Care Without Barriers: Providing Culturally and Linguistically Appropriate Care in Nursing Practice

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Presented by: Rhode Island Department of Health, Health Equity Division
Health.RI.Gov/CLAS

Register – free

Overview

Rhode Island (RI) is home to many different cultures, health beliefs, and health practices. Nearly one in four individuals speak a language other than English at home and nearly one in four adults lives with a disability. Common disabilities types include mobility, cognition, hearing and vision.

Effective communication is a fundamental nursing competency and an essential component of safe, equitable, and patient-centered care. Nurses are responsible for assessing patients’ communication needs, providing understandable health education, and ensuring that patients have the information necessary to participate safely in their care.

In fast-paced healthcare environments, communication barriers can create significant risks, particularly when nurses provide medication education and discharge instructions. Patients with limited English proficiency (LEP) or sensory impairments, including hearing or vision loss, may experience additional barriers when receiving medication instructions and navigating the healthcare system.

When communication needs are not appropriately identified and addressed, patients may have difficulty understanding medication indications, dosing instructions, potential adverse effects, and the importance of adherence. These challenges can contribute to medication errors, adverse events, and disparities in health outcomes.

Nurses play a critical role in recognizing and reducing these barriers through effective communication, patient advocacy, and individualized education. Nursing competencies related to safety and quality improvement require nurses to identify factors that may place patients at risk and implement strategies to reduce preventable harm.

This includes using qualified medical interpreters when appropriate, adapting communication methods to accommodate sensory impairments, verifying patient understanding through teach-back, and providing medication education that is culturally and linguistically appropriate.

Addressing communication barriers also reflects the nursing competencies of patient-centered care, cultural humility, and advocacy. By assessing each patient’s individual communication needs and incorporating accessible education into practice, nurses can promote patient autonomy, medication safety, and informed decision-making.

Ultimately, effective communication is not simply an interpersonal skill; it is a core nursing responsibility that supports safe practice, equitable care, and improved patient outcomes.

This module will explore

  • Practical, evidence-based strategies to improve patient outcomes
  • The scope and impact of language and accessibility barriers
  • How breakdowns in communication lead to patient safety errors

Target Audience

Nurses in all practice settings.

Learning Objectives

Upon completion of this educational activity, pharmacists will be able to: 

  • Explain why CLAS Standards are essential for equitable nursing care.
  • Identify key concepts like health equity, health disparities, and social determinants of health.
  • Recognize how cultural and linguistic barriers impact patient outcomes.
  • Describe the nurse’s role in advancing culturally and linguistically appropriate care.

Technology

A mobile device or computer with an internet connection is required.

Program Support

This program is being jointly provided by the Rhode Island Department of Health, Health Equity Institute and the University of Rhode Island College of Pharmacy, Office of Continuing Professional Development, and is adapted from the National Standards of Culturally and Linguistically Appropriate Services (CLAS).For more information on CLAS, please visit: https://health.ri.gov/health-equity/culturally-and-linguistically-appropriate-services-clas-standards

Contact information:

RIDOH.CLAS@Health.RI.Gov | (401) 222-5960

Authors

Requirements for Credit

Completion of the online modules and program evaluations are required to earn credit. No partial credit is available for this program. Evaluations must be completed at www.uripharmacycpd.org within 60 days. 

Evaluation

All participants will have the opportunity to review the educational sessions and to identify future educational needs. 

Registration

Registration for this program is free

Register
  • Login or create an account in URI’s learning management and CE reporting system using your email address and professional license number. Complete all required account set up fields to ensure accurate CE reporting. 
  • Select “Available On-Line Activities” or “Home Study Programs” to find the educational activity.
  • Select Take Post-Test.
  • Registration fee for this program is free. 

Statement of Disclosure

In accordance with the Accreditation Council for Pharmacy Education (ACPE) Standards for Continuing Pharmacy Education, The University of Rhode Island College of Pharmacy requires that program faculty disclose any relationship (e.g., shareholder, recipient of research grant, consultant or member of an advisory committee) that the faculty may have with ineligible companies whose products or services may be mentioned in their presentations. No one involved in the planning of this program has any relevant financial relationships to disclose.