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University of the Cordilleras

College of Nursing
Private Room: ThFS
1st Semester 2023

Name: Jezzel L. Ustari Date: December 14, 2023


Section: 3D-C CI: Janet Pang-ue Matchoc

I. Title: Improving communication on medical ward rounds with patients who speak limited English with
implementation of medical communication charts

Author: D’Sauza, A.M., et. al.

Source: DOI: 10.1136/bmjoq-2021-001389

Year of Publication: 2021

II. Summary

King's College Hospital (KCH) in London is in Southwark, where 11% of households have no members
who speak English as a first language and 4.1% of Londoners report they do not speak English well.
Language barriers interfere with healthcare delivery, including daily ward rounds. This has been
exacerbated by the need for personal protective equipment (PPE) during the SARS-CoV2 pandemic.
Communication between healthcare teams and patients is critical for providing high-quality, patient-
centered care. Online, telephone, and face-to-face translation services are common communication tools,
but they have limitations.

III. Nursing Implications


a. Nursing Practice

In the pre-QIP (baseline) group, face-to-face patient questionnaires were administered to assess communication on
medical ward rounds. Medical communication charts were created by modifying pre-existing speech and language
therapy aids. Charts were translated into languages commonly spoken by KCH inpatients. Patients with limited
English proficiency were chosen from both the COVID-19 and non-Covid wards.

b. Nursing Education

We are constantly expected to improve our daily routine. Patient-centered care entails treating patients with dignity
and respect and involving them in all health-related decisions. This is also known as 'person-centered care,' and it is
a method related to a person's healthcare rights.

c. Nursing Research

Along with considering the patient's preferred language or dialect, we nurses must have a better understanding of
what the patient is attempting to say as well as the ability to assess them with the aid of attempting to interpret what
the patient requires. Assisting them in displaying their signs through body language or providing a translation.

IV. Personal Insights

The journal only addressed issues that benefited the patients, leaving out the nurse's point of view. A quick
glance through the journal reveals that some nurses may struggle to understand and identify the patient's
chief complaint. We are usually told to build trust and rapport with our patients, but how can we do so if
they are unable to communicate due to a language barrier? As a result, patients may encounter additional
issues because they are hesitant to speak and seek assistance from nurse s.

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