没有共同语言的沟通:语言障碍在语言不一致的癌症沟通中的语言障碍的定性研究
Lisbeth Birkelund1,2, Karin B Dieperink2,3,4, Morten Sodemann2,5
1Department of Geriatric Medicine, Odense University Hospital, Odense, Denmark.
Journal of health communication
|January 31, 2024
概括
癌症护理中的语言障碍导致沟通失误,并影响患者参与. 专业口译人员至关重要,但时间和组织因素限制了有效的沟通和患者安全.
科学领域:
- 医学沟通 医学沟通
- 健康差异 在健康上的差异
- 在瘤学瘤学.
背景情况:
- 语言障碍显著影响健康结果,特别是面临社会不平等的少数民族.
- 在语言不一致的癌症护理中,沟通过程的研究不足.
- 了解这些障碍对于改善患者参与和决策至关重要.
研究的目的:
- 为了研究癌症患者与有限的丹麦语能力和瘤临床医生之间的沟通动态.
- 确定语言障碍如何影响患者参与和共同决策.
- 探索专业口译员和家庭成员在减轻沟通挑战中的作用.
主要方法:
- 18个参与者对瘤学环境中的临床接触的观察.
- 分析现场笔记和音频录音的转录.
- 定性主题分析以确定关键的沟通模式和挑战.
主要成果:
- 错误的沟通和不确定性被确定为语言的基本条件.
- 时间限制和组织因素,包括依赖专业口译人员,患者参与有限.
- 家庭成员经常承担着重要的沟通角色,增加临床医生的伦理困境和患者安全风险,当没有丹麦语亲戚在场时.
结论:
- 专业口译对于理解至关重要,但并不能消除错误沟通.
- 组织因素和沟通责任显著影响患者参与和安全.
- 在临床实践中解决语言不平等问题对于减少医疗保健中的社会不平等至关重要.
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