Promoting Advocacy and Cultural Sensitivity in Healthcare: Strategies for the English Second Language-Speaking Refugee Scenario

QUESTION

Scenario 3: The refugee who speaks English as a second language

Zaid (48 years old) is a Syrian refugee who was granted asylum in Australia two years ago. He started learning English around the same time and speaks the language well enough to get by in most social situations, but he is unable to read English.

Zaid has been an inpatient on the general ward for a few days, originally admitted with abdominal pain. He has already had an ultrasound and been diagnosed with gallstones, and now has been scheduled for a cholecystectomy in the morning. The notes state that Zaid has had the procedure and risks explained to him, and there is a signed consent form. However, as you are taking Zaid’s vital signs in the evening, he asks you what the “test” is that he will be having tomorrow, and why did the food service staff say he is not allowed to eat or drink?

Describe how your strategies promote advocacy while remaining within organisational policies and/or guidelines applicable to the nurse in your chosen scenario.

strategies chosen are;

Professional Medical Interpreter:

2. Visual Aids and Simplified Language:

Provide at least two examples in your discussion.

ANSWER

Promoting Advocacy and Cultural Sensitivity in Healthcare: Strategies for the English Second Language-Speaking Refugee Scenario

Introduction

In the case of Zaid, the Syrian refugee who speaks English as a second language, advocating for his rights and well-being while adhering to organizational policies and guidelines is of utmost importance. As a nurse, effective communication and cultural sensitivity are key to ensuring Zaid’s understanding of his medical condition and treatment. This essay explores two strategies, namely, utilizing professional medical interpreters and employing visual aids and simplified language, to promote advocacy for Zaid while complying with relevant organizational policies and guidelines.

Professional Medical Interpreter

Strategy Description

Employing a professional medical interpreter is essential when communicating with patients who face language barriers, like Zaid. These interpreters are trained to facilitate accurate and clear communication between healthcare providers and patients, ensuring that vital medical information is conveyed accurately.

Advocacy and Organizational Policy Adherence

By utilizing a professional medical interpreter, nurses can advocate for Zaid’s right to fully comprehend his medical condition and treatment options. This strategy aligns with organizational policies that emphasize patient-centered care and informed consent. It ensures that Zaid receives the same level of understanding and care as any English-speaking patient, promoting equity in healthcare delivery.

Example 1

During the pre-operative consultation, the nurse arranges for a medical interpreter fluent in both English and Zaid’s native language. The interpreter assists in explaining the cholecystectomy procedure, potential risks, and the reason for fasting to Zaid in a language he understands fully. This ensures Zaid’s active participation in decision-making and informed consent.

Visual Aids and Simplified Language

Strategy Description

Using visual aids, such as diagrams, pictures, and videos, along with simplified language, can significantly enhance patient understanding, especially for individuals with limited English proficiency like Zaid. These aids provide a visual representation of complex medical information, making it easier for patients to grasp key concepts.

Advocacy and Organizational Policy Adherence

By employing visual aids and simplified language, nurses advocate for Zaid’s right to access information in a way that accommodates his unique learning needs. Organizational policies often emphasize the importance of clear and effective communication with patients, regardless of their language proficiency or educational background.

Example 2

The nurse presents Zaid with a visual diagram explaining the cholecystectomy procedure, pointing to each step and providing simple explanations. Additionally, the nurse uses short, straightforward sentences to describe the importance of fasting before the surgery. This strategy empowers Zaid with knowledge and ensures he comprehends the upcoming “test” and the fasting requirement, promoting a sense of control over his healthcare decisions.

Conclusion

In the case of Zaid, the Syrian refugee with limited English proficiency, employing strategies such as professional medical interpreters and visual aids with simplified language is vital in promoting advocacy and cultural sensitivity while adhering to organizational policies and guidelines. By ensuring effective communication and patient understanding, nurses play a crucial role in empowering patients like Zaid to make informed decisions about their healthcare. Embracing these strategies not only respects Zaid’s rights and dignity but also fosters a more inclusive and compassionate healthcare environment for all patients, irrespective of their language or cultural background.