Developing Trust in the Nurse-Patient Relationship when a Language Barrier is Present

8.00
Hdl Handle:
http://hdl.handle.net/10755/602011
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Developing Trust in the Nurse-Patient Relationship when a Language Barrier is Present
Other Titles:
Caring for Those Whom You Do Not Understand, and Don't Understand You! [Session]
Author(s):
Jones, Sharon M.
Lead Author STTI Affiliation:
Alpha Chapter
Author Details:
Sharon M. Jones, RN, CNE, jones240@iusb.edu
Abstract:
Session presented on Thursday, July 23, 2015: Trust is an important component in the nurse-patient relationship with hospitalized patients and a key cultural value in the Hispanic culture. In my previous study of the development of trust with English-speaking Mexican American patients, trust was found to develop from positive interactions with the nurse and negative interactions led to the patient not wanting further contact with the nurse which led to patient safety concerns. A limitation of my previous study was not including Spanish-speaking patients. In this current study I explored how interpersonal trust develops between the nurse and the Spanish-speaking Mexican American hospitalized patient in the United States. From a global perspective, nurses worldwide interact with patients who does not speak the same language as the nurse. Purpose: To explore how trust develops between the nurse and the hospitalized Spanish-speaking Mexican American patient in the United States Methods: In this study I used the classic grounded theory method. Face-to face interviews were conducted in the hospital setting with Spanish-speaking patients hospitalized at least two days on a medical or obstetric unit in the Midwestern United States. Data collection was done in Spanish using an interview guide with semi-structured questions. Sixteen participants were interviewed in an urban setting and findings indicated nearly all the nurses spoke at least some Spanish. Theoretical sampling led to an extension of data collection to a rural setting where the nurses did not speak Spanish. Data analysis in this classic grounded theory study using constant comparison included first and second level coding. Results: A model of the development of trust with the hospitalized Spanish-speaking patient in the United States was developed and includes a core category.?? The preliminary data analysis indicated the language was the key factor. If the nurse spoke the patient???s language (Spanish), the patient could express himself or herself related to care concerns but also to simply chat with the nurse, which could lead to the development of trust. In situations where the nurse did not speak Spanish, the patient placed the responsibility of the language barrier on the patient rather than the nurse, and the patient expressed frustration and vulnerability at the lack of English-language skills. In addition, the patient found ways to communicate with the nurse to overcome the language barrier and participate more fully in care decisions. Another important factor in the development of trust was the nurse???s attitude; participants noted some nurses were able to transmit trust even with a language barrier present. Finally, time spent with the nurse was important, the participants noted the need for time and/or an opportunity to develop trust with the nurse. Conclusion: Findings from this study are useful in the practice setting. Implications for practice include the importance of the nurse at least attempting to speak the patient???s language, even basic words or phrases for social interactions while patients relied on interpreters for detailed explanations of care. In addition,?? the nurse???s attitude toward the patient who has a languare barrier is an important factor on whether trust will develop.
Keywords:
grounded theory; Latinos; nurse-patient relationship
Repository Posting Date:
17-Mar-2016
Date of Publication:
17-Mar-2016 ; 17-Mar-2016
Other Identifiers:
INRC15A06
Conference Date:
2015
Conference Name:
26th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
San Juan, Puerto Rico
Description:
Research Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleDeveloping Trust in the Nurse-Patient Relationship when a Language Barrier is Presenten
dc.title.alternativeCaring for Those Whom You Do Not Understand, and Don't Understand You! [Session]en
dc.contributor.authorJones, Sharon M.en
dc.contributor.departmentAlpha Chapteren
dc.author.detailsSharon M. Jones, RN, CNE, jones240@iusb.eduen
dc.identifier.urihttp://hdl.handle.net/10755/602011-
dc.description.abstractSession presented on Thursday, July 23, 2015: Trust is an important component in the nurse-patient relationship with hospitalized patients and a key cultural value in the Hispanic culture. In my previous study of the development of trust with English-speaking Mexican American patients, trust was found to develop from positive interactions with the nurse and negative interactions led to the patient not wanting further contact with the nurse which led to patient safety concerns. A limitation of my previous study was not including Spanish-speaking patients. In this current study I explored how interpersonal trust develops between the nurse and the Spanish-speaking Mexican American hospitalized patient in the United States. From a global perspective, nurses worldwide interact with patients who does not speak the same language as the nurse. Purpose: To explore how trust develops between the nurse and the hospitalized Spanish-speaking Mexican American patient in the United States Methods: In this study I used the classic grounded theory method. Face-to face interviews were conducted in the hospital setting with Spanish-speaking patients hospitalized at least two days on a medical or obstetric unit in the Midwestern United States. Data collection was done in Spanish using an interview guide with semi-structured questions. Sixteen participants were interviewed in an urban setting and findings indicated nearly all the nurses spoke at least some Spanish. Theoretical sampling led to an extension of data collection to a rural setting where the nurses did not speak Spanish. Data analysis in this classic grounded theory study using constant comparison included first and second level coding. Results: A model of the development of trust with the hospitalized Spanish-speaking patient in the United States was developed and includes a core category.?? The preliminary data analysis indicated the language was the key factor. If the nurse spoke the patient???s language (Spanish), the patient could express himself or herself related to care concerns but also to simply chat with the nurse, which could lead to the development of trust. In situations where the nurse did not speak Spanish, the patient placed the responsibility of the language barrier on the patient rather than the nurse, and the patient expressed frustration and vulnerability at the lack of English-language skills. In addition, the patient found ways to communicate with the nurse to overcome the language barrier and participate more fully in care decisions. Another important factor in the development of trust was the nurse???s attitude; participants noted some nurses were able to transmit trust even with a language barrier present. Finally, time spent with the nurse was important, the participants noted the need for time and/or an opportunity to develop trust with the nurse. Conclusion: Findings from this study are useful in the practice setting. Implications for practice include the importance of the nurse at least attempting to speak the patient???s language, even basic words or phrases for social interactions while patients relied on interpreters for detailed explanations of care. In addition,?? the nurse???s attitude toward the patient who has a languare barrier is an important factor on whether trust will develop.en
dc.subjectgrounded theoryen
dc.subjectLatinosen
dc.subjectnurse-patient relationshipen
dc.date.available2016-03-17T13:01:30Zen
dc.date.issued2016-03-17-
dc.date.issued2016-03-17en
dc.date.accessioned2016-03-17T13:01:30Zen
dc.conference.date2015en
dc.conference.name26th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationSan Juan, Puerto Ricoen
dc.descriptionResearch Congress 2015 Theme: Question Locally, Engage Regionally, Apply Globally. Held at the Puerto Rico Convention Center.en
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