Experiences of Medical Interpreters During Palliative Care Encounters With Limited English Proficiency Patients: A Qualitative Study.
Experiences of Medical Interpreters During Palliative Care Encounters With Limited English Proficiency Patients: A Qualitative Study.
复制标题
医疗口译员在与英语水平有限的患者进行姑息治疗时的经验：一项定性研究。
DOI：
10.1089/jpm.2022.0320
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发表时间：
2023
影响因子：
2.8
通讯作者：
Warraich,HaiderJ
中科院分区：
文献类型：
--
作者：
Latif,Zara;Makuvire,Tracy;Feder,ShelliL;Abrahm,Janet;QuinteroPinzon,Pablo;Warraich,HaiderJ
背景：英语能力有限的重症患者在沟通和文化障碍方面面临着许多挑战。姑息治疗在这一人群中的利用仍然有限，在姑息治疗encounters.Methods：我们进行了半结构化的视频采访口译工作在一个学术医疗中心的医疗口译员的经验仍然understudied。访谈问题探讨口译员的观察和经验，在姑息治疗遇到LEP患者。结果：本研究共纳入20名口译员，平均经验16.3年，口译员精通9种语言。我们从访谈中确定了四个主题，这些主题揭示了将姑息治疗纳入LEP患者护理的挑战：（1）缺乏对术语"姑息治疗"的逐字解释，（2）患者对其治疗目标的理解不足，（3）姑息治疗参与的次优时机，以及（4）与姑息治疗相关的恐惧和误解。由于在字的选择，姑息治疗的参与，以及姑息治疗的理解不佳的时间的挑战，口译员观察到，许多患者与LEP下降姑息治疗参与他们的治疗planne.Conclusions：在这项研究中，我们确定了几个可操作的障碍口译员注意到，将姑息治疗纳入护理的LEP患者。针对LEP患者提供标准化的文化适当的姑息治疗信息的干预措施是必要的。
Background:There are many challenges in communication and cultural barriers for patients with limited English proficiency (LEP) who suffer from serious illnesses. Palliative care utilization among this population remains limited and the experiences of medical interpreters during palliative care encounters remain understudied.Methods:We conducted semistructured video interviews with interpreters working at an academic medical center. Interview questions explored interpreters' observations and experiences during palliative care encounters with LEP patients. We performed thematic analysis of the interview contents.Results:Our study included 20 interpreters who interpret in 9 languages with a mean experience of 16.3 years. We identified four themes from the interviews that shed light on the challenges of incorporating palliative care into the care of patients with LEP: (1) lack of a verbatim interpretation for the term “palliative care,” (2) poor patient understanding of their treatment goals, (3) suboptimal timing of palliative care involvement, and (4) fears and misconceptions related to palliative care. Owing to challenges in word choice, the timing of palliative care involvement, and poor understanding of palliative care, interpreters observed that many patients with LEP declined palliative care involvement in their treatment plan.Conclusions:In this study, we identified several actionable barriers interpreters noted to incorporating palliative care into care of patients with LEP. Interventions directed toward providing LEP patients with standardized culturally appropriate information on palliative care are needed.