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一个文化上有能力的同意的行为:医疗口译员对手术知情同意讨论的观点
Benjamin G Allar1,2, Cristina Ponce1, James Wallace1
1Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston MA.
Annals of surgery
|November 22, 2023
概括
医疗口译员为患者辩护,并在手术知情同意期间弥合文化差距. 他们建议外科医生使用更简单的语言和文化敏感性,以便更好地了解患者.
科学领域:
- 医学沟通 医学沟通
- 手术知情同意 进行手术的知情同意.
- 跨文化医疗保健 跨文化医疗保健
背景情况:
- 在以患者为中心的外科决定中,知情同意至关重要.
- 英语水平有限的患者可能会有不充分的理解,即使是翻译.
- 医疗口译员在解决这些沟通障碍方面发挥着关键作用.
研究的目的:
- 探索医疗口译员对手术知情同意讨论的看法.
- 确定外科医生的策略,以加强与不同患者群体的对话.
主要方法:
- 与10种语言的22名医疗口译员进行半结构化采访.
- 有目的的采样,直到主题和.
- 面试成绩单的定性新兴主题分析.
主要成果:
- 翻译人员充当患者的倡导者和文化经纪人.
- 患者的属性 (文化价值观,决策自主性,家庭支持) 影响讨论.
- 外科医生应该表现出同情心,使用简单的语言,提供上下文,并在接触之前讨论同意.
- 翻译人员建议简化法律术语和翻译同意书.
结论:
- 经验丰富的口译人员提供了对有效,文化定制的知情同意的见解.
- 外科医生需要承认口译员的复杂角色和文化细微差别.
- 改善外科医生的沟通和人际交往技能对于患者的理解至关重要.
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