermPaper.com. https://www.a1-termpaper.com/topics/essay/communication-patients/6992161.
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[1] ”24 Communication With Patients With No or Limited English”, A1-TermPaper.com, 2010. [Online]. Available: https://www.a1-termpaper.com/topics/essay/communication-patients/6992161. [Accessed: 1-Jul-2024].
1. 24 Communication With Patients With No or Limited English [Internet]. A1-TermPaper.com. 2010 [cited 1 July 2024]. Available from: https://www.a1-termpaper.com/topics/essay/communication-patients/6992161
1. 24 Communication With Patients With No or Limited English. A1-TermPaper.com. https://www.a1-termpaper.com/topics/essay/communication-patients/6992161. Published 2010. Accessed July 1, 2024.

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