Difference between revisions of "Raymond2014a"
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|BibType=ARTICLE | |BibType=ARTICLE | ||
|Author(s)=Chase Wesley Raymond; | |Author(s)=Chase Wesley Raymond; | ||
| − | |Title=Conveying | + | |Title=Conveying information in the interpreter-mediated medical visit: The case of epistemic brokering |
|Tag(s)=EMCA; Medical consultations; Interpreting; Epistemics; | |Tag(s)=EMCA; Medical consultations; Interpreting; Epistemics; | ||
|Key=Raymond2014a | |Key=Raymond2014a | ||
| Line 8: | Line 8: | ||
|Journal=Patient Education and Counseling | |Journal=Patient Education and Counseling | ||
|Volume=97 | |Volume=97 | ||
| + | |Number=1 | ||
|Pages=38–46 | |Pages=38–46 | ||
| + | |URL=http://www.pec-journal.com/article/S0738-3991(14)00225-0/abstract | ||
|DOI=10.1016/j.pec.2014.05.020 | |DOI=10.1016/j.pec.2014.05.020 | ||
| − | |Abstract=Objective: This study introduces the concept of epistemic brokering in interpreter-mediated medical | + | |Abstract=Objective: This study introduces the concept of epistemic brokering in interpreter-mediated medical visits and illustrates how it can be used to effectively convey information between providers and patients/parents. |
| − | visits and illustrates how it can be used to effectively convey information between providers and | + | |
| − | patients/parents. | + | Methods: Conversation analysis is used to analyze 24 pediatric genetics consultations (=17.75 h) involving 16 Spanish-speaking families, their various English-speaking healthcare providers, and four on-staff bilingual interpreters. |
| − | Methods: Conversation analysis is used to analyze 24 pediatric genetics consultations (=17. | + | |
| − | involving 16 Spanish-speaking families, their various English-speaking healthcare providers, and four | + | Results: Interpreters-as-epistemic-brokers can aid in the transfer of information between clinicians and patients/parents (i) by (re)designing content to be appropriately fitted to a specific recipient's understanding, and (ii) by monitoring the ongoing medical visit for moments in which one or more interactants may be in a relatively unknowledgeable position and taking steps to secure common ground. |
| − | on-staff bilingual interpreters. | + | |
| − | Results: Interpreters-as-epistemic-brokers can aid in the transfer of information between clinicians and | + | Conclusion: It is posited that epistemically brokering interaction can serve to promote the development of positive relationships with potentially hard-to-reach patients/parents. Although seemingly minor, these moments in interaction contribute to these individuals’ overall experience with and understanding of the institution of medicine. Future research is needed to identify the particular strategies associated with effective epistemic brokering. |
| − | patients/parents (i) by (re)designing content to be appropriately fitted to a specific | + | |
| − | understanding, and (ii) by monitoring the ongoing medical visit for moments in which one or more | + | Practice implications: Interpreters and clinicians should be aware of the role that discursive practices play in conveying information in the medical visit, and reconceptualize interpreters as collaborators in this process. |
| − | interactants may be in a relatively unknowledgeable position and taking steps to secure common ground. | ||
| − | Conclusion: It is posited that epistemically brokering interaction can serve to promote the development | ||
| − | of positive relationships with potentially hard-to-reach patients/parents. Although seemingly minor, | ||
| − | these moments in interaction contribute to these individuals’ overall experience with and understanding | ||
| − | of the institution of medicine. Future research is needed to identify the particular strategies associated | ||
| − | with effective epistemic brokering. | ||
| − | Practice implications: Interpreters and clinicians should be aware of the role that discursive practices | ||
| − | play in | ||
}} | }} | ||
Latest revision as of 11:07, 7 March 2016
| Raymond2014a | |
|---|---|
| BibType | ARTICLE |
| Key | Raymond2014a |
| Author(s) | Chase Wesley Raymond |
| Title | Conveying information in the interpreter-mediated medical visit: The case of epistemic brokering |
| Editor(s) | |
| Tag(s) | EMCA, Medical consultations, Interpreting, Epistemics |
| Publisher | |
| Year | 2014 |
| Language | |
| City | |
| Month | |
| Journal | Patient Education and Counseling |
| Volume | 97 |
| Number | 1 |
| Pages | 38–46 |
| URL | Link |
| DOI | 10.1016/j.pec.2014.05.020 |
| ISBN | |
| Organization | |
| Institution | |
| School | |
| Type | |
| Edition | |
| Series | |
| Howpublished | |
| Book title | |
| Chapter | |
Abstract
Objective: This study introduces the concept of epistemic brokering in interpreter-mediated medical visits and illustrates how it can be used to effectively convey information between providers and patients/parents.
Methods: Conversation analysis is used to analyze 24 pediatric genetics consultations (=17.75 h) involving 16 Spanish-speaking families, their various English-speaking healthcare providers, and four on-staff bilingual interpreters.
Results: Interpreters-as-epistemic-brokers can aid in the transfer of information between clinicians and patients/parents (i) by (re)designing content to be appropriately fitted to a specific recipient's understanding, and (ii) by monitoring the ongoing medical visit for moments in which one or more interactants may be in a relatively unknowledgeable position and taking steps to secure common ground.
Conclusion: It is posited that epistemically brokering interaction can serve to promote the development of positive relationships with potentially hard-to-reach patients/parents. Although seemingly minor, these moments in interaction contribute to these individuals’ overall experience with and understanding of the institution of medicine. Future research is needed to identify the particular strategies associated with effective epistemic brokering.
Practice implications: Interpreters and clinicians should be aware of the role that discursive practices play in conveying information in the medical visit, and reconceptualize interpreters as collaborators in this process.
Notes
