解释困难的对话 - - 评估如何支持医疗口译员传递严重新闻
Kaitlyn E Williams1, Allison R Casola2, Kathleen Mechler1
1Division of Palliative Care, Department of Family and Community Medicine, Thomas Jefferson University Hospital (TJUH), Philadelphia, Pennsylvania, USA.
Journal of palliative medicine
|July 8, 2024
概括
医疗口译人员往往缺乏对困难对话的培训,这会影响患者的护理. 加强培训和团队合作对于改善翻译员在严重疾病讨论期间的舒适性和沟通至关重要.
科学领域:
- 医学沟通 医学沟通
- 翻译员培训 翻译员培训
- 患者护理差异的差异
背景情况:
- 医疗口译员对于语言一致的护理至关重要,但通常缺乏针对敏感患者接触的专业培训.
- 现有研究强调,需要在困难对话中为口译员提供更好的支持和培训策略.
- 对严重疾病讨论的口译员的舒适度和准备程度仍未得到充分研究.
研究的目的:
- 评估医疗口译员在严重疾病对话期间的舒适度和经验.
- 确定在这些高风险的沟通场景中口译员面临的具体挑战.
- 评估跨专业协作工具的感知实用性,如预会议和汇报.
主要方法:
- 在四级和社区医院设置中,对57名医疗口译员进行了一项混合方法调查.
- 该调查包括21个问题,重点关注翻译员的舒适性,经验和与严重疾病沟通相关的培训.
- 数据分析检查了报告的舒适度和参与基于团队的沟通策略.
主要成果:
- 大多数医疗口译员报告说,在解释关于困难诊断,不良预后和生命终结问题的讨论时,他们感到不舒服.
- 几乎所有 (98%) 的人都认为,会议前会议和汇报会有帮助,但只有25%的人经常参加会议.
- 在参与者之间观察到翻译员培训和舒适度水平的显著变化.
结论:
- 医疗服务提供者不应该假设口译员对具有挑战性的对话有充分的准备.
- 显然需要专门的培训计划,专注于医疗口译员的困难对话.
- 在讨论重大新闻时,加强对专业间会议前和汇报协议的遵守是必不可少的.
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