Latinos are people born or residing in Latin America which can be of any race or a combination of races. In the access to healthcare, Latinos experience many challenges such as political, social barriers and language barriers because they have limited English proficiency (LEP). According to the report released by the US Census (2014), the Spanish speakers living in the United States recorded the highest percentage of people with LEP. Besides, the Spanish speakers recorded the lowest percentage of U.S residents with the lowest fluency in English (US Census, 2014). The goal of this paper is to describe the primary means of communication used by Latinos.
Definition of the Issue
Latino is a term used to refer any person of “Latin-America” descent (Webster’s 3rd International Dictionary, 2002). The issue presented in this case is communication challenges faced by Latinos in accessing healthcare. Communication is the process of sharing information via the exchange of verbal and non-verbal messages. Language barrier exists where the messages are not portrayed properly. The Latino population constitutes 17% of the total U.S population, of which 64% have limited English proficiency.
Example of People/ Group affected by the Issue
In the U.S, the Spanish speakers includes any person from Mexico, South or Central America, Cuba and Puerto Rica. On the other hand, Latinos are people from Latin America (Webster’s 3rd International Dictionary, 2002). The term “Hispanic” originated in 1970s when the Census required Americans to identify themselves in terms of their country of origin such as Mexico, Cuba, Puerto Rica, Central/South America or “other Hispanics.” The terms Latinos and Hispanics are used interchangeably and describes the group of U.S citizens with LEP. The Latino population constitutes 17% (55 Million) of the total U.S population (US Census, 2014).
The Significance or Impact of the Issue on Society
The Latinos with limited English proficiency have various health challenges such as diabetes and obesity. Such people record poorer health outcomes when compared with Native Americans with English proficiency when grouped in terms of education, age and sex (Perez-Escamilla, 2010). The barriers in communication poses a significant health issue with the increasing population of Latinos in the United States and the increasing access to health services. According to the report released by the U.S Census (2014), three quarter of the Latino population had insurance services. The implementation of the Affordable Care Act will make more families and individuals eligible for accessing health insurance hence increasing the number of insured Latinos.
Origin or History of the Issue
Latinos originated from Latin-America and other colonies of Spain. These colonies include both Caribbean and the contemporary United States of America. The Latinos include Afro-Latinos, Indigenous, Mestizos and other mixed-race people. The history of Latino spans to more than four hundred years ago. After the end of the Mexican-American war in 1783, the Latinos became the first American citizens to occupy the newly acquired Southwest territory. The Latinos have occupied majority of several states of the United States until 20th century. Therefore, the origin of communication difficulties between the Latinos and the healthcare providers can be dated back to 17th century.
Implications of Healthcare for the Issue
The existence of communication barriers between Latinos and healthcare providers implies that there will be health disparities. The Latino group evidences some of these worst disparities in the healthcare setting. The Latino population experiences challenges of chronic illnesses, tuberculosis, STDs, cirrhosis among others. However, such people are unable to access quality healthcare due to limited English proficiency. The health disparities arise from complex and lack of proper understanding of the genetic, psychosocial, biological and economic factors. The disparity is heightened by inequality and discrimination of the Latino community.
Impact of the Issue in the Nursing Practice
Several studies have been carried out on the effects of communication barriers on healthcare. Some of the impacts of language barrier include increased risks of medication errors which leads to patient dissatisfaction. Besides, according to study conducted in the United Kingdom showed that language barriers increases the likelihood of returning to institution in the future with the same condition as before. Moreover, another research conducted on the Latino population U.S in 2000 established a strong relationship between communication difficulties and follow up treatments. In the nursing practice, the language barrier gives leads to patient compliance. The patients experience more problems in understanding the physician or the health specialist is less likely to administer treatment using the correct treatment directions. Therefore, good communication is important in the nursing practice not only for obtaining accurate information but also because it is a source of motivation, support and reassurance.
Role of the Nurse in the Management of the Issue
For proper service delivery, the nurse has a responsibility of ensuring there is proper means of communication between him with the Latino patient. In the United States, Latinos constitutes 17% of the population of which 64% of the population have limited English proficiency. In cases where a patient with limited English proficiency (LEP) seeks a medical assistance, the nurse should ensure either one of the three means of communication take place that is family member translation, physician language concordance or professional translation. The gold standard for addressing this issue in healthcare is through paid translators. The nurse should always offer quality care based on patient centeredness and effective communication is one of the strategies towards achieving the same according to the institute of medicine.
Personal position on the Healthcare Issue
In my position, language barriers between the Latinos and healthcare professionals in the United States is a real issue which needs to be addressed. According to statistical data, 64% of the Latino population in the United States have limited English proficiency. The percentage is quite high and this implies that healthcare professionals working in central and South America where the Latino population is high will always encounter the issue. Therefore, in my opinion, hospitals should always ensure that their physicians are trained in physician language concordance as this will significantly assist in addressing the challenge.
Communication is the process of sharing information either through verbal means or non-verbal cues. Language barrier exists where the messages are not portrayed properly. Latinos encounter many challenges in the access to healthcare such as political, social barriers and language barriers because they due limited English proficiency. Latinos constitutes 17% of the population of which 64% of the population have limited English proficiency. Some of the impacts of language barrier include increased risks of medication errors which leads to patient dissatisfaction. Family member translation, physician language concordance or professional translation are some of the ways of overcoming communication barriers in the Latino community.