How interpreters influence patient participation in medical consultations: The confluence of verbal and nonverbal dimensions of interpreter-mediated clinical communication

PATIENT EDUCATION AND COUNSELING

卷:101

Article

Krystallidou, Demi¹  Pype, Peter² 

[1] Katholieke Univ Leuven, Fac Arts, Antwerp Campus,Sint Andriesstr 2, B-2000 Antwerp, Belgium

[2] Univ Ghent, Dept Family Med & Primary Hlth Care, Ghent, Belgium

关键词: Patient participation;    Patient involvement;    Communication barriers;    Nonverbal communication;    Video recording;    ART Framework;    Interpreter-mediated consultations;   

DOI  :  10.1016/j.pec.2018.05.006

来源: Elsevier

【 摘 要 】

Objective: To investigate i) how the patient's participation in interaction occurs in interpreter-mediated consultations (IMCs) when the doctor provides information to the patient or tries to elicit information from them; ii) how the interpreter's presence in the consultation influences the patient's participation. Method: We analyzed 20 authentic video-recorded IMCs using the A.R.T. framework, an analytical tool for the study of participation in video recorded interpreter-mediated interactions. Results: We coded 521 doctor utterances through which doctors either provided information or tried to elicit information from the patient. In 448 of them, the interpreter established a participation and engagement framework (PEF) with the patient while translating the doctor's utterances. In 48 cases the interpreter established a PEF with the doctor and in 25 cases the interpreter avoided establishing a PEF with either of the participants while translating the doctor's utterances. Conclusion: When the interpreter established a PEF with either of the participants, they used verbal and nonverbal means that created the conditions in interaction in order to enable and/or rectify the patient's participation. Practice implications: Doctors and interpreters should become more aware of their own and each other's actions in interaction and their influence on the patient's participation in the consultation. (C) 2018 Elsevier B.V. All rights reserved.

【 授权许可】

Free