‘It depends on the consultation’: revisiting use of family members as interpreters for general practice consultations – when and why?

Hilder, Jo; Gray, Ben; Dowell, Anthony; Macdonald, Lindsay; Tester, Rachel; Stubbe, Maria

doi:10.1071/py16053

Cited by 22 publications

(30 citation statements)

References 14 publications

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“…13 Several family members may be present during consent, interested in the type of questions which will be asked. However, relying on family members to translate is problematic and labour intensive 14…”

Section: ) Consent and Assessmentsmentioning

confidence: 99%

Recruiting older people from the Pakistani community in Community Ageing Research 75+

Jacob

Mahmood

Brown

et al. 2020

Br J Community Nurs

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Older people from a South Asian background, particularly Pakistanis, are under-represented in health research, possibly because their recruitment to studies is hampered by language barriers and cultural differences. This article describes the observations of two bi-lingual researchers (FM and IJ) who successfully recruited older people (≥75 years) from Bradford's South Asian population to the Community Ageing Research 75+ Study (CARE 75+), a longitudinal cohort study collecting an extensive range of health, social and economic outcome data. The researchers recruited non-English-speaking Pakistani participants, ensuring they were flexible with appointments to accommodate the wishes of family members, who were often present during consent and assessment visits. Using community language was an important facilitator, and questions (and constructs) were translated to the community dialect (Potwari). To date, 233 South Asian people have been invited to participate in CARE75+, and 78 have been recruited (recruitment rate=33%), of which 62 are of Pakistani origin. The observed recruitment rate for South Asian participants is comparable to that of the whole study population (36%). Language barriers should not be used as a basis for excluding participants from research studies. Appropriate facilitation, through skilled researchers who have knowledge of, and are attuned to, the cultural sensitivities of the community, can allow recruitment of BME participants to research studies.

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Section: ) Consent and Assessmentsmentioning

confidence: 99%

Recruiting older people from the Pakistani community in Community Ageing Research 75+

Jacob

Mahmood

Brown

et al. 2020

Br J Community Nurs

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“…There is also evidence patients and family members may be satisfied with or even prefer family member interpreters [32].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

How do health professionals decide whether an interpreter is needed for families in neonatal and pediatric units?

Jones

Sheeran

Pines

et al. 2019

Patient Education and Counseling

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Highlights Health professionals find it difficult to decide whether an interpreter is needed Health professionals' attitudes and goals affect their decision making about interpreters There is marked variability in the decision-making process individual health professionals use Training is needed, including a decision tool, to assist health professionals' decisions Objective: To examine how health professionals decide whether family members require an interpreter. Methods: 69 health professionals, doctors, nurses, and allied health, from neonatal and pediatric units participated. Interviews used a verbal protocol analysis, which elicited their thoughts about using interpreters, including how they decided if an interpreter was needed. Results: Five themes captured the decision-making process health professionals use. Of these, three themes described the goals and beliefs participants brought to their interactions with family members: Ensuring understanding, Addressing socioemotional needs, and Who decides. The theme Assessing understanding was prominent within the interaction, while the final theme was Contextual factors influencing decision making. No differences were found between mono and multilingual participants, and few differences between health professional groups. Conclusion: Health professionals find it difficult to assess whether a family member needs an interpreter and there is no consistency in how they make this decision, with some using heuristics and others a more systematic approach. Health professionals have beliefs about the purpose of an interpreter that potentially limit the voice of family members. Practice Implications: Health professionals need training to assist them in decisions about whether an interpreter is needed, including a decision tool and knowledge about policies.

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“…Based on these factors, migrant parents will often ask their own children to interpret for them (6). A study by Hilder et al (8)found that most people are satisfied with using family members as interpreters because of the trust and personal relationship they have with family.…”

Section: Introductionmentioning

confidence: 99%

‘I had to stifle my feelings’ – Bilingual health professionals translating for family members in a healthcare setting. A qualitative study

Nielsen

Abdulkadir

Lynnerup

et al. 2019

Scandinavian Caring Sciences

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I had to stifle my feelings'-Bilingual health professionals translating for family members in a healthcare setting. A qualitative study Background: As an alternative to a professional interpreter, children or relatives often act as so-called 'language brokers' in the healthcare sector. Litterature have demonstrated that the cultural context is significant for the potential outcome for child language brokers. For individuals from a collectivistic family pattern, it becomes natural and is often regarded as respectful, to assist older relatives day and night. Aim: Very little is known about young people providing informal translation services in a Scandinavian context. We therefore aimed to capture the lived experiences of bilingual health professionals, students and postgraduates who have experienced interpreting for family members in a healthcare setting. By interviewing bilingual health professionals, we aimed to obtain two perspectives, the translators and the professionals, in one interview. Results: Analysing the conditions, meanings and reasoning, it became possible for us to understand the young translators' situations and how their life conditions affected their reasons for action in certain ways and in certain conditions. The analysis revealed four main themes: (i) the importance of social relations and cultural conditions; (ii) the hidden burden of consequences for participants' health conditions due to the focus on health-related consequences and emotionally difficult situations experienced by the participants; (iii) participants experienced limitations in language skills as a challenge; and (iv) being 'in between' in the encounter with the professional system. Conclusion: When family members interpret for the family, the family interpreter is at risk of being excluded by the family or being exposed to and involved in highly sensitive dilemmas that may forever impair normal family relations: health professionals should be aware of this and take professional responsibility.

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‘It depends on the consultation’: revisiting use of family members as interpreters for general practice consultations – when and why?

Cited by 22 publications

References 14 publications

Recruiting older people from the Pakistani community in Community Ageing Research 75+

Recruiting older people from the Pakistani community in Community Ageing Research 75+

How do health professionals decide whether an interpreter is needed for families in neonatal and pediatric units?

‘I had to stifle my feelings’ – Bilingual health professionals translating for family members in a healthcare setting. A qualitative study

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