Slide information
Impact on Nurses Cont’d
Language barriers for nurses
•	Limited English proficiency,
•	Nurses are anglo-saxon or monolingual
Use of interpreter
•	Use of children by adults
•	Limited knowledge of health language.

My Presentation
	Language barriers for nurses is a major handicap for the delivery of nursing care. Limited English proficiency is one of the greatest challenges that nurses face when dealing with Latinos (Jarvis, 2008, p.71). A lot of Latino patients who migrated as adults have been unable to learn English. Bu then the healthcare sector requires that nurses do all they can to help a patient even those with limited English proficiency. This becomes very challenging as nurses have to create ways to communicate and understand what problems these patients could be dealing with
	Nurses are Anglo-Saxon or monolingual since majority of nurses grow up and schooled in the United States. Besides, English is the language of instruction for students who become  future nurses. Thus all their assessments, clinical rotations and laboratory procedures were learned in English. Learning a second language was more of a luxury than a necessity. So it can be difficult for nurses in this status to communicate with Latino patients who do not understand English. (Chitty & Black, 2011,p. 396)
	The use of children as interpreters sounds a little odd but this is the medium that most Hispanic older adults expliot to communicate with nurses. Use of children by adults especially older adults have become an issue in the health sector requiring the health system to make adjustment to address this issues. For example, using a trained interpreter. Most Latinos live in a family setup that cuts across younger to older generation within a closed proximity (Anorld & Boggs, 2011, p.211). With the young adults working, the older adults who cannot express themselves in English, are left with young children at home to do the interpretation for them. Thus more often than not, these older adults will bring these children to translate to the nurses. This can be embarrassing to the child and to the nurse if certain health issues have to talk about. (Ku & Flores, 2005, p.1)
	Limited knowledge of health language is another issue in that nurses have to deal with when older adults bring children in to serve as interpreters. The child’s vocabulary could not have grown to the point where he/she could understand and translate certain medical condition into English (Ku & Flores, 2005, p.1). Worst of all, nurses can become frustrated when all efforts to understand the health conditions goes avail just because the interpreter is unable to describe it using the right terminology. Furthermore it makes the interviewing unnecessary long (Jarvis, 2005, p.71) and thus, boring for a nurse operating in a very busy environment. 

References
Arnold, E. C. & Boggs, K. U. (2011). Interpersonal relationship: Professional communication skills for 	nurses (6th Ed). St. Louis, MO: Elsevier Saunders.
Chitty, K., & Black, B. (2011). Professional nursing concepts & challenges (6th Ed). 	Maryland Heights, MO: Saunders Elsevier. 
Jarvis, C. (2008). Physical examination & health assessment (5th Ed). St. Louis: MO. Saunders 	Elsevier.
Ku, L., & Flores, G. (2005). Pay now or pay later: providing interpreter services in health care. 	Health Affairs. Retrieved from EBSCOhost.
	http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2005074743&site=eho	st-live&scope=site