Informing physician strategies to overcome language barriers in encounters with pediatric patients

Guerrero, Natalie; Small, Alissa L.; Schwei, Rebecca J.; Jacobs, Elizabeth A.

doi:10.1016/j.pec.2017.10.018

Cited by 17 publications

(26 citation statements)

References 20 publications

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“…20 Whereas, distrust in physicians is a stumbling block to communication as the patient may not share important information or ask important questions. 17 Another highly documented theme that appeared in the literature and is consistent with the results of our study was the lack of satisfaction with the healthcare system including their physician due to language barriers. 7 It was cited in an article by Um and Lau that dissatisfaction among patients is associated with higher mortality rates and poor treatment outcomes.…”

Section: Misinterpretation Of Treatmentsupporting

confidence: 88%

Impact of Language Barriers in Doctor – Patient Relationship: A Qualitative Study

et al. 2022

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Objective: To explore the problems faced by recent medical graduates in communication with their patients due to language barriers and the influence of these language barriers on the doctor-patient relationship. Methods: A basic qualitative study was conducted at Allama Iqbal Memorial Teaching Hospital Sialkot, Services Hospital Lahore and Mayo Hospital Lahore over eight months after receiving approval from the Ethical Review Board of the University of Lahore. Twelve recent medical graduates from different departments were selected via a purposive sampling technique. Data was collected through semi-structured interviews conducted over the phone with prior appointments. Manual qualitative thematic analysis was done by transcribing the interview and then codes, subthemes, and themes were generated. Results: Six themes and thirteen subthemes were identified depicting the influence of language barriers on the doctor-patient relationship, namely: frustration (due to repetition, feeling of inadequacy & disappointment), lack of rapport (difficulty in communication, effective counseling & failure in establishment of comfort level), trust Issues (predilection towards the native speaker & difficulty in getting consent) patient dissatisfaction, compliance issues (difficulty in comprehending medication & nature of disease), and threat to patient safety (misdiagnosis & consequent treatment plan & misinterpretation of treatment). Conclusion: This study establishes the detrimental effects of language barriers on the relationship between physician and patient which can help medical educationists and policymakers in devising a curriculum in such a way that it can minimize the impact of language barriers on the doctor-patient relationship. doi: https://doi.org/10.12669/pjms.39.1.5805 How to cite this: Mustafa R, Mahboob U, Khan RA, Anjum A. Impact of Language Barriers in Doctor – Patient Relationship: A Qualitative Study. Pak J Med Sci. 2023;39(1):---------. doi: https://doi.org/10.12669/pjms.39.1.5805 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Misinterpretation Of Treatmentsupporting

confidence: 88%

Impact of Language Barriers in Doctor – Patient Relationship: A Qualitative Study

et al. 2022

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“…One reason for this may be the one Llopis [28] points out, namely that the use of ad hoc interpreters can come from the fact that healthcare personnel do not understand the risk involved in communicating through ad hoc interpreters. Another reason could be a lack of time, because time has been identified as one of the most important barriers in interactions with families that do not speak the majority language [29]. In a study by Jaeger et al [30], however, the respondents viewed the use of professional interpreters as time consuming, but the alternative of not using a professional interpreter was viewed as even more time consuming.…”

Section: Discussionmentioning

confidence: 99%

Language barriers and the use of professional interpreters: a national multisite cross-sectional survey in pediatric oncology care

et al. 2019

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Background: Healthcare personnel are responsible for providing patient-centered care regardless of their patients' language skills, but language barriers is identified as the main hindrances providing effective, equitable and safe care to patients with limited proficiency in a country's majority language. This study is a national multisite cross-sectional survey aiming to investigate communication over language barriers in pediatric oncology care. Material and Methods: A survey using the Communication over Language Barriers questionnaire (CoLB-q) distributed to medical doctors, registered nurses and nursing assistants at six pediatric oncology centers in Sweden (response rate 90%) using descriptive statistical analyses. Results: Professional interpreters on site were the most common solution when using an interpreter, although relatives or even children were used. The use of professional interpreters on site differed among the professions and in different clinical situations, such as medical encounter, education or procedure preparation. All professions reported that the use of professional interpreters greatly increased care relationships, patient safety and patient involvement in care. Conclusions: Healthcare personnel seem to believe that professional interpreters are crucial when caring for patients and family members who do not speak the majority language, but there is an obvious discrepancy between this belief and their use of professional interpreters.

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“…Nevertheless, interpreter-mediated communication adds complexity that warrants further investigation. Existing literature regarding interpreted healthcare encounters suggests that patient-provider communication benefits from a combination of traditional and nontraditional practices to forge an effective working alliance between clinicians and interpreters (Brisset, Leanza, & Laforest, 2013;Guerrero, Small, Schwei, & Jacobs, 2018;Mirza, Harrison, Chang, Salo, & Birman, 2017). For example, Mirza et al (2017) found that effective communication with refugee patients in the mental healthcare setting was less about interpreters' performance and more about performance of a three-way communication system.…”

Section: Introductionmentioning

confidence: 99%

Genetic Counselor and Healthcare Interpreter Perspectives on the Role of Interpreters in Cancer Genetic Counseling

Lara‐Otero

Weil

Guerra

et al. 2018

Health Communication

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Cancer genetic counseling (CGC) combines psychosocial counseling and genetic education provided by genetic counselors to patients and families who have a history of cancer and are considering or have undergone genetic testing for hereditary cancer syndromes. The quantity and complexity of information provided can be challenging for any patient, but is even more so for those with limited English proficiency (LEP). This exploratory study investigated healthcare interpreters' and genetic counselors' perspectives on the role of interpreters in providing care to LEP patients during CGC. Through a survey of 18 interpreters and conventional content analysis of semi-structured interviews with 11 interpreters and 10 GCs at two California public hospitals, we found that: 1) interpreters viewed their role as patient advocate, cultural broker, and emotional support, not simply a conduit; 2) interpreters were challenged by remote interpretation, lack of genetic knowledge, and the emotional content of encounters; 3) interpreters and GCs held conflicting views of the value of counselors' limited Spanish knowledge; and 4) trust, the foundation of the interpreter-provider dyad, was often lacking. The challenges identified here may result in poor healthcare experiences and outcomes for LEP patients. As genomics becomes more widespread and more LEP patients encounter CGC, the role of healthcare interpreters in facilitating effective communication must be further defined in order to facilitate better working relationships between interpreters and genetic counselors, and optimal communication experiences for patients.

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Informing physician strategies to overcome language barriers in encounters with pediatric patients

Abstract: By identification of specific positive and negative behavioral adaptations, this study emphasizes intervention targets, such as demonstrating interest in an LEP pediatric patient's family story and individuality and using common niceties in conversations with LEP children.

Cited by 17 publications

References 20 publications

Impact of Language Barriers in Doctor – Patient Relationship: A Qualitative Study

Impact of Language Barriers in Doctor – Patient Relationship: A Qualitative Study

Language barriers and the use of professional interpreters: a national multisite cross-sectional survey in pediatric oncology care

Genetic Counselor and Healthcare Interpreter Perspectives on the Role of Interpreters in Cancer Genetic Counseling

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