Working with interpreters: how student behavior affects quality of patient interaction when using interpreters

Fung, Cha-Chi; Lagha, Regina Richter; Henderson, Paula; Gomez, Arthur G.

doi:10.3402/meo.v15i0.5151

Cited by 12 publications

(14 citation statements)

References 12 publications

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“…Thirteen articles focused on the language barriers affecting clinical care. [108][109][110][111][112][113][114][115][116][117][118][119][120] Five of the interventions were longitudinal, seven of these interventions were 1-3 h, and one was two and a half weeks. Eight out of the 13 interventions were mandatory.…”

Section: Specific Populationsmentioning

confidence: 99%

“…Nevertheless, one article found that almost 40% of students failed to use interpreters in an encounter with a patient of limited English proficiency. 111 Zanetti et al 115 described a 4-year program that promotes cultural competency through civic engagement and second language fluency. Students who participated reported greater confidence in obtaining a medical history in a different language, advocating for the healthcare needs of underserved populations, and assessing the health beliefs and practice of patients from other cultures.…”

Section: Specific Populationsmentioning

confidence: 99%

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Cultural Competency Interventions During Medical School: a Scoping Review and Narrative Synthesis

et al. 2019

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Many medical accreditation bodies agree that medical students should be trained to care for diverse patient populations. However, the teaching methods that medical schools employ to accomplish this goal vary widely. The purpose of this work is to summarize current cultural competency teaching for medical students and their evaluation methods. A scoping review was completed by searching the databases PubMed, Scopus, MedEdPOR-TAL, and MEDLINE for the search terms "medical education" and "cultural competency" or "cultural competence." Results were summarized using a narrative synthesis technique. One hundred fifty-four articles on cultural competency interventions for medical students were systematically identified from the literature and categorized by teaching methods, length of intervention, and content. Fifty-six articles had a general focus, and ninety-eight articles were focused on specific populations including race/ethnicity, global health, socioeconomic status, language, immigration status, disability, spirituality at the end of life, rurality, and lesbian, gay, bisexual, transgender, and queer. About 54% of interventions used lectures as a teaching modality, 45% of the interventions described were mandatory, and 9.7% of interventions were not formally evaluated. The authors advocate for expansion and more rigorous analysis of teaching methods, teaching philosophies, and outcome evaluations with randomized controlled trials that compare the relative effectiveness of general and population-specific cultural competency interventions.

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Section: Specific Populationsmentioning

confidence: 99%

Section: Specific Populationsmentioning

confidence: 99%

Cultural Competency Interventions During Medical School: a Scoping Review and Narrative Synthesis

et al. 2019

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“…Previous research on strategies for interpreted communication mainly relate to the access to professional interpreters [31] , use of relatives or bilingual care providers as interpreters [8] or underutilisation of trained interpreters [32] . Other studies report organizational strategies such as recruitment of medically trained interpreters, co-operation between interpreter agencies and health care services and interpreter service integrated in the health care organization [18,19] or training health care professionals in interpreted communication [20] . In the present study, we did not estimate the use of professional interpreters or ad hoc interpreters.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, to perform high-quality interpretation, the language service needs to be integrated into organisational routines [19] . Training health care professionals in working with interpreters has been shown to increase the use of interpreter services as well as maintaining patient-centeredness when the clinical encounter involves an interpreter [20] , and the quality of communication during the clinical encounter [21,22] .…”

Section: Introductionmentioning

confidence: 99%

Suggestions for strategies when communicating via in-person interpreters: A qualitative study on communication within home care services in Sweden

Brämberg

Sandman²

2014

Clinical Nursing Studies

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The aim of this study was to explore and suggest strategies for communicating via in-person interpreters, based on experiences of professional home care providers (i.e. nurses and nurse assistants) and social workers. Home care services with its multifaceted emphasis on physical, psychological, social aspects of care and focus on quality of life for the patients presents a challenge for successful interpreted communication as the communication have to cover a wide variety of topics. Previous studies have shown that non-medical issues tend to be less communicated about when using interpreters. The study has an interpretative design, and data were collected in seven focus groups interviews with registered nurses, assistant nurses and social workers in home care services. Data were analysed by means of inductive content analysis. The results reveal suggestions for strategies: making preparations for structure and transparency, creating a flowing conversation on multifaceted topics, forming an understanding of the patient's voice and limiting the information content. This study concludes that the home care providers and social workers need to be prepared for communication via an interpreter about complex phenomena, that communicating information via an interpreter requires preparation prior to the meeting, as well as being an active part in the conversation. Infrequent use of professional interpreters could threaten the possibilities for care providers and social workers to communicate with linguistic diverse patients in an optimal way.

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“…Therefore, it is incumbent on training institutions to educate training healthcare practitioners in working with interpreters. The literature suggests that few clinicians receive such training (Fung, Lagha, Henderson, & Gomez, 2010).…”

Section: Interpreters In Mental Health Carementioning

confidence: 99%

The role of interpreters in mental health care

Elkington¹,

Talbot²

2016

South African Journal of Psychology

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Increasing globalization and immigration has seen an increase in linguistic and cultural diversity worldwide. This has necessitated the use of interpreters in public service settings. Of particular interest to the authors, and the focus of this article, is the impact of linguistic diversity on access to health care and, more specifically, to mental healthcare services. It is widely documented that language discordance impedes access to, and quality of, health care and that formally trained interpreter-assisted consults vastly improve client satisfaction and clinical outcomes. This article examines the current situation in South Africa regarding the use of interpreters in this setting. The ethical and practical implications for psychotherapy and psychodiagnostics are considered. Current policy and legislation relevant to language services and health care is reviewed. Possible ways forward to ensure equal access to healthcare services are discussed.Language serves many functions in society. It is the most important medium of communication and arguably one of the most important means of interaction. Through a dialectical process, language shapes and is shaped by culture. However, internationally, there are examples of language being used in a divisive manner. The apartheid government used language as an instrument in the politicization of the country which aided the segregation of the South African nation. Therefore, among other ethnographic variables, language was used as yet another marker of difference to justify segregation and oppression in South Africa. The origins of South Africa's language issue lie in the country's settler-colonial history. English and Afrikaans, the languages of the settlers and colonists, were imposed upon indigenous South Africans and other oppressed groups. The White minority had access to the best public services which were exclusively provided in English and Afrikaans.

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Working with interpreters: how student behavior affects quality of patient interaction when using interpreters

Cited by 12 publications

References 12 publications

Cultural Competency Interventions During Medical School: a Scoping Review and Narrative Synthesis

Cultural Competency Interventions During Medical School: a Scoping Review and Narrative Synthesis

Suggestions for strategies when communicating via in-person interpreters: A qualitative study on communication within home care services in Sweden

The role of interpreters in mental health care

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