On the one hand, for the communication barrier caused by bilingual and monolingual Chinese patients or their family members, nursing should have alternative approaches for people with different English level. When the practitioners do not have the ability to understand their mother language and under a no-interpreter condition, patients are anxious and stressful (Meuter et al., 2015). In order to have a better communication with bilingual patients and their family who may not be proficient English speakers, asking closed-ended question is a helpful choice to gain more messages (book). Also, due to the different relationship between nursing and patient and how they language use to respond to each other, it is important that healthcare practitioners avoid to use jargon for these patients who fear to talk (Meuter et al., 2015). Besides, Johnson and Saad (2014) stated that for the patients who are not able to speak English and seeking a health service, health works have the responsibility to offer a suitable service to them. An accrediting organisation named the Joint Commission certified a person-centred communication guideline to deal with the demands of patient communication (Johnson & Saad, 2015). These standard improve an effective interaction, cultural competence and provide a patient and family-centred care as well …show more content…
Goddard and Jordan (2015) believed that health care workers ought to pay more attention on patients’ ability rather than learning disability because the ways of behaving of nurses are able to have an effect on patients’ emotion. Due to the fact that patients have been divided from the general social group to the hospital, this separation makes them feel anxious and stressful, it is difficult for health care practitioners to communicate with a learning disability person (Thornton, 2015). Hence, communication has been emphasised as an essential issue to manage (Bradbury-Jones, Rattray, Jones, & MacGillivray, 2015). One of the most important approaches is interact patients actively and get ready to spend a lot of time on communicating with them (Brittle, 2015). For these people who have learning disabilities, because of the isolation from general people, they feel loneliness frequently and difficult to adapt new environment as well, and accordingly, asking questions to patients and promote eye contact to make them feel that you are willing to communicate is an expression of positive communication (Brittle, 2015). Besides, some argues that health care does not have to be offered by specialist learning disability nurses because many nurses master a number of key skills at present and they are able to