Introduction to NANDA Nursing Diagnosis: Deterioration of the Ability to Translate
Nursing diagnoses are specific statements that identify problems that an individual or family may have or may be at risk for developing. They provide the basis for selecting interventions needed to alleviate, prevent or modify a health problem. NANDA-I stands for North American Nursing Diagnosis Association. It is an international organization and the first nursing-specific diagnostic system that standardized nursing terminology and established nurses’ language.
NANDA Nursing Diagnosis Definition
The NANDA nursing diagnosis: Deterioration of the Ability to Translate is defined as a decrease in the ability to convert spoken language from one language to another. This can affect individuals’ ability to communicate and participate actively in activities, events, or situations requiring language translation.
- Confusion regarding verbal and written communication due to language barrier
- Inability to comprehend certain cultural and regional contexts of conversation
- Self-reported dissatisfaction or frustration with one’s inability to communicate
- Miscommunication due to language/dialect fluency differences
- Verbal or nonverbal cues indicating discomfort in social interactions
- Limited success in translating words and concepts
- Lack of fluency in a second language
- Inadequate opportunities for practice
- Lack of motivation
- Cognitive deficits
People who are learning a second language, such as immigrants and refugees, are more likely to experience deterioration of their ability to translate. Additionally, people who travel frequently or work cross-culturally, often suffer from difficulty in comprehending foreign dialects or accents.
- Social isolation
- Unmet health needs
- Integration issues
- Delays in treatment
Suggestions of Use
Nurses should assess their patient’s ability to translate, initially at the time of admission, and again, if necessary, during the course of care. A multidisciplinary approach is recommended to include all service providers involved in the patient’s care, including interpreters and translators.
Suggested Alternative NANDA Diagnoses
- Noncompliance (00148)
- Ineffective Health Maintenance (00150)
- Ineffective Health System Management (00156)
- Record translation skills assessed upon initial admission and reassess if necessary.
- Counsel patient on the importance of continued language practice and remind them of available resources (e.g., free language lessons and conversational partners through local community programs).
- Educate patient and family members on potential dangers of self-translating.
NOC results expected when using NANDA Nursing Diagnosis: Deterioration of the Ability to Translate include:
- Knowledge: Ability to use language strategies effectively
- Communication: Achievement of mutual understanding
- Functional Status: Mobility and communication of basic needs
- Social Interaction: Ability to connect in meaningful ways with others
NIC interventions related to this nursing diagnosis include:
- Language Coordination: Facilitate communication between interpreters, translators, and healthcare providers.
- Interpreter Training: Provide language instruction and materials for interpreters.
- Language Course Instruction: Offer language courses for the client and family members.
- Teaching Communication Strategies: Assist patients and families in developing strategies to bridge language and cultural gaps.
Conclusion and FAQ
In conclusion, NANDA nursing diagnosis: Deterioration of the Ability to Translate “acknowledges the difficulty experienced by a patient due to language barriers, emphasizes the importance of effective communication, and offers practical solutions that promote understanding and connectedness.
Frequently asked questions about this nursing diagnosis include:
- What are some techniques for managing language differences?
- How can I increase my comfort level working with diverse populations?
- How do certified interpreters and translators help ensure patient safety?
- What are some patient education resources for those learning a new language?