What is best practice when communicating with patients who have language barriers?

• A. Rely on family members for interpretation.
• B. Speak loudly to compensate for language differences.
• C. Use written medical jargon.
• D. Use professional interpreters, speak clearly, confirm understanding, and avoid relying on family members.

Answer: (D)

Best practice is to involve a professional medical interpreter, speak in clear, plain language, confirm understanding, and avoid relying on family members for translation. Professional interpreters are trained to accurately convey medical information and to maintain patient confidentiality, while also understanding medical terminology and cultural nuances that can affect care. Speaking clearly at a pace that allows interpretation helps prevent missed details, and using teach-back to confirm what the patient understands ensures they can participate in decisions and follow the plan safely. Relying on family members can introduce inaccuracies, bias, omissions, and privacy concerns, which can compromise safety and trust. Speaking loudly does not resolve language barriers and can be intrusive or disrespectful, and written jargon is often not accessible to someone with limited proficiency. If available, use in-person, phone, or video interpretation and orient the interpreter at the start to keep the conversation patient-centered.