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Wanted: Bilingual Healthcare Workers

Wanted: Bilingual Healthcare Workers

Dan Woog, Monster Contributing Writer

“I still don’t know what they said to each other,” a Texas nurse told NurseWeek magazine in 1999 after enlisting a hospital house cleaner to interpret for a patient who could not speak English.

Today, as immigration increases and with the nursing shortage in full swing, the demand for bilingual healthcare workers is growing. The greatest need appears to be for Spanish-speaking nurses.

According to Minority Nurse Magazine, only 2 percent of all US registered nurses are Hispanic/Latino. While a higher percentage of nurses may be Spanish-speaking, non-Hispanics/Latinos may not be aware of cultural differences. Anita Holt, RN, MSN, and a professor of human services at Southwestern College in Chula Vista, California, cites several reasons Hispanics/Latinos may not consider a career in nursing, including limited knowledge of opportunities and lack of fluency in English.

Why Bilingualism Is Important

Holt says bilingualism is critical — not just in nursing, but throughout the healthcare system. “Patients feel more comfortable if they can talk to someone who understands their language, as well as the beliefs and values of their culture,” she says. "For example, it is important for a hospital patient to not only have his wife and children at his bedside, but also his compadres and comadres, his tios and tias. If the nurse, lab technician or doctor do not understand the concept of familia, the integrity of his care could be compromised.

Sam Romero, founder and president of a Massachusetts-based healthcare recruiter specializing in bilingual and bicultural professionals, agrees. “Physicians’ assistants, nurses’ aides, orderlies, mental health technicians, food service personnel, people who work in nursing homes — anyone who understands a different culture and service can make a healthcare organization more efficient and effective,” he says. “That understanding helps the organization, too, by cutting down errors, slashing turnover and serving broader populations.”

It’s the Law

The Civil Rights Act of 1964 mandates that every organization receiving federal money employ bilingual staff. “That’s particularly important in the emergency room, where people use medical terminology,” Romero says. “People are discussing delicate, sensitive matters, so you shouldn’t have a 10-year-old boy interpreting for an OB/GYN. But it happens. I’ve seen a housekeeper called in, and she told the patient something the doctor wasn’t saying. It’s much better for a doctor or nurse to provide information.”


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