Padgett R, Barrus A G
School of Nursing, University of North Carolina, Chapel Hill.
Public Health Nurs. 1992 Sep;9(3):193-9. doi: 10.1111/j.1525-1446.1992.tb00099.x.
Communication forms the foundation for all that nurses do. Recently, nurses working with migrant farmworkers have become challenged as the language of this population has become predominantly Spanish. To explore how nurses in North Carolina are managing communication issues, 55 nurses at 12 state health care agencies that serve migrant farmworkers was surveyed. Data were collected to determine what nurses believed about various communication issues involving these Spanish-speaking clients, including how they were presently communicating with them, in what areas of nursing functions they believed communication barriers were problematic, what they were doing to improve their communication, and what they envisioned the potential solutions were concerning communication barriers. Language differences proved to be substantial barriers to adequate nursing care for these individuals. Nurses cited many problems and said that they were receiving little assistance from their agencies to improve direct communication with the clients. Responses indicated a need for and a willingness by nurses to focus on improving communication with Spanish-speaking clients. Classes held at their agencies were seen as the most effective way of learning Spanish.
沟通是护士工作的基础。最近,随着流动农场工人的语言主要变为西班牙语,与他们打交道的护士面临了挑战。为了探究北卡罗来纳州的护士如何应对沟通问题,对为流动农场工人服务的12家州立医疗机构的55名护士进行了调查。收集数据以确定护士对涉及这些说西班牙语客户的各种沟通问题的看法,包括他们目前如何与客户沟通、他们认为护理职能的哪些领域存在沟通障碍问题、他们正在采取什么措施改善沟通,以及他们设想的解决沟通障碍的潜在方案是什么。事实证明,语言差异是为这些人提供充分护理的重大障碍。护士们列举了许多问题,并表示他们从所在机构获得的改善与客户直接沟通的帮助很少。调查结果表明,护士们有必要且愿意专注于改善与说西班牙语客户的沟通。在其所在机构举办的课程被视为学习西班牙语的最有效方式。