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A bridge between cultures: interpreters' perspectives of consultations with migrant oncology patients
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In: Supportive Care in Cancer, Vol. 20, no. 2 (2012), pp. 235-244 (2012)
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A bridge between cultures: Interpreter's perspectives of consultations with migrant oncology patients
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In: Medical Papers and Journal Articles (2012)
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A bridge between cultures: interpreters' perspectives of consultations with migrant oncology patients
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Sze, Ming; Jefford, Michael; Lobb, Elizabeth; King, Madeleine; Eisenbruch, Maurice; Butow, Phyllis N.; Goldstein, David; Aldridge, Lynley; Girgis, Afaf; Schofield, Penelope. - : Springer, 2012
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Abstract:
Background: Migration is increasing worldwide. In previous research into people with cancer from culturally and linguistically diverse backgrounds, interpreter accuracy, professionalism and continuity have emerged as key concerns for patients. Little is known about interpreters’ perceptions of their role and the challenges they face. This study aimed to obtain their perspective. Methods: Thirty interpreters (Greek n = 7, Chinese n = 11, and Arabic n = 12) participated in four focus groups which were audio-taped, transcribed and analysed for themes using N-Vivo software. Results: Skills as an interpreter were broadly perceived as conveying information accurately, being confidential and impartial. Three broad dilemmas faced by interpreters emerged: accuracy versus understanding; translating only versus cultural advocacy and sensitivity; and professionalism versus providing support. Some saw themselves as merely an accurate conduit of information, while others saw their role in broader terms, encompassing patient advocacy, cultural brokerage and provision of emotional support. Perceived challenges in their role included lack of continuity, managing their own emotions especially after bad news consultations, and managing diverse patient and family expectations. Training and support needs included medical terminology, communication and counselling skills and debriefing. Interpreters suggested that oncologists check on interpreter/patient’s language or dialect compatibility; use lay language and short sentences; and speak in the first person. Conclusions: Resolving potential conflicts between information provision and advocacy is an important area of cross-cultural communication research. Further training and support is required to enhance interpreters’ competence in managing delicate situations from a professional, cultural and psychological perspective; and to assist doctors to collaborate with interpreters to ensure culturally competent communication. Ultimately, this will improve interpreters’ well-being and patient care.
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Keyword:
challenges; medical interpretation; oncology; professional roles
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URL: http://hdl.handle.net/1959.13/1316385
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From inside the bubble: migrants' perceptions of communication with the cancer team
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In: Supportive Care in Cancer, Vol. 19, no. 2 (2011), pp. 281-290 (2011)
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A review of the cultural competence view of cardiac rehabilitation
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A bridge between cultures: interpreters’ perspectives of consultations with migrant oncology patients
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In: Medical Papers and Journal Articles (2010)
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Families, Communities and Culture: Health Promotion with Newly-arrived African Communities in Victoria
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A qualitative study of barriers to mental health services utilisation among migrants from mainland China in South-East Sydney
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Cross-cultural validation of the DMI-10 measure of state depression: The development of a Chinese language version
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Development of an Explanatory Model of Illness Schedule for Cambodian Refugee Patients
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