Language matters: a UK perspective. Issue 12 (28th November 2018)

• Record Type: Journal Article
• Authors: Lloyd, C. E.; Wilson, A.; Holt, R. I. G.; Whicher, C.; Kar, P.
• Other Names: Kar Partha investigator.; Cooper Anne investigator.; Kanumilli Naresh investigator.; Hill Jill investigator.; Holt Richard I. G. investigator.; Howarth Daniel investigator.; Lloyd Cathy E. investigator.; Nagi Dinesh investigator.; Naik Sarita investigator.; Nash Jen investigator.; Nelson Helena investigator.; Owen Katharine investigator.; Swindell Bob investigator.; Walker Rosie investigator.; Whicher Clare investigator.; Wilmot Emma investigator.
• Is Part Of: Diabetic medicine. Volume 35:Issue 12(2018)
• Page Start: 1635
• Page End: 1641
• Publication Date: 2018-11-28
• Subjects: Diabetes -- Periodicals; 616.462
• DOI: 10.1111/dme.13801
• Languages: English
• ISSNs: 0742-3071

Abstract

Abstract: Aim: To review the existing evidence regarding the use of language in clinical encounters. Background: Awareness of the importance of language in clinical encounters is mostly lacking or located within broader discussions on communication. Methods: A scoping study was conducted to review existing research that could increase our understanding of the role language plays as well as identify gaps in knowledge and inform the development of a position statement on language in diabetes care. Results: Evidence shows that, although carefully chosen language can have a positive effect, there is a potential negative impact of language on people's experiences of diabetes care. The use of stigmatizing and discriminatory words during communication between healthcare practitioners and people with diabetes can lead to disengagement with health services as well as sub‐optimal diabetes self‐management. Clinical encounters can be compromised where language barriers exist or where there is limited understanding of cultural differences that may have an impact on diabetes self‐management. What little empirical evidence there is shows that training can improve language and communication skills. Conclusion: This review raises a number of questions that are being addressed by the NHS England Language Matters Group, which has developed a set of recommendations to support the use of appropriate language in clinical encounters. What's new?: This paper reviews existing evidence regarding the use of language in clinical encounters. Poor language practices can lead to stigma, lack of engagement with self‐management, low satisfaction with care and poor clinical outcomes. Research has demonstrated the importance of good communication skills and that appropriate use of language can benefit psychosocial well‐being and support optimal diabetes self‐management. Our review has directly informed the publication of a UK Position Statement on Language Matters.