Translating Pediatric Hospital Interpreters' Feedback From Difficult Conversations into Improved Communication

Title

Translating Pediatric Hospital Interpreters' Feedback From Difficult Conversations into Improved Communication

Creator

Weaver M S; Roeth A; Navaneethan H; Shostrom V K; Contreras-Nourse M

Publisher

Journal of Palliative Care

Date

2020

Subject

communication; language; medical interpretation; pediatric palliative care

Description

BACKGROUND: Medical interpreters are critical mediators in communication with pediatric subjects and families to include participation in difficult conversations. OBJECTIVE: The objective of this pilot study was to provide suggestions from medical interpreters to palliative care teams as to how to effectively incorporate medical interpreters into end-of-life conversations. SUBJECTS AND METHOD: Participants included pediatric hospital-based medical interpreters who had interpreted for at least 1 end-of-life conversation in the pediatric hospital setting. A total of 11 surveys were completed by medical interpreters. The study consisted of a written 12-item survey with a follow-up focus group to further explore survey themes. RESULTS: The translation of cultural contexts, awareness of the mixed messages the family received from health care teams, and the emotional intensity of the interactions were depicted as the most challenging aspects of the medical interpreter's role. Despite these challenges, 9 interpreters reported they would willingly be assigned for interpreting "bad news" conversations if given the opportunity (82%). Medical interpreters recognized their relationship with the family and their helping role for the family as meaningful aspects of interpreting even in difficult conversations. Medical interpreters shared 7 thematic suggestions for improved communication in language-discordant visits: content review, message clarity, advocacy role, cultural understanding, communication dynamics, professionalism, and emotional support. CONCLUSIONS: As experts in cultural dynamics and message transmission, the insights of medical interpreters can improve communication with families.

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Citation List Month

August 2020 List

Collection

Citation

Weaver M S; Roeth A; Navaneethan H; Shostrom V K; Contreras-Nourse M, “Translating Pediatric Hospital Interpreters' Feedback From Difficult Conversations into Improved Communication,” Pediatric Palliative Care Library, accessed November 30, 2020, https://pedpalascnetlibrary.omeka.net/items/show/17186.

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