A survey of language barriers from the perspective of pediatric oncologists, interpreters, and parents
A survey of language barriers from the perspective of pediatric oncologists, interpreters, and parents
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DOI：
10.1002/pbc.20841
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发表时间：
2006-11-01
影响因子：
3.2
通讯作者：
Kodish, Eric D.
中科院分区：
文献类型：
--
作者：
Abbe, Marisa;Simon, Christian;Kodish, Eric D.
背景。美国的肿瘤学家越来越多地面临着与癌症儿童的非英语父母沟通的挑战。本研究从儿科肿瘤学家、口译员和新诊断白血病儿童的讲西班牙语的父母的角度探讨了这一挑战。过程。美国两家非营利性儿科医院的37名肿瘤学家和17名专业语言口译员就儿科护理中的语言障碍进行了调查。17位通过翻译与孩子的肿瘤医生沟通的父母也接受了调查。结果。所有小组都对跨越语言障碍的交流过程表示了相当大的关注。对于肿瘤学家来说，这些担忧包括解释的准确性和完整性，信息的复杂性，以及对沟通过程的信心和控制的丧失。对于口译员来说，这些问题包括信息的复杂性、信息超载以及临床医生对英语水平有限（LEP）家庭的文化和社会经济背景缺乏敏感性。家长的担忧包括理解信息的困难和对可能错过重要信息的焦虑。所有小组都提供了多种建议，以改善跨越语言障碍的沟通。结论。肿瘤学家、口译员和家长对跨越语言障碍的交流过程表示了相当大的关注。通过努力提高解释器的准确性和完整性，包括使用更简单、易于理解的语言，可以将这些问题中的一些最小化。其他问题，如文化和社会经济背景的差异，需要考虑口译员的跨文化知识和技能。
Background. Oncologists in the US increasingly face the challenge of communicating with non-English speaking parents of children with cancer. This study explores this challenge from the perspectives of a sample of pediatric oncologists, interpreters, and Spanish-speaking parents of children with newly diagnosed leukemia. Procedure. Thirty-seven oncologists and 17 professional language interpreters based at two non-profit pediatric hospitals in the US were surveyed on the topic of language barriers in pediatric care. Seventeen parents who communicated with their child's oncologist through an interpreter were also surveyed. Results. All groups expressed considerable concern over the process of communicating across a language barrier. For oncologists, these concerns included the accuracy and completeness of interpretations, complexity of information, and loss of confidence and control over the communication process. For interpreters, they included complexity of information, information overload, and lack of clinician sensitivity toward the cultural and socioeconomic backgrounds of limited English proficiency (LEP) families. Parent concerns included difficulties comprehending information and anxiety over the possibility of, missing out on important information. All groups provided multiple suggestions for improving communication across a language barrier. Conclusions. Oncologists, interpreters, and parents expressed considerable concern over the process of communicating across a language barrier. Some of these concerns could be minimized through efforts to boost interpreter accuracy and completeness, including the use of more simple, easy to understand language. Other issues, such as differences in culture and socioeconomic background, warrant consideration of the intercultural knowledge and skills of interpreters.