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Review
. 2023 Jul;37(7):931-946.
doi: 10.1177/02692163231169318. Epub 2023 Apr 24.

The emotional effects on professional interpreters of interpreting palliative care conversations for adult patients: A rapid review

Jennifer A Hancox  1 , Clare F McKiernan  2 , Alice L Martin  2 , Jon Tomas  3 , John I MacArtney  4
Affiliations
Review

The emotional effects on professional interpreters of interpreting palliative care conversations for adult patients: A rapid review

Jennifer A Hancox et al. Palliat Med. 2023 Jul.

Abstract

Background: Professional interpreters working in palliative contexts improve patient care. Whilst literature identifies psychological distress in other healthcare professionals, research into emotional effects on professional interpreters in this highly emotive setting is limited. Isolating emotional responses may enable targeted interventions to enhance interpreter use and improve wellbeing. Timely evidence is needed to urgently familiarise the profession with issues faced by these valuable colleagues, to affect practice.

Aim: Describe the emotional effects on professional interpreters of interpreting adult palliative care conversations. Collate recommendations to mitigate negative emotional effects.

Design: We performed a rapid review of studies identifying emotional effects on professional interpreters of interpreting adult palliative conversations. Rapid review chosen to present timely evidence to relevant stakeholders in a resource-efficient way. Thematic analysis managed using NVivo. Quality appraisal evaluated predominantly using CASP checklists. Reported using PRISMA guidelines. PROSPERO registration CRD42022301753.

Data sources: Articles available in English on PubMed [1966-2021], MEDLINE [1946-2021], EMBASE [1974-2021], CINAHL [1981-2021] and PsycINFO [1806-2021] in December 2021.

Results: Eleven articles from the USA (5), Australia (3), Canada (2) and UK (1). Eight interview-based, two online surveys and one quality improvement project. Themes included (1) Identifying diversity of emotional effects: emotions including stress, discomfort, loneliness. (2) Identifying factors affecting interpreters' emotional responses: impact of morals, culture and role expectations; working with patients and families; interpreter experience and age. (3) Recommendations to mitigate negative emotional effects: pre-briefing, debriefing and interpreter/provider training.

Conclusion: Professional interpreters experience myriad emotional responses to palliative conversations. Role clarity, collaborative working and formal training may alleviate negative effects.

Keywords: Health personnel; palliative care; professional interpreter; psychological distress; systematic review; terminal care.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
PRISMA checklist.
See this image and copyright information in PMC

References

    1. McAuliffe M, Khadria B. World migration report 2020, https://publications.iom.int/system/files/pdf/wmr_2020.pdf (2020, accessed 21 January 2023).
    1. Eberhard DM, Simons GF, Fennig CD. How many languages are there in the world? Ethnologue, https://www.ethnologue.com/guides/how-many-languages (2022, accessed 21 January 2023).
    1. Wilson E, Chen AH, Grumbach K, et al.. Effects of limited English proficiency and physician language on health care comprehension. J Gen Intern Med 2005; 20(9): 800–806. - PMC - PubMed
    1. Shi L, Lebrun LA, Tsai J. The influence of English proficiency on access to care. Ethn Health 2009; 14(6): 625–642. - PubMed
    1. Fiscella K, Franks P, Doescher MP, et al.. Disparities in health care by race, ethnicity, and language among the insured: findings from a national sample. Med Care 2002; 40(1): 52–59. - PubMed

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