A bridge between cultures: interpreters' perspectives of consultations with migrant oncology patients.
BACKGROUND
Migration is increasing worldwide. In previous research into people with cancer from culturally and linguistically diverse backgrounds, interpreter accuracy, professionalism and continuity have emerged as key concerns for patients. Little is known about interpreters' perceptions of their role and the challenges they face. This study aimed to obtain their perspective.


METHODS
Thirty interpreters (Greek n = 7, Chinese n = 11, and Arabic n = 12) participated in four focus groups which were audio-taped, transcribed and analysed for themes using N-Vivo software.


RESULTS
Skills as an interpreter were broadly perceived as conveying information accurately, being confidential and impartial. Three broad dilemmas faced by interpreters emerged: accuracy versus understanding; translating only versus cultural advocacy and sensitivity; and professionalism versus providing support. Some saw themselves as merely an accurate conduit of information, while others saw their role in broader terms, encompassing patient advocacy, cultural brokerage and provision of emotional support. Perceived challenges in their role included lack of continuity, managing their own emotions especially after bad news consultations, and managing diverse patient and family expectations. Training and support needs included medical terminology, communication and counselling skills and debriefing. Interpreters suggested that oncologists check on interpreter/patient's language or dialect compatibility; use lay language and short sentences; and speak in the first person.


CONCLUSIONS
Resolving potential conflicts between information provision and advocacy is an important area of cross-cultural communication research. Further training and support is required to enhance interpreters' competence in managing delicate situations from a professional, cultural and psychological perspective; and to assist doctors to collaborate with interpreters to ensure culturally competent communication. Ultimately, this will improve interpreters' well-being and patient care.
School of Psychology, University of Sydney, Sydney, Australia. phyllisb@psych.usyd.edu.au
Phyllis N
PN
Butow
Elizabeth
E
Lobb
Michael
M
Jefford
David
D
Goldstein
Maurice
M
Eisenbruch
Afaf
A
Girgis
Madeleine
M
King
Ming
M
Sze
Lynley
L
Aldridge
Penelope
P
Schofield
D000328:Adult; D000368:Aged; D003144:Communication Barriers; D003431:Cross-Cultural Comparison; D054521:Cultural Competency; D018864:Cultural Diversity; D054242:Emigrants and Immigrants; D005260:Female; D017144:Focus Groups; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D019303:Multilingualism; D009369:Neoplasms / Q000628:therapy; D010817:Physician-Patient Relations; D011361:Professional Competence