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DiversityNursing Blog

The Role of Language and Culture in Patient Care

Posted by Donna Caron

Fri, Sep 26, 2025 @ 02:16 PM

In today’s increasingly diverse healthcare landscape, language and culture are far more than communication tools, they’re fundamental components of high-quality, patient-centered care. When language barriers exist, so do significant risks: misdiagnoses, poor adherence to treatment, patient dissatisfaction, and even preventable harm. Bilingual and bicultural Nurses play a critical role in closing these gaps, ensuring every patient receives care that is not only clinically effective but also culturally sensitive and respectful.

The Impact of Language Barriers in Healthcare

Healthcare is complex, even for those fluent in medical terminology. For patients with limited English proficiency (LEP), understanding a diagnosis, medication instructions, or discharge plan can feel nearly impossible. According to research, LEP patients are more likely to experience longer hospital stays, higher readmission rates, and poorer outcomes compared to English-speaking patients.

Miscommunication can lead to:

  • Errors in medication dosing or timing

  • Missed follow-up appointments

  • Poor understanding of self-care instructions

  • Anxiety and mistrust in the healthcare system

These challenges make the presence of bilingual healthcare professionals, especially Nurses, who spend the most time with patients, indispensable.

Bilingual Nurses: Communication Beyond Words

Bilingual Nurses do more than translate words, they interpret meaning, tone, and context. This ability enhances every aspect of patient care, from assessment and education to emotional support.

Benefits of bilingual Nursing care include:

  • Accurate Assessments: Patients are more likely to describe their symptoms and concerns fully when speaking their native language.

  • Improved Health Literacy: Nurses can explain complex medical information in a way that’s clear and relatable.

  • Increased Compliance: When patients truly understand their care plans, they’re more likely to follow them.

  • Trust and Comfort: Being able to speak in one’s first language fosters connection and reduces anxiety.

Cultural Competence: The Power of Bicultural Nurses

Language is only part of the equation. Culture deeply influences health beliefs, decision-making, and perceptions of care. Bicultural Nurses, who share or deeply understand their patients’ cultural backgrounds, are uniquely positioned to bridge these differences.

They can anticipate potential barriers, such as:

  • Preferences for traditional remedies or holistic approaches

  • Cultural norms around gender, modesty, or family involvement

  • Differing views on pain expression, end-of-life care, or mental health

By integrating cultural understanding into care, bicultural Nurses promote respect, dignity, and individualized care, core components of Nursing practice.

Real-World Impact: Building Trust and Better Outcomes

The presence of bilingual and bicultural Nurses has tangible benefits for healthcare systems and patient outcomes. Studies show that patients cared for by culturally and linguistically concordant providers report higher satisfaction, better communication, and improved adherence to treatment. Hospitals and clinics with diverse Nursing staff also see fewer disparities in care and better community engagement.

Moreover, these Nurses often serve as cultural ambassadors within healthcare teams, educating colleagues on best practices and helping shape policies that promote inclusivity and equity.

Supporting and Expanding the Bilingual Nursing Workforce

As patient populations continue to diversify, the demand for bilingual and bicultural Nurses will only grow. Healthcare organizations can support this vital workforce by:

  • Offering language proficiency training and certification programs

  • Providing incentives for bilingual skills

  • Recruiting from diverse communities

  • Creating mentorship and leadership opportunities for bilingual Nurses

Language and culture are powerful determinants of health and Nurses who can navigate both provide more than care; they deliver connection, understanding, and healing. Bilingual and bicultural Nurses are essential to bridging healthcare gaps, ensuring every patient is seen, heard, and cared for with compassion and respect.

As the face of healthcare evolves, so must the people delivering it. By embracing linguistic and cultural diversity in Nursing, we move closer to a truly inclusive healthcare system, one that meets patients where they are and empowers them to achieve their best possible health.

Topics: bicultural, culture, cultural competence, Bilingual, language barrier, Bilingual Nurse, cultural competency, cultural diversity

Multiracial Identity: Learning with Agility and Openness

Posted by Alycia Sullivan

Fri, Sep 14, 2012 @ 01:55 PM

By: Tanya M. Odom, Ed.M.

Diversity and inclusion is an evolving field. As a learner and practitioner, I work to embrace the expanding definitions while respecting the importance of the historic diversity topics of race and gender.

How we approach conversations about difference can determine how we embrace new definitions of identity, and the “agility” needed to learn, grow, and support all people in organizations.

Multiracial people are one of the fastest growing groups in the United States. As Andrea Williams mentioned in her article about multiracial students in the April/May 2012 issue of INSIGHT Into Diversity, “the 2010 Census marked the second time in the survey’s history that responders were allowed to check more than one box regarding their race; the first was in 2000. And as a result, demographers now have access to data that allows for comprehensive comparison and charting of the mixed race population. The results are remarkable: from 2000 to 2010, the number of multiracial American children – who will soon be attending colleges and universities across the country – rose by almost 50%, to 4.2 million.

The changing demographics have inspired people to create language like “the multicultural generation” and “ethnically ambiguous,” among others. Williams’ article presents some important reflection about creating schools and universities that support multiracial students.

Not-for-profit organizations and corporations will also need to update their language, understanding, and awareness to include multiracial employees, and employees with multiracial families.

A June 2012 Fast Company article talked about the importance of “cultural agility.” They defined “cultural agility” as “the capacity to recognize, understand, and respond appropriately to various cultures, and to work within those cultures to achieve business results.” The language of “agility” is also highlighted in the Center for Creative Leadership’s recent newsletter. They talk about flexibility and agility as a key to leadership. Agility is an important part of the learning and awareness in diversity and inclusion. Multiracial identity is not new, nor is the presence of multiracial families in our organizations.

There is a global history of multiracial people. There is a substantial scholarship focusing on the role of multiracial people in our history, media, etc. What we have not seen at the same level is the inclusion of multiracial people in diversity and inclusion dialogues and programs. As a multiracial global diversity and inclusion practitioner and coach, I have learned that, as with all diversity topics, there are varying levels of awareness about what multiracial identity means to employees and to diversity and inclusion initiatives.

One of the first times that I was part of a professional “group” of multiracial individuals was while attending a Working Mother Media Women’s conference. I remember feeling the uniqueness of the experience.

Participants in workshops or present at some of my speeches would approach me and talk about their “invisible diversity,” which for some meant their multiracial identity. For others, it meant their partner, spouse, or child of a different race. Often they swapped tales of not having a place to share their diversity stories.  

The presence of multiracial individuals and families can challenge our notions and comfort around talking about race and history, race and families, and race and racism.

Multiracial individuals and families are part of the changing workforce. In the spirit of learning agility, I would suggest that organizations learn to incorporate language and programs that include multiracial individuals and families.

We can continue to be “agile” in our learning about multiracial identity by:

  • Assessing data collection that does not allow for identifying as multiracial individuals and families;
  • Including multiracial groups as part of the growing affinity/ERG/Networking groups within organizations;
  • Allowing multiracial people to self-identify – and not identify employees based upon what we observe;
  • Updating our language and communication to include multiracial identity and;
  • Learning more about national groups (SWIRL, MAVIN, etc.) that address multiracial identity and families.

Our learning and growth continues as long as we remain “agile.” The inclusion of more stories, experiences, and identities makes the journey even richer.

Tanya Odom, Ed.M, is a part-time Senior Consultant with The FutureWork Institute and a member of the INSIGHT Into Diversity Editorial Board.

Published in September/October 2012 issue.

 

 

 

Topics: multiracial, bicultural, diversity, ethnic, hispanic, black, cultural, culture, ethnicity, haitian

The New Diverse: Multiracial and Bicultural

Posted by Alycia Sullivan

Wed, Sep 12, 2012 @ 04:05 PM

By Carolina Madrid

August 31, 2012

We tend to categorize every ethnic community outside of  Whites as a minority or diverse population group, but there’s a gray area that we’re failing to pay close attention to: the bicultural and multiracial population. It was the fastest-growing youth group in the country in the last decade, increasing almost 50 percent to 4.2 million, according to Census 2010.

As our nation’s population becomes more diverse, the bicultural population will continue growing and the segregated communications approaches that have worked in the past will not work with this audience any longer. Use the guide below as an overview to understanding biculturalism and how you can think about it in an upcoming campaign.diversity art

A cultural tug of war

Being bicultural, multicultural or multiracial means that you have ties to different cultures. It can mean that you grew up in the United States with roots in another country or that you have parents from distinct ethnic backgrounds. Either way, there’s usually a sense of being pulled in two different directions while trying to maintain both or assimilate into another.  Why does this matter? Because someone who you thought was a Hispanic, Spanish-speaking person may not be receptive to messaging that speaks solely to Latinos.

Inglés or Spanish?

The language preference of bicultural individuals varies.  Younger populations who went to school in the United States tend to prefer English, while older populations will favor their native language.  There’s also the second-generation population who doesn’t prefer one or the other. The language you use will largely depend on the demographic.

What am I?

The degree to which individuals associate themselves with a given cultural background also varies. Just as there are those who believe in maintaining a sense of heritage, there are those who don’t want to stay in touch with their roots and prefer to assimilate into only one culture. This is why it’s important to stay away from explicit cultural messaging that would isolate or turn off the bicultural or multiracial population.

Univision or CNN?

Just because someone speaks Spanish doesn’t mean he or she watches Univision, the nation’s largest Spanish-language network. In fact, he or she will likely prefer to watch English-language TV. Still, on CNN, there is an opportunity to reach the bicultural population with messaging about the Hispanic or Asian population.

Fusion nation

Fusion cuisine is a perfect example of the adaptation and merging of two different cultures. You appreciate the base flavor of the dish, while adding in contemporary ingredients and spices for a blend that’s the best of both worlds. Don’t be afraid to also use this approach in your communications programs, using a mix of messages.

Contextual decision-making

How you communicate with a bicultural population will also depend on the message that you’re trying to convey. Different scenarios will call for the incorporation of cultural messaging, while other times, this might seem forced. But what is certain is that early awareness and the ability to use it wisely will reap the rewards of a genuine connection.

 

Topics: multiracial, bicultural, diversity, ethnic, diverse, inclusion, race, racial group

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