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Lost In Translation: Building Interpreter Confidence And Skill In Facilitating Palliative Care Conversations

出版	Morressier, 2017
URL	http://books.google.com.hk/books?id=_Gp4zgEACAAJ&hl=&source=gbs_api

註釋IntroductionDiversity of language and culture can create cultural barriers that result in health care disparities. In the US, for example, while over 300 languages are spoken, the English language and Western health care culture often bumps up against the languages and cultures of patients and their families. The need for effective navigation of language and cultural barriers is no more urgent than in the field of palliative care, health care that emphasizes effective communication and attention to the medical, psychosocial and spiritual needs of patients and families coping with serious illness and even end-of-life. Palliative care clinicians can overcome linguistic and cultural barriers by integrating interpreters into their interdisciplinary teams. For successful integration and teamwork, however, both parties must be trained.ObjectivesImprove interpreter confidence in and attitudes towards participating in palliative care family meetings, including both the u201cpre-meetingu201d before the encounter, and meetings that included difficult issues facing patients and families, such as breaking bad news and DNR discussions. MethodsWe held 6 monthly sessions, each with defined curricula and readings, each facilitated by an experienced palliative care social worker and physician. Pre- and post-course evaluations of all participants in attitudes and confidence was done.ResultsFigure I shows the significant changes in interpreter attitudes in the 11 domains assessed. Figure II shows the highly significant improvement in confidence in the 30 interpreter participants. ConclusionsFacilitated and well-structured dialogues, including didactics, discussions and roleplaying caused highly significant improvements in interpreter attitudes and confidence in interpreting palliative care conversations.