Language Co-Construction and Collaboration in Interpreter-Mediated Primary Care Encounters With Hispanic Adults.
Robin Dawson Estrada, DeAnne K Hilfinger Messias
PMID 29308730WHAT IT FOUND
In Spanish-language clinic visits, interpreters, nurse practitioners, and patients worked together to build trust, clarify medical terms, and solve access problems.
Personal greetings were linked to patients becoming more engaged and reporting satisfaction.
Key findings
01Providers, patients, and interpreters shared responsibility for accuracy, searching for words and confirming meaning during encounters.
02A patient was minimally interactive until a personal topic prompted more engagement.
03Medication access issues, including cost and pharmacy choice, were discussed and negotiated during the visits.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Small purposive sample; findings cannot show that these communication behaviours improve health outcomes. Participants were from a limited number of clinics and were not randomly selected. The study describes interaction processes, not measured clinical results.
Declared interests
The authors declared no potential conflicts of interest with respect to the research, authorship, or publication.
The easy way to misread this
Do not conclude that personal greetings or shared word finding improve health outcomes. The study only observed communication processes in a small number of encounters and did not measure clinical results.