person or people involved, it’s more difficult for members of these cultures to get over the conflict.18
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Even after the conflict is resolved,
the individuals involved may be kept at a considerable distance. Language: Although foreign-born nurses are required to speak
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4. Once you successfully complete the short test associated with the clinical vignette (if there is one), proceed to the course posttest. To earn contact hours, you must achieve a score of 75%. You may retake the test as many times as necessary to pass the test.
5. All users must complete the evaluation process to complete the course. You will be able to view a certificate on screen and print or save it for your records.
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English and successfully pass the U.S. licensure exam in English to practice in the U.S., bilingual staff often use their native languages to communicate with others in the workplace who share their lan- guage background. This practice can make those who don’t speak that language feel uncomfortable because they may feel excluded or even feel that those speaking the foreign language are gossiping about them. However, picture yourself working in another country and speaking the language of that country. You would probably be thrilled to speak your native tongue with a person from your country of origin. Speaking with others in a common, native tongue is a way to stay connected with your language and culture. On the other hand, if you were the nurse whose native language
was not English and you were chatting, perhaps while at lunch, with a coworker in another language in front of other nursing staff, it would be polite to explain the gist of the conversation to the English-only colleagues. Needless to say, you would not want to speak your native language in front of patients unless it was their language also and you were facilitating communication on their behalf. When working with people who are not native English speakers,
it’s a good idea to simplify language by using shorter sentences and avoiding idioms until they are truly fluent in English. Idioms such as “stop on a dime” or “let sleeping dogs lie” can be difficult to understand or to translate because they are culturally based. When discussing a patient’s care or giving directions to colleagues who are non-native En- glish-speaking, it’s also a good idea to check their understanding. Rather than asking a yes-or-no question like “Do you understand?” it’s better to ask for informational feedback with a question such as “Now, how will you do this?” or “Could you explain to me what you will do next?” Time orientation: Language and time orientation are closely
allied. The English language tends to be direct and linear. For example, a nurse giving instructions in English to another staff member is apt to use linear time markers, such as “First do such-and-such, and then do this.” In the same way, people in the U.S. culture view time in exact increments. If a staff meeting is scheduled from 9:15 a.m. to 10 a.m., everyone is expected to arrive exactly at 9:15 a.m. and to terminate the meeting at 10 a.m., precisely as planned. Other societies see time as being more fluid and approximate, rather than exact. A 9:15 a.m. meeting simply means that participants should arrive somewhere around that time. The meeting may or may not start at that time, and it may start gradually in what seems to be a disorganized fashion. All staff members need to learn the rules of punctuality, although
some may need a careful private explanation of the value given to punctuality in U.S. workplaces and the expectation that the people who work in them need to be on time.
Strategies for working together Working effectively in a diverse environment can be viewed from two broad perspectives. The person-centered approach holds that people should take responsibility for accommodating to and/or changing the work environment. Working together effectively depends on everyone being involved, and each person has some responsibility for making this happen. On the other hand, an organization-centered
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