Communication Discrimination

Nurses Relations

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Hi Everyone,

I have entered a National speaking competition and have chosen a subject that we nurses experience on a daily basis; people being spoken to or treated differently because of the way they talk.

Im touching on a range of people; people with disabilities, aged, mental illness & English as a second language where, because of an accent or way of talking, are spoken to condescendingly, excluded from conversations, yelled to instead of spoken to and spoken about in front of them.

For example, I know a man with cerebral palsy who uses a foot controlled wheelchair. He had recently written his memoirs and worked at the hospital. Acquaintances would sometimes approach him with sympathetic smiles and high pitched "Hiiii! How ARE you!? You look cute in that shirt! I hope you're not giving your carer a hard time!" (I am his friend, not carer).

Or my colleague from Nigeria who has things read out to her like a story book "See here? This says 'No return policy applies after 60 days' so you can't return it after 60 days".

What I would absolutely adore is input from you; your personal experiences, if colleagues, friends, family or patients are treated differently (and how) and what you did or would have liked to do in that situation.

Particularly, what suggestions do you have to increase more dignified and respectful conversations?

I understand that many people who speak differently to another person under the belief they may not understand is not always meant maleficently and often has good intentions but I want to highlight this issue.

Look forward to reading your comments!

Usually they aren't, but this should not be tolerated in the work place. It is quite bad manners. If they are able to speak english to do the job, then they should speak english while on the job. I don't know why some employers permit this (some definitely don't).

Sometimes it's the employer speaking in the other language!

Oh my gosh, I'm also a Brit living stateside and I have experienced this, too. :/

"Which boat did you come over on?" "Are you a citizen? Why not" (also a GC holder and will always be)

I am sick to my back teeth of people saying "'Ello guvna!" or asking if I want a spot of tea; it wasn't funny the first time, certainly isn't funny the 500th. Oh! And mocking the chav type accent too... and cockney rhyming slang... ugh x_x'

People faking a British accent is super annoying; as you said, it'd be really offensive if I started imitating an Indian accent, or Chinese for example... So I'm not sure why people think it's okay to do it for British folk too. :/

I also had to fake an American accent while at work - a lot of the older people in the rehab center that I worked at couldn't understand my British accent, but I noticed that as soon as I started dropping my native accent, the mockery went down - I still let it slip if I say words like 'water', 'awful', or mention 'tap water' haha (seriously, it's not faucet water... what the heck!) My inlaws have asked why my British accent isn't heavy anymore and I tell them "Well, it just fades over time, I've been here 10 years." but the truth is, every time someone mocks the accent it gets harder and harder to hide my annoyance. People don't realize that this kind of stuff builds up, so the general reaction I'd get is "Jeez, don't over-react." (uwotm8.) So really it's just easier to hide it if I can, which takes a lot of conscious effort.

I've had to deal with this a lot in college - thankfully not the professors, but definitely from the students... I am also royally sick of being asked if I like Dr. Who, Downton Abbey etc. and then when I say no, they look at me like I have 3 heads. "But why not? It's British TV!"

/rantover haha :(

No offense meant, but it really is hard for me sometimes to listen to, for example, the BBC news programs. Or hearing the royals quoted. It's just hard to understand sometimes. As I'm sure it must be for others to understand some Americans.

"Wooder" for water. "agin me" Boston accents, Southern drawls, having New Yorkers think that anywhere south of there is "the South". Again, no offense is meant.

No offense meant, but it really is hard for me sometimes to listen to, for example, the BBC news programs. Or hearing the royals quoted. It's just hard to understand sometimes. As I'm sure it must be for others to understand some Americans.

"Wooder" for water. "agin me" Boston accents, Southern drawls, having New Yorkers think that anywhere south of there is "the South". Again, no offense is meant.

Haha nooo! I totally understand - If it's for the sake of clarity I don't mind faking an American accent - I would much rather my patients understand what I'm saying; makes the whole interaction much smoother (especially with those who are HoH!)

If it makes you feel better, I have a hard time understanding some American accents still - my A&P prof is from Amarillo, TX and her accent is thiiiiiiick; I have to really focus when she speaks so I know what she's going on about @_@ haha

..."are situations I am asked to speak with a particularly malignant attending or "impossible" family because "they will hopefully listen and at last hear what they got to hear". Ridiculously, it usually works"

Working in psychiatry we are taught that when a person, I won't say patient as I have had others do this, but when a person is acting out we are taught to speak quieter and quieter so that they have to decrease the volume of their voice and subsequently calm down. Yeah it does work. Do it daily.

Man, I love this thread. I have a child who is developmentally delayed and autistic, so I frequently rub elbows with people with all kinds of special needs. Some developmentally delayed, some cognitively impaired, some not. It's a comfort/familiarity thing, I know, but people have such a hard time talking to folks with special needs like they talk to every one else. They change their demeanor, body posture, tone of voice, facial expression...everything. You can watch it happen as the veil comes down over them and they flip back and forth between "now I'm talking to a 'normal' person, now I'm talking to a special needs person" personas.

I used to do that before I had a child with special needs, too, I'm sure. I guess it's one of the reasons I really really REALLY love the t.v. show "Speechless." It drives home the point that just because one of the main characters is nonverbal and uses a wheelchair, doesn't mean that people need to talk to him like a toddler or a pet. Watch how the family members of special needs people interact with them, how they talk and interact with them: like they're just people. Not different, not less. Just plain folk.

There is also this type of discrimination in the reverse. It isn't only minorities who deal with it. How about the Spanish speaking people who speak Spanish because they KNOW others don't know what they are saying, or in the nail salons the Asian people (mostly Vietnamese but others too) speaking about customers in their native language? I work in an inner city public school and I constantly deal with having to call parents only to hear on the other end of the phone, "No speak a English." Well, I don't speak any other language and your child is sick. I was a floor nurse and one of the CNAs had to translate for the Spanish speaking patients quite often. One day, after apparently being tired of it, she said, "This is ridiculous. The nurses should be able to communicate with their patients. Speaking Spanish should be a requirement of the job!" THAT bothered ME! And I said to her, "EXCUSE ME! This is the United States! English is our primary language. You are saying that in order to get a job in MY OWN country I should have to speak another language so that I can communicate with people who refuse to learn the language of the country they are visiting or living in? I don't think so." She said, "I never really thought about it like that." If I went to/moved to Russia, Germany, Poland, or wherever (many of them speak English) I would either learn THEIR language or realize that if I ended up in the hospital, I probably wouldn't understand too much of what is going on. I guarantee, you won't be able to get "all up in arms" over the fact that they aren't providing interpreters 24hrs a day. They would tell you, "we will provide one if/when we can" and you would be lucky if one ever showed up. We cater to people way too much here. You all can be upset with me about this, but I feel speaking English should be a requirement of citizenship. It is for their own wellbeing as well as that of our own citizens.

In other countries, people learn more than one language, including english. If you were hospitalized I'm sure someone would be able to speak to you in English. They don't get worked up about it like Americans. Also, do you think those foreign leaders that speak with the aid of a translator can't speak english? I think they're just being tricky. When you went to college, were you not required to take a foreign language? You need 2 years for high school, right? So why don't you speak another language? Here's another thought: Healthcare is a business. A business that needs to make money. The money comes from having patients. If you can't or won't communicate with them the way they feel you should, they'll go down the street. This is not a political issue and your opinion does not mean a thing when it gets between an institution and it's money.

Many of us have had a hard time getting certain jobs because we're not bilingual. it's discouraging, but shame on me! I knew what I needed to do but was too dumb or lazy. Now I speak one language and I'm too slow or old to learn a second (unless I go immerse myself in another country).

Specializes in Pediatric Critical Care.
I noticed that as soon as I started dropping my native accent, the mockery went down - I still let it slip if I say words like 'water', 'awful', or mention 'tap water' haha (seriously, it's not faucet water... what the heck!)

Wait, is "tap water" a British term?

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I hate when a person shouts at blind people as if they are hard of hearing or mentally impaired. They are BLIND, but they HEAR just fine, maybe better, than the rest of us.

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