Barriers beyond words: Cancer, culture, and translation in a community of Russian speakers
Barriers beyond words: Cancer, culture, and translation in a community of Russian speakers
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DOI：
10.1007/s11606-007-0325-y
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发表时间：
2007-11-01
影响因子：
5.7
通讯作者：
Levintova, Marya
中科院分区：
文献类型：
--
作者：
Dohan, Daniel;Levintova, Marya
背景：语言和文化以复杂的方式联系在一起。在语言翻译的背景下，解决这种复杂性是一个挑战，当照顾病人有限的英语熟练程度（LEP）。目的：检查过程中的护理相关的语言，文化和翻译的LEP人口是本study.Design的目标：我们使用社区为基础的参与式研究，探讨在弗朗西斯科，加州的俄语癌症患者的经验。俄罗斯癌症信息工作组（RCIT），包括社区组织，地方政府和诊所，参与了研究的所有阶段。参与者：有目的的样本74个人是研究的参与者。方法：RCIT塑造研究主题，并促进参与者的访问。方法是焦点小组，个别访谈和参与观察。RCIT审查了数据，并提供了解释结果的指导。(1)与其他非英语语言相比，当地俄语资源被认为是不足的，相对不可用;（2）关于“癌症”一词的禁忌导致了围绕披露的语言“游戏”;（3）这种禁忌和其他护理动态反映了俄语使用者从其原籍国的经历中获得的期望;（4）使用口译员作为文化经纪人或建立支持小组的俄语speakers.Conclusions的语言障碍所经历的这LEP人口反映的文化和语言问题，可以帮助解决barriers.Conclusions。提供者应考虑与训练有素的口译员合作，以解决语言和文化的交织问题。
Background: Language and culture relate in complex ways. Addressing this complexity in the context of language translation is a challenge when caring for patients with limited English proficiency (LEP).Objective: To examine processes of care related to language, culture and translation in an LEP population is the objective of this study.Design: We used community based participatory research to examine the experiences of Russian-speaking cancer patients in San Francisco, California. A Russian Cancer Information Taskforce (RCIT), including community-based organizations, local government, and clinics, participated in all phases of the study.Participants: A purposeful sample of 74 individuals were the participants of the study.Approach: The RCIT shaped research themes and facilitated access to participants. Methods were focus groups, individual interviews, and participant observation. RCIT reviewed data and provided guidance in interpreting results.Results: Four themes emerged. (1) Local Russian-language resources were seen as inadequate and relatively unavailable compared to other non-English languages; (2) a taboo about the word "cancer" led to language "games" surrounding disclosure; (3) this taboo, and other dynamics of care, reflected expectations that Russian speakers derived from experiences in their countries of origin; (4) using interpreters as cultural brokers or establishing support groups for Russian speakers could help address barriers.Conclusions: The language barriers experienced by this LEP population reflect cultural and linguistic issues. Providers should consider partnering with trained interpreters to address the intertwining of language and culture.