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Nurses who can't communicate with their Patients



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May 08, 2009 09:25 PM

Nurses who can't communicate with their Patients

by MedSurg32RN Platinum Member

http://www.lasvegassun.com/news/2009...unication-gap/

So I see that many Internationally educated nurses (IEN) are having a hard time communicating with their patients despite the fact the past their English test.

I also see that according to CMS, nurse patient communication is lower then national standards.

http://www.hospitalcompare.hhs.gov/H...eHospitals.asp


Do you think there could be a link between IEN and patient satisfaction?


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17 Comments
No. 1
from cassrn28
Old May 08, 2009, 11:01 PM

Default Re: Nurses who can't communicate with their Patients
Did you know that there are states that will allow the nurse to take the test in their own language and not require them to pass an english test. I have known many asian nurses to get by with doing this.
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No. 2
from Nurse008
Old May 09, 2009, 12:34 AM

Default Re: Nurses who can't communicate with their Patients
What is wrong with you people? Where I work internationally educated nurses (IEN), despite the fact that English is their second language they do communicate very well with their patients. Let’s accept that there are people who look and speak different from us and from what we are use to.
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No. 3
Old May 09, 2009, 01:48 AM

Default Re: Nurses who can't communicate with their Patients
I work with a few people that speak english as a second language. I think they overall have a good grasp of the english language, but with their accents, I have a hard time understanding them sometimes and sometimes need them to repeat themselves. Now with that said, I can only imagine being a patient who had a CABG 24 hours ago, who is in pain and nauseated, and the nurse comes in the room and I can't understand what he/she is saying due to their accent or the way they are speaking the language, I would be frustrated. I can understand how this would affect patient satisfaction. The program in the article sounds interesting, it would be interesting to see how well it goes over.
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No. 4
Old May 09, 2009, 03:16 AM

Default Re: Nurses who can't communicate with their Patients
helloooooo..... i am Asian and im working here in the hospital for 3 years now but i didn't hear any complaints about "not communicating" with my patients. In fact they like me and they understand me better esp my patients because i am more attentive, caring and can communicate well. I don't care if i have accent. Whats up with that? everybody has their own accent. Just accept the fact that many hospitals preferred to hire international nurses because we are more willing to work esp.overtime and we don't complain very much.
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No. 5
Old May 09, 2009, 04:26 AM

Default Re: Nurses who can't communicate with their Patients
Originally Posted by pretty_nurse33 View Post
......because we are more willing to work esp.overtime and we don't complain very much.
I don't think that is a fair statement and in fact it appears prejudicial. As far as the original post however, there are accents to overcome even from north and south, the sign of a good nurse is to make sure a patient can understand their teaching...i.e. people skills. This wouldn't matter if English is the original language or not and wouldn't have an effect on the outcome of hospital satisfaction. If a nurse was not communicating effectively with her/his patients, this would be addressed by the NM/supervisor IMO.
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No. 6
from Ruby Vee
Old May 09, 2009, 04:51 AM

Default Re: Nurses who can't communicate with their Patients
I work with a number of nurses from the Phillipines, and they're some of the smartest, nicest, hardest working people I've ever worked with. Their English language skills far exceed my skills in ANY foreign language, and most of them write very well. But many of them have very thick accents, and it's difficult even for me to understand them sometimes. Our patients, who may be sedated, confused, hard of hearing or just not used to the accent have even more difficulty. I think that can be a real problem.
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No. 7
Old May 09, 2009, 07:22 AM

Default Re: Nurses who can't communicate with their Patients
Originally Posted by pretty_nurse33 View Post
helloooooo..... i am Asian and im working here in the hospital for 3 years now but i didn't hear any complaints about "not communicating" with my patients. In fact they like me and they understand me better esp my patients because i am more attentive, caring and can communicate well. I don't care if i have accent. Whats up with that? everybody has their own accent. Just accept the fact that many hospitals preferred to hire international nurses because we are more willing to work esp.overtime and we don't complain very much.

Working overtime is dangerous, most quality places cap how much over time a nurse works since it effects patient safety.

It has been my experience IEN don't participate in the hospital community - How many committees do you serve on?

Nurses "complaining" have been the change agents that produce better patient outcomes, you should be thankful for the nurses who "complained" or you would be working all three shifts in one week, working every weekend , working every holiday, working without a nurses aide or unit secretary, etc.
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No. 8
Old May 09, 2009, 07:25 AM

Default Re: Nurses who can't communicate with their Patients
Originally Posted by Ruby Vee View Post
I work with a number of nurses from the Phillipines, and they're some of the smartest, nicest, hardest working people I've ever worked with. Their English language skills far exceed my skills in ANY foreign language, and most of them write very well. But many of them have very thick accents, and it's difficult even for me to understand them sometimes. Our patients, who may be sedated, confused, hard of hearing or just not used to the accent have even more difficulty. I think that can be a real problem.
Sounds like you work with a great group of nurses. When I worked in ICU most of my patients were either vented, in a coma therefore unable to communicate.
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No. 9
from showbizrn
Old May 09, 2009, 10:02 AM

Book Re: Nurses who can't communicate with their Patients
Wow...
THERAPEUTIC COMMUNICATIONS SKILLS
(Role-playing)
as I know it
as I teach it
crosses the cultural/language barriers
that seem to resonate in this thread.

You learn
WHAT to say
HOW to say it
and
WHAT TO DO
while you're saying it.

SUPPORTIVE VERBAL NURSING INTERVENTIONS + CUSTOMER SERVICE = THERAPEUTIC COMMUNICATION SKILLS

No arguments, no misunderstandings, no hurt feelings, no bruised egos

HAPPY MOTHERS' DAY!!!
HAPPY NURSES' WEEK!!!
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