- Internal Code :
- Subject Code : CHCPRP003
- University : Victoria University
- Subject Name : Nursing
Reflect on and Improve own Professional Practice
“van Rosse, F., de Bruijne, M., Suurmond, J., Essink-Bot, M. L., & Wagner, C. (2016). Language barriers and patient safety risks in hospital care. A mixed methods study. International Journal of Nursing Studies, 54, 45-53. Retrieved on 19th August 2020 from http://www.academia.edu/download/44738821/Language_barriers_and_patient_safety_ris20160414-15483-16wzsdi.pdf”
The aim of the current study include investigation of the risks associated with patient safety as a result of language barrier at the time of hospitalizations and the process through which the barriers in languages can also be detected, reported and bridged. Both the quantitative and qualitative method has been taken under consideration. Approximately, 576 ethnic minority patients have been chosen as sample of the study that is hospitalized on 30 wards. A qualitative analysis has been conducted upon nursing and medical records of 17 hospital admissions of patients that have language barrier and 12 in-depth interviews with care providers. Interviews have been taken with the care provider and the patients. All the participants have been screened for detecting their language barrier.
It has been identified from the current study that the language barriers emerging from the language barriers between the nurses and the patients are affected different areas of treatment such ad medication administration, balancing fluid, managing pain and others. Additionally, the language barriers have also affected the nurse and physician communication. Issues have been identified in communicating risks, diagnosing and in the acute situations. One of the major limitation of the study is a small number of participants have been chosen for conducting interview which might lead to unauthentic results due to personal biases. Therefore, predicting patient safety risk based on these data is difficult. It can be concluded from the current study that in acute situations, language barriers are playing a huge role in making the treatment process difficult. Therefore, this study directs towards future exploration of the importance of the language training and adequacy of skill in communicating in nursing.
“Wang, Y. Y., Wan, Q. Q., Lin, F., Zhou, W. J., & Shang, S. M. (2018). Interventions to improve communication between nurses and physicians in the intensive care unit: An integrative literature review. International journal of nursing sciences, 5(1), 81-88. Retrieved on: 20th August 2020 from https://www.sciencedirect.com/science/article/pii/S235201321730087X”
The aim of the current study was to identify the intervention process through which communication between nurses and physicians in the ICU setting can be improved. This study has conducted an extensive literature review upon the aspects related to the effective communication in ICU and the importance of interdisciplinary communication for high quality care service. As it is an integrative literature review, it has used various relevant journal articles using the search terms communication, team work, nurses, doctor, resident, clinician, collaboration, relationship and others. A manual search for the reference lists has also been conducted. The selection criteria included the researches or studies that are focused on using communication tools, training teams, evaluation of the multidisciplinary structured work shift and many others.
The study has identified that there are some tools and strategies that improve communication between the nurses and the physicians in ICU. The communication tools here include regular goal sheet or form, door communication card, bedside whiteboard. Apart from that, team training, evaluation of structured work shift and electronic documentation template helps in improving communication at critical times. However, one of the limitations of the current study is it only considered papers that are written in English, moreover, there was no Randomized Control Trials which increases the chances of biasness. This study concludes that communication tools and strategies are imperative for achieving highest level of communication between nurses and physicians. The study is unable to find out and suggest the strategy that the most useful. Moreover, large sample of data was required to be collected so that reliable conclusion can be drawn.
Reference List for Language Barriers and Patient Safety Risks
van Rosse, F., de Bruijne, M., Suurmond, J., Essink-Bot, M. L., & Wagner, C. (2016). Language barriers and patient safety risks in hospital care. A mixed methods study. International Journal of Nursing Studies, 54, 45-53. Retrieved on 19th August 2020 from http://www.academia.edu/download/44738821/Language_barriers_and_patient_safety_ris20160414-15483-16wzsdi.pdf
Wang, Y. Y., Wan, Q. Q., Lin, F., Zhou, W. J., & Shang, S. M. (2018). Interventions to improve communication between nurses and physicians in the intensive care unit: An integrative literature review. International journal of nursing sciences, 5(1), 81-88. Retrieved on: 20th August 2020 from https://www.sciencedirect.com/science/article/pii/S235201321730087X
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