division is an administrative geographical unit of Bihar, state
of India. Purnia is the administrative headquarters of the division. Hindi is
the principal language of the district. However other than that, people in
different areas follow different dialects. Maithili is one of the prime
dialect/languages spoken in the area. People also speak Surjapuri, Polia,
Chhika-Chhiki or Angika and Santhali. In some parts of Purnia, Bangla is also
is the main language of the district; however, dialects are in vogue in
different parts of the district for day-to-day use. People of Amour and Baisa
blocks, speak Surjapuri. In the eastern side of Baisi block people speak Polia.
Chhika-Chhiki or Angika is spoken in Rupouli and Bhawanipur and some part of
Dhamdaha, K.Nagar and Purnia East Block. In Banmankhi, B.Kothi and some part of
Dhamdaha. K.Nagar people speak a mix of Maithili and Chhika-Chhiki. Santhali
people speak Santhali. In the east and South Baisi block Bangla is also spoken.
Out siders speak their own dialects.
purpose of this chapter is to examine how language barriers contribute to
health disparities among ethnic and racial minorities Language is the means by
which a patient accesses the health care system, learns about services, and
makes decisions about her or his health behavior. Language is also the means by
which the health care provider accesses a patient’s beliefs about health and
illness, and thus creates an opportunity to address and reconcile different
belief systems. In essence, communication between nurses and patients is the
heart of nursing care. Without effective communication between patients,
families and providers, truly adequate healthcare cannot be achieved. Individuals
who have difficulty communicating are especially vulnerable in hospital
settings where poor communication can lead to unnecessary pain, confusion,
medication errors, and even premature death.
The study design involved semi
structured face-to-face interviews & filling up questionnaire with the
nurses & Paramedical Staffs about their routine work environments and
activities, the language problems in which they recently had been involved. The
themes reported here emerged from inductive analyses of the data.
& Paramedical Staffs reported numerous such incidents occurring daily.
Aspects of “communication” and “patient management” were the two most commonly
cited contributing factors. Nurses described themselves as embedded in a complex
network of relationships, playing a pivotal role in patient management.
Recurring patterns of communication difficulties occur within these
relationships and appear to be associated with the occurrence of confusion.
occurrence of everyday confusion in this study is associated with faulty
communication. Communication failures are far more complex and interpersonal
power and conflict. A clearer understanding of these dynamics highlights
possibilities for appropriate interventions in medical education, training and
in health care organizations aimed at improving patient safety.