Evidence map›Paper›PMID 33563501›Full record

ArticlePatient education and counseling2021

Spanish Medical Interpreters' Management of Challenges in End of Life Discussions.

Mary G Rhodes, Kathlyn E Fletcher, Francois Blumenfeld-Kouchner, Elizabeth A Jacobs

Open access · greenAbstract read
In one paragraph

Article in Patient education and counseling, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 13 citations in OpenAlex.

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  8. Distressing Discussions in Pediatric Interpreted Medical Encounters: A Qualitative Study of Medical Interpreter Perspectives on Clinician Communication Practices.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Mary G RhodesDepartment of Medicine, Medical College of Wisconsin, Milwaukee, USA. Electronic address: mrhodes@mcw.edu.
Kathlyn E FletcherDepartment of Medicine, Medical College of Wisconsin, Milwaukee, USA; Department of Medicine, Clement J. Zablocki VA Medical Center, Milwaukee, USA. Electronic address: kfletche@mcw.edu.
Francois Blumenfeld-KouchnerDepartment of Medicine, Medical College of Wisconsin, Milwaukee, USA; Department of Palliative Care, Aurora Medical Group, Grafton Medical Center, Grafton, USA(1). Electronic address: francois.blumenfeld-kouchner@aurora.org.
Elizabeth A JacobsDepartments of Internal Medicine and Population Health, The University of Texas at Austin Dell Medical School, Austin, USA; Maine Medical Center Research Institute, MaineHealth, Portland, ME, USA(1). Electronic address: EAJacobs1@mmc.org.
Medical College of Wisconsin · USMaine Medical Center · US

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
NCATS NIH HHS UL1 TR001436
6 · The paper itself

Abstract

objectiveProfessional medical interpreters facilitate patient understanding of illness, prognosis, and treatment options. Facilitating end of life discussions can be challenging. Our objective was to better understand the challenges professional medical interpreters face and how they affect the accuracy of provider-patient communication during discussions of end of life.

methodsWe conducted semi-structured interviews with professional Spanish medical interpreters. We asked about their experiences interpreting end of life discussions, including questions about values, professional and emotional challenges interpreting these conversations, and how those challenges might impact accuracy. We used a grounded theory, constant comparative method to analyze the data. Participants completed a short demographic questionnaire.

resultsSeventeen Spanish language interpreters participated. Participants described intensive attention to communication accuracy during end of life discussions, even when discussions caused emotional or professional distress. Professional strains such as rapid discussion tempo contributed to unintentional alterations in discussion content. Perceived non-empathic behaviors of providers contributed to rare, intentional alterations in discussion flow and content.

conclusionWe found that despite challenges, Spanish language interpreters focus intensively on accurate interpretation in discussions of end of life. PRACTICE IMPLICATIONS: Provider training on how to best work with interpreters in these important conversations could support accurate and empathetic interpretation.

Indexed as

LanguageTranslatingAllied Health PersonnelCommunication BarriersDeathHumansaccuracyalterationend of lifeinterpreterlimited English proficiency

Identifiers

PMID33563501
PMCPMC8217083
OpenAlexW3122466392

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.