Language Quality and Maternity: How to ensure effective communication in maternity settings where healthcare providers and users do not share the same

我的博士研究项目将侧重于孕妇环境下的跨语言交流。当卫生保健提供者和使用者不使用同一种语言时会发生什么？倡导会对专业服务、医护人员、服务使用者和口译员产生什么样的影响？这项研究是迫切需要的。我们的社会越来越多地使用多种语言，仅在东伦敦，每天就有大约140种不同的语言被使用。其中许多被称为“稀有语言”，很少或没有受过训练的专业口译员（口语/手语）和翻译（文本）。在预算减少和新兴技术的背景下，公共部门组织越来越需要提供服务，并与不同语言的用户互动。相关的挑战是深刻的，包括实际的、金融的、商业的和技术的。然而，一线工作人员，如医生和助产士，通常没有跨语言交流方面的培训或专业知识，并且在“非核心”服务的交叉压力下，可能会将谷歌翻译或远程视频口译等新兴技术视为一种有吸引力的解决方案。如今，东伦敦新来的社区发生了巨大的变化。她们面临什么样的困难和挑战，特别是在产妇环境中。在整个NHS的医疗环境中，倡导仍然是一种罕见的促进形式。他们的服务是NHS的成本，还是一种投资，以更有效的方式提供医疗服务？目前还没有研究对产妇环境、远程视频口译、用户体验和对服务质量的影响进行综合考察，也没有任何实用指南建议何时可以或永远不应该使用每种技术，或者就数据保护、患者同意等方面的伦理问题提出建议。这个项目是寻求一个独特的跨越数据和用户体验，需要回答以下问题在现实世界的设置。健康不平等——倡导和解释对健康不平等的影响是什么？它的好处是什么？操作框架-哪种翻译模式适合每次产前预约？我们是怎么走到这一步的？它能被广泛应用吗？采购指南-口译资格矩阵，什么任务需要什么级别的口译员？该研究如何有助提高公营机构招标的质素？

My PhD research project will focus on communication across languages in maternity settings. What happens when health care providers and users do not use the same language? What kind of impact will advocacy have on professional service, healthcare staff, service user and interpreters? This research is urgently needed. Our societies are increasingly multilingual, with East London alone there are about 140 different languages been spoken each day. Many of which been called 'rare languages' have few or no trained professional interpreters (both spoken / signed languages) and translators (of text). Public sector organisations face a growing need to deliver services and engage with users across languages, in the context of dwindling budgets and emerging technologies. The related challenges are profound, including practical, financial, commercial and technical. Yet frontline workers, such as doctors and midwives, typically have no training or expertise in cross language communication and, under pressure to cut cross on 'non-core' services, may see emerging technologies such as Google Translate or remote video interpreting as an attractive apparent solution.There are massive changes happening among newly arrived communities nowadays in East London. What kinds of difficulties and challenges do they face, specifically in maternity settings. Advocacy is still a rare form of facilitating in medical settings across NHS. Are their service a cost for NHS or actually an investment to more efficient way of delivering care? No study has yet examined the combination of maternity settings, remote video interpreting, user experiences and the impact for quality of service provision, nor are there any practical guidelines recommending when each technology might, and should never, be used, or advising on ethical concerns around data protection, patient consent and so on. This project is seek a unique across to the data and user experiences which are needed to answer following questions in real-world setting.1. Health Inequalities - what's the impact of advocacy and interpreting on health inequality? What's its benefits?2. Operating Framework - what interpreting mode is suitable for each antenatal appointment? How did we get to this? Can it be applied widely?3. Procurement guidance - interpreting qualification matrix, what level interpreter is necessary for what assignment? How can the research support an improvement in the quality of public sector tenders?