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10

Language pain and the unequal encounter: Listening beyond words

Published: 22 March 2026

Listen now to episode 10

Featuring Dorthe Nielsen

In Episode 10 of ETNAtalks, we travel to Denmark to speak with Professor Dorthe Nielsen — Professor at the University of Southern Denmark — whose work challenges us to rethink what it truly means to care.

Drawing on her research into “unequal encounters,” Professor Nielsen explores how healthcare systems, even those designed to be universal, can unintentionally exclude the very patients who need them most — particularly elderly migrants and socially vulnerable individuals. Through powerful insights and real-world stories, she reveals how language barriers, unspoken expectations, and systemic assumptions can turn hospitals into spaces of confusion, fear, and even mistrust.

At the heart of the conversation is a simple but profound idea: when we focus only on disease, we miss the person. Professor Nielsen introduces the concept of “language pain,” highlighting how the inability to communicate can be as distressing as physical suffering, and challenges healthcare professionals to reconsider labels such as “difficult patients” as signals of failed understanding rather than patient failure.

This episode also offers practical and deeply human guidance — from the importance of mindful presence in even the shortest clinical encounters, to navigating complex family dynamics with respect and cultural humility. Through a moving patient story, we see how truly listening to a person’s life history can transform care, restore dignity, and build trust.

Ultimately, Professor Nielsen leaves us with a powerful reminder: vulnerability exists in all of us, and in every encounter, healthcare professionals hold the power either to deepen that vulnerability — or to gently reduce it through compassion, curiosity, and genuine human connection.
ETNAtalks
ETNAtalks
Language pain and the unequal encounter: Listening beyond words
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ABOUT OUR GUEST

Professor

Dorthe Nielsen

PhD, MHS, RN, FETNA

University of Southern Denmark

Professor Dorthe Nielsen is a Professor at the University of Southern Denmark and Senior Researcher at Odense University Hospital. She has a strong background in clinical nursing, education, and research, with extensive leadership experience, including serving as Head of a Master’s programme in Clinical Nursing.

Her work focuses on vulnerability, intercultural nursing, ageing, and the everyday lives of patients living with chronic illness. With a particular interest in socially vulnerable and minority populations, Professor Nielsen has made significant contributions to the field of ethno-geriatric care, exploring how culture, communication, and lived experience shape healthcare encounters.

From 2009 to 2022, she was part of Denmark’s first Migrant Health Clinic and played a key role in establishing an Ethnic Patient Coordinator Team at Odense University Hospital, aimed at strengthening cultural competence in clinical practice. Her research adopts a practice-led, multidisciplinary approach, combining qualitative and quantitative methods to develop more inclusive, patient-centred models of care.

Professor Nielsen collaborates nationally and internationally and has published widely in the field. She is a board member of the Danish Transcultural Nursing Association and previously served on the board of the European Transcultural Nursing Association (ETNA). She is also an Associate Editor of the Journal of Transcultural Nursing, a visiting scholar at Muhimbili University in Tanzania, and a recognised Transcultural Nursing Scholar.