Advance Care Planning for Spanish-Language Speakers: Patient, Family, and Interpreter Perspectives.

Advance Care Planning for Spanish-Language Speakers: Patient, Family, and Interpreter Perspectives.
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DOI:
10.1177/07334648231156864
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发表时间:
2023-08
影响因子:
3
通讯作者:
Tjia, Jennifer
Tjia, Jennifer
中科院分区:
医学3区
文献类型:
--
作者:
Puerto, Geraldine;Chiriboga, German;DeSanto-Madeya, Susan;Duodu, Vennesa;Cruz-Oliver, Dulce M.;Tjia, Jennifer

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英语水平有限的个人的语言障碍是推进护理计划(ACP)的一个挑战。ACP资源的西班牙语翻译是否被来自不同国家的美国西班牙语使用者广泛接受尚不清楚。这人种学定性研究确定的挑战和促进因素,以非加太方面的非加太资源的西班牙语翻译。我们进行了焦点小组与异质性样本的29西班牙语的人有经验的ACP作为一个病人,家庭成员和/或医疗翻译。我们用轴向编码进行了主题分析。主题包括:1. 2、翻译的模糊性;对ACP的理解受原产国的影响; 3. ACP理解受当地医疗保健提供者文化和实践的影响;和4。非加太需要在当地社区实现正常化。ACP既是一种文化实践,也是一种临床实践。提高ACP使用率的建议不仅限于语言翻译,还应承认使用者的原籍文化和当地医疗文化。
Language access barriers for individuals with limited English proficiency are a challenge to advance care planning (ACP). Whether Spanish-language translations of ACP resources are broadly acceptable by US Spanish-language speakers from diverse countries is unclear. This ethnographic qualitative study ascertained challenges and facilitators to ACP with respect to Spanish-language translation of ACP resources. We conducted focus groups with a heterogeneous sample of 29 Spanish-speaking persons who had experience with ACP as a patient, family member and/or medical interpreter. We conducted thematic analysis with axial coding. Themes include: 1. ACP translations are confusing; 2. ACP understanding is affected by country of origin; 3. ACP understanding is affected by local healthcare provider culture and practice; and 4. ACP needs to be normalized into local communities. ACP is both a cultural and clinical practice. Recommendations for increasing ACP uptake extend beyond language translation to acknowledging users’ culture of origin and local healthcare culture.
DOI: 10.1097/njh.0000000000000277
发表时间: 2016-12-01
影响因子: 1.8
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