Diversity.. at what price?

Nurses Relations

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I am working in a large inner city facility. Corporate expounds the benefits of a diverse working culture.

I understand the benefits of a large pool of talent. There is every nationality on Earth represented in this medical center.

Recently, I took report from the recovery room. The nurse had such a thick accent , I had to ask her to spell some of the words she was saying. During the shift, I "worked" with a resident that was also very difficult to understand. He is also from a culture that expects women to walk 3 feet behind them. Needless to say.. the communication was difficult and time consuming.

At the end of the shift, I gave report to a nurse from another culture, that had never heard of the procedure the patient had undergone. Another language barrier ensued as I tried to explain the case.

I find it interesting that they can understand my mid-west American accent, but not vice-versa. The communication effort is time taking away from patient care.

I have seen a Chinese nurse, trying to describe a (emergent) patient's condition, over the phone to an Indian doctor, with a nursing assistant yelling in the background trying to interpret for them.

Is there a solution?:uhoh3:

Specializes in OB.
I understand that speaking with people heavy and thick accents can sometimes be time consuming and somewhat irritating but as a supervisor would so helpfully remind me from time to time: suck it up and listen harder. The only way to resolve this problem would be to stop hiring people with thick accents. This in and of itself would be detrimental to patient care because this would exclude some highly intelligent candidates that may be able to best help your patient with new ideas and research. Also, as an other person pointed out these people can also be a great asset as translators.

Another thought however is to possibly spend more time talking to the people you are having trouble communicating with. In my experience, you begin to learn a persons inflections and meanings and the accent becomes less prevalent. Also by speaking you and other native English speakers more often it may help them to learn and understand us better as well.

There will honestly never be a true solution to this especially as sneeze continues to become more diversified. It would behoove all of us to just take the time to listen and well all be better for it

Why is it okay to say "suck it up and listen harder" but not okay to say the speakers should "suck it up and take more classes/practice your english skills". Some of both should go a long way.

I know a lovely lady who is originally Spanish speaking. When I first met her on a contract she could barely get vital information across. We spent much time guessing at what the other was saying. The next time I came back for a contract she had enrolled in ESL classes. We had a lot of fun laughing over trying to say the tongue twisters assigned by her instructor to improve pronunciation. By the last time I saw her she was able to converse fluently on just about any topic. All because she made the effort. Oh, and not young - she's a grandmother.

Specializes in ortho, hospice volunteer, psych,.

i have never understood why we americans feel everyone on the planet must speak fluent american-style english, when the persons in other parts of the world learn british english. words are spelled

the same or very nearly so, but are pronounced differently.

i live in a small town but a very culturally diverse neighborhood. neighbors are from india, saudi arabia, israel, germany, japan, china, korea, brazil, pakistan, and central america. there are many three

generational families, who speak english with varying degrees of clarity, but we manage both on and

off the job. most of the adults are mds or other advanced degree holders, the kids are as american

as any other native born child. the children old enough to remember life in their native country still

seem to embrace their new life in america and enthusiastically adapt to their new lives.

only a few cultures find being asked by a mere woman to repeat themselves offensive, and where i worked longest, this was handled by having every single order written down. as for nurses and staff who refused to use english on the job, they were given a progressive warning system of reprimands.

who cares which language is spoken during lunches or breaks? admittedly, some workers deliberately speak their own language just to be rude, but it has been my experience, that most don't. when they did, i just pulled out my book and enjoyed a bit of reading time.

with orders and instructions, i became a good listener. if some colleagues become huffy if asked for clarification, too bad!

Specializes in Cardiology.
Why is it okay to say "suck it up and listen harder" but not okay to say the speakers should "suck it up and take more classes/practice your english skills". Some of both should go a long way.

I know a lovely lady who is originally Spanish speaking. When I first met her on a contract she could barely get vital information across. We spent much time guessing at what the other was saying. The next time I came back for a contract she had enrolled in ESL classes. We had a lot of fun laughing over trying to say the tongue twisters assigned by her instructor to improve pronunciation. By the last time I saw her she was able to converse fluently on just about any topic. All because she made the effort. Oh, and not young - she's a grandmother.

The reason I say " suck it up and listen harder" is because apparently we are the ones taking issue with their thick accents, therefore we need to work on ourselves. Now, I don't think there's anything wrong with them taking classes to assist them with speaking the English better either, but you really cant force someone to better themselves. You can only work on you. Not to mention these esl classes probably cost time and money that they may not be able to afford or fit in. Maybe if employers paid for these classes for employees, more people would be apt to take them.

So the easiest thing to do is take a deep breath and truly LISTEN to what is being said, instead of mentally grumbling about why they don't speak better English.

I have trouble understanding people speaking English that are from around these parts. Usually those who learned a foreign language prior to English have better pronunciation than the people around here that learned backwoods hillbilly Georgian first.

It would be nice if everyone would just talk exactly like me. But people seem to always think "Everyone except me has an accent." We've all got an accent, except for the few of us that at one time aspired to be news anchors.

Specializes in m/s,tele.
All posts so far by newbies...Interesting.

Exactly. The newbies haven't 'been there' or haven't been nurses long enough to have worked in a large city where you are the only native English speaking person around.

Also if someone posts a cartoon of ducking under a couch just after you post your valid vent, it tends to sway posters to think what you said is shameful.

You have a valid vent/issue/complaint that many veteran nurses have dealt with. I'm glad you're not afraid to post something that some think isn't "pc" enough for their tastes.

I liked Karen's post/suggestion.

Specializes in SICU.

I stand behind my couch posting (yes pun intended)

and it IS shameful to spout hateful rhetoric regarding people just because they are not like you.

take my post whichever way you will....

P.s NEWBIE and DARN proud of it!!!!!!!!!!!!!!!!!!!!

Specializes in OB.
I stand behind my couch posting (yes pun intended)

and it IS shameful to spout hateful rhetoric regarding people just because they are not like you.

take my post whichever way you will....

P.s NEWBIE and DARN proud of it!!!!!!!!!!!!!!!!!!!!

I really don't see hateful rhetoric in the original post. I see someone pointing out a problem that is or can potentially impact patient care and opening it for discussion.

When I worked with hearing impaired patients I learned their language. They were patient with me and I took daily lessons. Accomodations on both sides.

Acknowledging a problem and working together for a solution is more effective than denying that there is an issue and declaring the other people to be hateful or prejudiced.

I feel everyone's frustration. I work in a setting where the non-English speakers outnumber the english speakers. Some do not have even the basic grasp of the language. If they don't understand what I say, I've been told it's MY accent. I do believe that if you come to work in the United States of America you should have a grasp of the Language. You may use your native tongue with your co-workers, but if we are giving report or taking a message you should be able to make an English sentence. If I were to find a job in Nigeria, I certainly would have to have learned to communicate. Yes, I am not politically correct, but there may be a life at stake and if you can't tell me what's wrong or you can't call 911 because the paramedics won't know what you are saying and they will ask for someone else to get on the phone. (It has happened)...

Specializes in LTC, Hospice, Case Management.
and it IS shameful to spout hateful rhetoric regarding people just because they are not like you./QUOTE]

I have not read one single post that spouts "hateful rhetoric".

There is no doubt a lot of hateful rhetoric in this world. There is evidence of this just about every evening on the news. It is shameful what individuals will do to each other because of a race or nationality.

But, it would seem to me to accuse anyone of hateful rhetoric on the basis of what has been posted within this thread is the very product of the P.C. world I'm talking about.

I could care less if your pink with green zebra strips, speak zreen (made up language), and prefer to have sex with martians...but when you show up at my bedside to care for me I want to understand what you are saying. And, if I have to take medical instructions from you, I don't want to kill someone because I didn't understand what you were saying. It's not HATE....it's good old fashion common sense.

Language can be fun.

Now I admit when I'm getting report and I can't understand my co-workers pronunciation of an antibiotic, that can add a little stress, but it's not that hard to figure out that A: the pt is on an antibiotic B: I can look up type and route in the MARS without hounding on my co-worker.

I have dentures..I almost never wear them..as a matter of fact I think my 14 yr old daughter has them...she likes to put them in innappropriate places around the house...in stuffed animals...using them as pencil holders, and last week I think she carved out a section of watermelon and stuck them in such a way to make the melon look like is was grinning..sick child but thats another rant...

When i dont wear my dentures I mumble...think "popeye" speak. My co-workers have no problem asking me to repeat myself and I assume they will allow me the same.

As for speaking native languages at work..i have no problem...some residents gets very confused (more confused then norm) and even abit afraid when our multilingual CNA's start holding native tongue conversations in their rooms while doing patient care, but we have a facility rule of not having personal conversations while providing pt care, regardless of language.

And the fun in language comes in with our misunderstandings. I was giving report to a fellow nurse from Nigeria, and was trying to tell him that 2 residents had been having sexual liasons all over the facility..now it seems every CNA in the facility was huddled at the nurses station so I was trying to be delicate in my descriptions of what had been observed..which just confused the poor man more and more.

I asked another Nurse who was also from Nigeria to tell him about the 2 residents...she promptly turns to him and says "Oh they have been %*%#@ all over the place" at which he smiled (blushed along with me) and said ah okay I got it now.

I see the value of being multi-lingual as not coming into it's own....yet.

As our culture becomes more diverse, our pt load will as well. Maybe 20 yrs down the road we will all be saying "Thank God we have a nurse that speaks [insert language] to communicate with this patient."

I understand the dangers of misunderstanding one another, and I do think we need baseline levels of being able to speak and understand the language of the country we work in, but I also tend to find enjoyment in learning new phrases and words in other languages and without my day to day contact of mulitlingual medical workers..well dang it I wouldn't know how to say a code brown in 6 languages ;P

Specializes in Critical Care.

While I am all for equality, I tend to look at this from a patient's point of view. They ARE the reason we have the job after all. If the OP is having a problem understanding these people, how are the patients coping? If my nurse does not even know the name of the procedure I just had done, I am not going to want them to care for me.

If I cannot understand the person who is responsible for my safety and welfare while I am hospitalized, I will not having them taking care of me. Not being prejudiced, simply wanting someone who knows what is going on and what to look for post-procedure.

But then again, I feel that all immigrants should know the language. We are the only country to allow other cultures to cry discrimination when we think they should follow our culture. Try going to Saudi Arabia as a woman and not wearing a veil. It is simply not allowed.

Specializes in Oncology; medical specialty website.
I stand behind my couch posting (yes pun intended)

and it IS shameful to spout hateful rhetoric regarding people just because they are not like you.

take my post whichever way you will....

P.s NEWBIE and DARN proud of it!!!!!!!!!!!!!!!!!!!!

Where did you see "hateful rhetoric" in the OP?

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