Spanish Medical Interpreters’ Management of Challenges in End of Life Discussions

Rhodes, Mary; Fletcher, Kathlyn E.; Blumenfeld-Kouchner, Francois; Jacobs, Elizabeth A.

doi:10.1016/j.pec.2021.01.018

Cited by 9 publications

(67 citation statements)

References 45 publications

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“…There is growing literature that in-person medical interpreters enhance the quality of communication during EOL and GOC conversations with LEP patients. 15,27,29,33-35,38-40 Despite the vast evidence of the benefits of using in-person medical interpreters 9,11-15,27,33,38,39,41 including being able to provide more personable communication and identifying non-verbal cues that are important in communication, there are some organizational limitations that affect their utilization. Access to in-person medical interpreters varies greatly by institution and is often not available due to time constraints and expense.…”

Section: Discussionmentioning

confidence: 99%

Healthcare Provider Perspectives Regarding Use of Medical Interpreters During End-of-Life Conversations With Limited English Proficient Patients

Silva

Adelman

Singh

et al. 2021

Am J Hosp Palliat Care

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Background: Healthcare providers increasingly care for patients with Limited English Proficiency (LEP). There is limited research evaluating healthcare provider utilization practices, attitudes, perceived benefits and barriers regarding the use of medical interpreters in end of life (EOL) and goals of care (GOC) conversations. Objectives: To elicit healthcare providers’ opinions of the role, factors that impact decisions to use medical interpreters and perceived utility of using medical interpreters when conducting EOL and GOC conversations with LEP patients and their families. Design: Cross-sectional survey of internal medicine trainees and attending physicians from a U.S. medical center. Results: A total of 117 surveys were collected with a response rate of 51%. In-person medical interpreters received higher ratings with regard to their helpfulness compared to telephone medical interpreters during EOL and GOC conversations. Being an attending physician and having received training in the use of a medical interpreter predicted higher composite scores reflecting greater awareness of the roles of medical interpreters and endorsement of best communication practices. In-person interpreters were viewed by a subset of participants as “standard of care” during EOL and GOC conversations. Conclusion: Having more years in practice and receiving training in the use of medical interpreters correlated with more favorable attitudes toward the role of medical interpreters and positive communication practices. Incorporating early training in the use of medical interpreters could help enhance communication practices and outcomes during EOL and GOC conversations with LEP patients.

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Section: Discussionmentioning

confidence: 99%

Healthcare Provider Perspectives Regarding Use of Medical Interpreters During End-of-Life Conversations With Limited English Proficient Patients

Silva

Adelman

Singh

et al. 2021

Am J Hosp Palliat Care

View full text Add to dashboard Cite

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“…While many may leave the experience of attending to these additional needs out of the medical interpreter job description, we argue that these aspects of the medical interpreter role are important because they can ultimately impact the quality of communication during patient encounters. This is supported by Rhodes et al's Alterations Theory Model, which was originally formulated in the setting of end-of-life discussions and builds off the idea that medical interpreters face the challenge of finding a balance between their "human" and "professional" roles [11]. In this model, Rhodes et al list complex influences on medical interpreters' decision of whether to alter communication with a patient [11].…”

Section: Discussionmentioning

confidence: 99%

“…This is supported by Rhodes et al's Alterations Theory Model, which was originally formulated in the setting of end-of-life discussions and builds off the idea that medical interpreters face the challenge of finding a balance between their "human" and "professional" roles [11]. In this model, Rhodes et al list complex influences on medical interpreters' decision of whether to alter communication with a patient [11]. Some influences listed include the medical interpreter's self-care skills, preparation for the discussion topic, and relationship with the patient and provider [11].…”

Section: Discussionmentioning

confidence: 99%

An Adaptable Approach to Expanding our Knowledge of Medical Interpreter Experiences

Hitchner

Getachew²,

McCullough³

2023

CU JGH

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Medical interpreters represent a valuable resource for positively affecting the health of populations with limited English proficiency. Global Wordsmiths, a social enterprise based in Pittsburgh, Pennsylvania, explored the experiences and needs of their medical interpreters using a survey adapted from a variety of qualified sources in health care quality improvement, health literacy, and needs assessments of populations with limited English proficiency. Participant voices suggest the presence of multiple roles of medical interpreters beyond word for word translation as well as lack of adequate training and psychosocial support among the profession. The presence of multiple roles outside their defined job responsibilities and need for more psychosocial support hinders medical interpreters’ ability to positively affect health care access, quality, and outcomes among populations with limited English proficiency. As such, we identify a vital need for health literacy research and practice to further investigate medical interpreters’ experiences.

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“…For instance, sometimes, patients receive medical treatment by random occurrence and sometimes as part of the medical management process [10]. Further, this happens when there is no data exchange between the connected systems (nodes), and incomplete data occurs during data exchange from different disjoint nodes because the same patients end up with two different medical records within the same e-healthcare applications [11,12]. However, these patients' identity redundancy creates another challenging aspect in terms of data management.…”

Section: Introductionmentioning

confidence: 99%

“…The complexity of hiding innumerable kinds of medical information in a carrier channel (through signals) over wireless network-based connected edge devices to exchange information. The remote medical data acquisition mechanism itself is highly vulnerable while capturing digital medical data from distinct domains of the healthcare network [12]. These medical data node transactions and information exchange layered mechanisms are deemed insecure.…”

Section: Introductionmentioning

confidence: 99%

BIoMT Modular Infrastructure: The Recent Challenges, Issues, and Limitations in Blockchain Hyperledger-Enabled E-Healthcare Application

Shaikh

Khan

Teng

et al. 2022

Wireless Communications and Mobile Computing

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This paper presents a layered hierarchy that depicts the progressive relationship between data, information, knowledge, and wisdom. To begin with, data is gathered and organized into information. Information is gathered, filtered, refined, and put through an investigation process to create knowledge. Wisdom is attained after knowledge discovery through the process of filtration and aggregation through experience. The layered hierarchy in the domain of e-healthcare necessitates higher scheduling costs for data collection, processing wisdom, and management, which is also an insecure and untrustworthy process for progressive medical service. The medical industry faces a difficult problem in providing collected data integrity, information reliability, and knowledge trustworthiness for the service of progressive medical relationships in the face of an increasing number of day-to-day records. The blockchain consortium hyperledger (fabric) has been used in this paper to act as a bridge that bridges the gap between electronic data, information, knowledge, and wisdom (DIKW) movement and processes by enabling the process of the layered hierarchy of schedule information and management and providing security and transparency. For e-healthcare information management and privacy, the DIKW-ledger, such as patients’ consultancy information, availing medical services, personal records, appointments, treatment details, and other health-related transactions, a consortium hyperledger fabric-enabled efficient architecture is proposed. This proposed architecture creates two networks: a public network for medical stakeholders to exchange and agree on specific medical activities before being preserved on distributed storage (read-only after record registration) and a private network for complete DIKW process scheduling and management. We designed and created smart contracts for this purpose, as well as use-case diagrams to describe the overall execution process. The proposed architectural solution provides more efficient information integrity, provenance, and storage procedures to immutably preserve the medical ledger in a permissioned hash-encrypted structure.

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Spanish Medical Interpreters’ Management of Challenges in End of Life Discussions

Cited by 9 publications

References 45 publications

Healthcare Provider Perspectives Regarding Use of Medical Interpreters During End-of-Life Conversations With Limited English Proficient Patients

Healthcare Provider Perspectives Regarding Use of Medical Interpreters During End-of-Life Conversations With Limited English Proficient Patients

An Adaptable Approach to Expanding our Knowledge of Medical Interpreter Experiences

BIoMT Modular Infrastructure: The Recent Challenges, Issues, and Limitations in Blockchain Hyperledger-Enabled E-Healthcare Application

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