title: Dimensions of trust: the tensions and challenges in provider--interpreter trust.
abstract: In this study we examined the challenges to providers' and interpreters' collaboration in bilingual health care. We conducted in-depth interviews and focus groups with 26 medical interpreters (speaking 17 languages) and 32 providers (from four specialties) in the United States to provide an empirically based framework of provider-interpreter trust. Constant comparative analysis was used for data analysis. We identified four dimensions of trust, theoretical constructs that can strengthen or compromise provider-interpreter trust: interpreter competence, shared goals, professional boundaries, and established patterns of collaboration. In this article we describe how these dimensions highlight tensions and challenges that are unique in provider-interpreter relationships. We conclude with practical guidelines that can enhance provider-interpreter trust, and propose future research directions in bilingual health care.
authors.affiliation: University of Oklahoma, Norman, Oklahoma 73019, USA. ehsieh@ou.edu
authors.forename: Elaine
authors.initials: E
authors.lastname: Hsieh
authors.forename: Hyejung
authors.initials: H
authors.lastname: Ju
authors.forename: Haiying
authors.initials: H
authors.lastname: Kong
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D019303:Multilingualism; D010817:Physician-Patient Relations; D035502:Trust; D014481:United States; D055815:Young Adult