“…Although secondary traumatic stress (STS) and vicarious trauma have been investigated in medical interpreters caring for refugees and other populations, there is minimal quantitative data regarding the emotional impact of palliative care encounters on medical interpreters (Goldhirsch et al, 2022). Research has demonstrated medical interpreters play many roles when interpreting for palliative care patients such as interpreting language and meaning, acting as a cultural broker, and advocating for patients and families (Hordyk et al, 2017;Kirby et al, 2017;Latif et al, 2022a;Silva et al, 2020;Slusarz, 2023;Weaver et al, 2022). Interpreters have reported that navigating these complex and sometimes contradicting roles can present moral and ethical dilemmas that can cause emotional distress (Hordyk et al, 2017;Kirby et al, 2017;Norris et al, 2005;Rhodes et al, 2021;Silva et al, 2020).…”