Certified Medical Interpreters’ Perspectives on Relationship-Centered Communication in Safety-Net Care [Version 2]
Background: Interpreters may offer valuable perspectives on ways clinicians could improve communication skills. Relationship-centered communication (RCC) curricula aim to promote effective communication between patients and clinicians and among members of health care teams. Methods: We cond...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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F1000 Research Ltd
2018-10-01
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| Series: | MedEdPublish |
| Subjects: | |
| Online Access: | https://www.mededpublish.org/Manuscripts/2031 |
| _version_ | 1811275869289709568 |
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| author | Neda Ratanawongsa Angelica Cardenas Bruce Occeña Jeff Critchfield Mary Mercer Kara Myers |
| author_facet | Neda Ratanawongsa Angelica Cardenas Bruce Occeña Jeff Critchfield Mary Mercer Kara Myers |
| author_sort | Neda Ratanawongsa |
| collection | DOAJ |
| description | Background: Interpreters may offer valuable perspectives on ways clinicians could improve communication skills. Relationship-centered communication (RCC) curricula aim to promote effective communication between patients and clinicians and among members of health care teams.
Methods: We conducted a 90-minute workshop with certified interpreters at an academically affiliated safety-net system to solicit feedback on content offered during RCC skills trainings. We applied an editing analysis style to transcribed quotes to reveal opportunities to optimize RCC skills trainings for application in interpreted interactions to improve safety-net care for diverse populations.
Results: Twenty-two Spanish-, Cantonese-, Mandarin-, Vietnamese-, and Russian-speaking interpreters participated. Overall, interpreters emphasized the importance of creating a supportive environment for safety-net patients. One Spanish-speaking interpreter added: "When they get up in the morning and go to work, they may get deported. So, that's important to create an atmosphere to help them open up. And they may tell you stuff that's directly pertinent to patient care." Thematic analysis revealed opportunities to tailor and reinforce each RCC stage. On agenda-setting and rapport-building: "We need a little background on the phone, and we don't know how many people are in the room ... Sometimes you're talking to the mom, but the doctor didn't even bother to say it.. [If] we're lost, we're bound to make mistakes." On eliciting the patient's perspective: "Start with this information so they know you're still going to give them your advice: "I'm going to let you know what I think is going on, but what do you think is going on?" On negotiating a shared plan: "[Teachback] is really important. Otherwise it puts an incredible burden on the interpreter ... I'm not sure that the patient really understood."
Conclusions: Teaching RCC in partnership with medical interpreters could provide opportunities to deepen clinician RCC skills for more effective patient-interpreter-clinician interactions. |
| first_indexed | 2024-04-12T23:45:26Z |
| format | Article |
| id | doaj.art-ff7354ab90164841ae0be8b0edf8c439 |
| institution | Directory Open Access Journal |
| issn | 2312-7996 |
| language | English |
| last_indexed | 2024-04-12T23:45:26Z |
| publishDate | 2018-10-01 |
| publisher | F1000 Research Ltd |
| record_format | Article |
| series | MedEdPublish |
| spelling | doaj.art-ff7354ab90164841ae0be8b0edf8c4392022-12-22T03:11:52ZengF1000 Research LtdMedEdPublish2312-79962018-10-0173Certified Medical Interpreters’ Perspectives on Relationship-Centered Communication in Safety-Net Care [Version 2]Neda Ratanawongsa0Angelica Cardenas1Bruce Occeña2Jeff Critchfield3Mary Mercer4Kara Myers5University of California, San FranciscoZuckerberg San Francisco General Hospital and Trauma CenterSan Francisco Department of Public HealthUniversity of California, San FranciscoUniversity of California, San FranciscoUniversity of California, San FranciscoBackground: Interpreters may offer valuable perspectives on ways clinicians could improve communication skills. Relationship-centered communication (RCC) curricula aim to promote effective communication between patients and clinicians and among members of health care teams. Methods: We conducted a 90-minute workshop with certified interpreters at an academically affiliated safety-net system to solicit feedback on content offered during RCC skills trainings. We applied an editing analysis style to transcribed quotes to reveal opportunities to optimize RCC skills trainings for application in interpreted interactions to improve safety-net care for diverse populations. Results: Twenty-two Spanish-, Cantonese-, Mandarin-, Vietnamese-, and Russian-speaking interpreters participated. Overall, interpreters emphasized the importance of creating a supportive environment for safety-net patients. One Spanish-speaking interpreter added: "When they get up in the morning and go to work, they may get deported. So, that's important to create an atmosphere to help them open up. And they may tell you stuff that's directly pertinent to patient care." Thematic analysis revealed opportunities to tailor and reinforce each RCC stage. On agenda-setting and rapport-building: "We need a little background on the phone, and we don't know how many people are in the room ... Sometimes you're talking to the mom, but the doctor didn't even bother to say it.. [If] we're lost, we're bound to make mistakes." On eliciting the patient's perspective: "Start with this information so they know you're still going to give them your advice: "I'm going to let you know what I think is going on, but what do you think is going on?" On negotiating a shared plan: "[Teachback] is really important. Otherwise it puts an incredible burden on the interpreter ... I'm not sure that the patient really understood." Conclusions: Teaching RCC in partnership with medical interpreters could provide opportunities to deepen clinician RCC skills for more effective patient-interpreter-clinician interactions.https://www.mededpublish.org/Manuscripts/2031Communication BarriersCross-Cultural CarePhysician-Patient RelationsProfessional-Patient RelationTeamworkInterdisciplinary Communication |
| spellingShingle | Neda Ratanawongsa Angelica Cardenas Bruce Occeña Jeff Critchfield Mary Mercer Kara Myers Certified Medical Interpreters’ Perspectives on Relationship-Centered Communication in Safety-Net Care [Version 2] MedEdPublish Communication Barriers Cross-Cultural Care Physician-Patient Relations Professional-Patient Relation Teamwork Interdisciplinary Communication |
| title | Certified Medical Interpreters’ Perspectives on Relationship-Centered Communication in Safety-Net Care [Version 2] |
| title_full | Certified Medical Interpreters’ Perspectives on Relationship-Centered Communication in Safety-Net Care [Version 2] |
| title_fullStr | Certified Medical Interpreters’ Perspectives on Relationship-Centered Communication in Safety-Net Care [Version 2] |
| title_full_unstemmed | Certified Medical Interpreters’ Perspectives on Relationship-Centered Communication in Safety-Net Care [Version 2] |
| title_short | Certified Medical Interpreters’ Perspectives on Relationship-Centered Communication in Safety-Net Care [Version 2] |
| title_sort | certified medical interpreters perspectives on relationship centered communication in safety net care version 2 |
| topic | Communication Barriers Cross-Cultural Care Physician-Patient Relations Professional-Patient Relation Teamwork Interdisciplinary Communication |
| url | https://www.mededpublish.org/Manuscripts/2031 |
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