Anesthesia Lost in Translation: Perspective and Comprehension.
Anesthesia Lost in Translation: Perspective and Comprehension.
复制标题
翻译中迷失的麻醉：视角和理解。
DOI：
10.46374/volxix-issue1-shapeton
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Sheila R. Barnett
中科院分区：
文献类型：
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作者：
A. Shapeton;M. O'Donoghue;B. VanderWielen;Sheila R. Barnett
背景
非英语患者的护理对围手术期麻醉师提出了独特的挑战。沟通的限制可能会令患者和提供者感到沮丧，有时会影响护理质量，导致医疗保健差异。一个经常被忽视但至关重要的组成部分是麻醉提供者和口译员之间的互动。我们研究的目的是确定关于麻醉的误解，并确定医疗口译员之间的共同知识差距。
方法
一项调查询问过去的围手术期经验，培训水平和有效沟通的障碍被发送到口译服务部（IS）。同时，向麻醉科发送了一份关于他们在围手术期环境中与口译员的经验的调查。
结果
我们的调查有29名来自IS的受访者和42名来自麻醉的受访者。85%的口译员有5年以上的经验，但96%的口译员否认接受过麻醉专业培训。此外，42.5%的口译员认为，不到一半的患者有足够的识字能力，可以用母语阅读并表示同意。麻醉提供者主要关心解释的准确性。
结论
误解彼此的领域似乎在围绕麻醉解释的沟通问题中发挥着重要作用。教育这两个部门可能被证明有利于解决误解，改善围手术期的相互作用，并最终改善病人的护理。根据收集的信息，麻醉科开设了继续教育讲座，以提高我们的口译员对麻醉、相关程序和词汇的理解。
BACKGROUND
Care of non-English speaking patients poses a unique challenge to the anesthesiologist in the perioperative setting. Communication limitations can be frustrating to both the patient and provider, and at times can compromise the quality of care, resulting in health care disparities. An often overlooked, but critical component is the interaction between the anesthesia provider and the interpreter. The goal of our study was to identify misconceptions regarding anesthesia and determine common knowledge gaps amongst medical interpreters.
METHODS
A survey inquiring about past perioperative experiences, level of training, and barriers to effective communication was sent to the Department of Interpreter Services (IS). Concurrently, a survey was sent to the Department of Anesthesia, about their experiences with interpreters in the perioperative setting.
RESULTS
Our survey had 29 respondents from IS and 42 respondents from Anesthesia. 85% of interpreters had >5 years experience, but 96% denied having anesthesia specific training. Additionally, 42.5% of our interpreters felt that less than half of their patients were sufficiently literate to read and consent in their native language. Anesthesia providers were primarily concerned about the fidelity of the interpretation.
CONCLUSIONS
Misunderstanding one another's field appears to play a significant role in the communication issues surrounding interpretation for anesthesia. Educating both departments may prove beneficial to resolving misconceptions, improving perioperative interactions and ultimately improving patient care. Based on the gathered information, a continuing education lecture was created by the Anesthesia Department in order to improve our interpreters' understanding of anesthesia, associated procedures and vocabulary.