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Aim The aim of this study was to explore bilingual nurses' perspective about providing language concordant care to patients with limited English proficiency (LEP) and its impact on patients and nurses. Factors affecting the provision of language concordant care to patients LEP were also explored. Background With an increase in migration and mobility of people across the world, the likelihood of experiencing language barriers while providing and receiving care is high. Nurses are responsible for providing care to patients regardless of their culture, religion, ethnic background or language. Language barriers, however, are hurdles that hamper development of effective communication between nurses and patients. Eliminating language barriers is a crucial step in providing culturally competent and patient-centred care. Design Qualitative descriptive study. Methods During January-August 2015, 59 nurses, working in acute hospitals in the UK, participated in 26 individual in-depth interviews and three focus group discussions. The data were analysed using thematic analysis. Findings Four themes: 'when we speak the same language'; 'when I speak my patient's language'; 'what facilitates provision of language concordant care' and 'what hinders the provision of language concordant care' were identified. Factors affecting nurses' ability to provide language concordant care included individual factors (confidence; years of experience as a nurse; years of experience in the work setting; and relationship with colleagues), patients' expectation, attitudes of other patients, colleagues and nurse managers, organizational culture and organizational policies. Conclusion Bilingual nurses can play a very important role in the provision of language concordant for patients with LEP. Further research is needed to explore patient perspective. [ABSTRACT FROM AUTHOR]

Since the purchase of the Riotinto mines by the Rio Tint Rio Company Limited in 1873, the region actually became a British colony until 1954. The creation of a hospital to attend the English people was an example of its organization, although as time went by its staff would be Spanish. Some of the main targets of this study are to identify the British and the Spanish nurses who worked at the hospital, as well as to find out the kind of nursery craft and its influence on the Spanish professionals who worked there. By the moment we have identified not less than 36 British nurses (1873- 1954), 13 male nurses and 11 Spanish female nurses (1954-1983). It seems that the Spanish nursery was not really in contact with its British precedent in the hospital, mucho more advanced as for organization and competence, but not for that its professional prestige was lower. [ABSTRACT FROM AUTHOR]

Background: theoretical guidance and policy directives emphasize the necessity of considering the culturally-specific needs of health and social care service users as part of 'person-centred' approaches to care. This article outlines the ideas underpinning an ongoing PhD study of the interactions between care staff and residents which is aimed at gaining insights into how person-centred care is fulfilled for people with dementia in Scottish care homes. Discussion: certain dynamics may constrain the deployment of culturally-meaningful care approaches for certain service users in Scottish care homes. These include limited understandings of the nature of cultural diversity in modern Scotland, failure to recognize the import of 'inter-generational' cultural change, lack of research around the interactions between staff and service users from different cultural backgrounds, and a sketchy demographic picture of the ethnic/cultural composition of Scottish care home populations. Groups of service users in particular settings (such as older people with dementia in long-term care) may be especially vulnerable to the effects of care processes constituted under such circumstances. Conclusion: poorly recognized gaps in understanding of the sociocultural and historical influences which help constitute 'the person' in many Scottish care home residents may exist. If these are found to constrain 'knowing the person', can the term 'person-centred' be meaningfully applied to care? [ABSTRACT FROM AUTHOR]