Which of the following is the best option when an interpreter is unavailable

Court Interpreter Registries

The Office of the State Courts Administrator currently maintains registries in the following nine languages Spanish, Haitian Creole, French, Russian, Portuguese, Mandarin, Bosnian/Serbian/Croatian, German, and Romanian. To locate a certified interpreter in one of these languages, please visit the applicable link below:

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Court Interpreter Registries
Certified Interpreter Registries:
Language Skilled Interpreter Registries:
Provisionally Approved Interpreter Registries:
Registered Interpreter Registry:
Which of the following is the belief that one's own culture and traditions are better than those of another?
What are 3 important factors to consider when developing multicultural therapeutic communication?
Which of the following terms best describes the idea that one's cultural group and beliefs are superior to all others?
What percentage of the meaning and intent of communication is by spoken word?

Certified Interpreter Registries:

This registry is provided as a resource to locate certified spoken language court interpreters in the State of Florida. The certified court interpreter designation represents the highest qualified state-level interpreter designation and shall be the preferred designation in the selection, appointment, staffing, or private retention of court interpreters.

Language Skilled Interpreter Registries:

This registry is provided as a resource to locate language skilled spoken language court interpreters for languages where there is no state certification available. The language skilled designation represents the highest qualified state-level interpreter designation for languages for which there is currently no state-certifying examination and shall be the preferred designation over non-designated interpreters in the selection, appointment, staffing, or private retention of court interpreters in the area of the language skilled individual’s linguistic expertise.

Provisionally Approved Interpreter Registries:

This registry is provided as a resource to locate those designated as provisionally approved court interpreters when a certified or language skilled court interpreter is unavailable. The provisionally approved designation represents the highest qualified state-level interpreter designation next below the certified and language skilled designations and shall be the preferred designation in the selection, appointment, staffing, or private retention of court interpreters when certified or language skilled court interpreters are unavailable.

Registered Interpreter Registry:

This registry is provided as a resource to locate registered court interpreters when a certified, language skilled, or provisionally approved interpreter is unavailable. Registration is an initial step towards official state-level designation. The “registered” or “registration status” refers to interpreters who have satisfied general prerequisites. This status includes interpreters who have yet to meet the minimum threshold scores on an oral performance examination sufficient to qualify for an official designation. Such interpreters may be referred to as “otherwise registered” or “registered only.”

Registered Court Interpreters

Miscommunication increases the risk of medical errors, inappropriate treatments, emergency room visits, and unintended consent. Ideally, whenever there are language barriers between patients/families and providers, a trained medical interpreter should be made available to assure the clearest possible exchange of important information. A medical interpreter is a trained healthcare specialist who works with spoken language, often mediating between two languages in both directions. Understanding the nuances of two languages requires understanding the culture behind each language. Qualified medical interpreters have extensive knowledge of medical terminology as well. It is common in hospital and clinic settings for telephone interpreter services to be used, but in emotionally-charged conversations it is usually best to use an in-person interpreter if one is available. Unfortunately, trained medical interpreters are unavailable in many private practice settings. The expense is prohibitive for these small businesses. When professional interpretation is not possible, arranging for the family to bring a relative or friend as an interpreter is the next best option. Keep in mind these key points:

The family should bring someone whom they can trust with confidential medical information. Be sure to explain this prior to the appointment.
A representative from the community is sometimes more reliable during an exchange of medical information.
Be sure parents understand that young children should not be used to interpret in medical settings.

Cultural Differences in “Truth Telling”

Relying on untrained interpreters has risks, and healthcare professionals need to take extra care to ensure clear communication.There are strong cultural preferences about giving patients “bad news.” Feeling protective, a family member may use their role as designated interpreter to prevent certain truths from being revealed. Similarly, it is not uncommon for family interpreters to withhold or change information to avoid conflicts. These are key reasons a representative from the community is sometimes a better choice for exchange of medical information.

Refusing Available Interpreter Services

In healthcare settings where interpretation services are available, it is surprising how often patients/families refuse interpreter services when it is clear to the provider that language barriers are going to hinder communication. It is important to offer interpreter services whenever a key decision maker is unable to understand English well enough to participate in a conversation. For example, the patient may be fluent in English, but the spouse speaks only their native language. There are many reasons interpreters may be refused by an individual, but often the refusal is a manifestation of shame. People don’t want to reveal a lack of necessary fluency. In some cases, there are privacy concerns at play if an ethnic community in a city is small and close knit. People do not want private family matters spread through their community, and anonymity may be very hard to protect. Patients are sometimes not comfortable with interpreters because of gender differences (women prefer female interpreters; men prefer male interpreters) or political/ethnic differences (for example, some Amharic- speaking Ethiopians are not comfortable with Oromo interpreters, some Oromos with Tigreans, and so forth). Because of these differences, patients often feel they cannot express all their needs and may not trust treatment plans and medications prescribed. (Molakign, 1996)

Vital Tip!In situations where it is obvious an interpreter will be needed, start by explaining: “Medical talk is complicated. Sometimes it is hard for me as the doctor to make sure I am being clear. Your English is very good, but an interpreter will help me!” (This approach helps people save face.)

Use Teach-Back

With or without the use of interpreter services, people should always be asked to explain what they have understood about a medical condition, prognosis, or course of treatment. This is usually called “teach-back.” Even with patient-centered care as the ideal in U. S. healthcare today, physicians may still be viewed as authority figures by people from societies that emphasize status differences. In some of these cultures, it is not acceptable to ask authority figures questions. Even when they do not understand or agree with what is being said, patients and family members may nod and smile to please a doctor. If someone can’t explain back what they have been told, it reveals a lack of real understanding. Teach back is also extremely important to help address low health literacy in patients and families from all cultures, including mainstream American culture.

No matter how busy healthcare professionals may be, nothing is more important than creating a safe environment for honest discussion to unfold. Hurrying through conversations with patients too often leads to medical errors, ER visits, and patient dissatisfaction. Planning for ways to address language barriers effectively will save time in the long run and improve health outcomes.

References

1. A. Molakign. (1996) EthnoMed. Retrieved 12/9/2014 at https://ethnomed.org/culture/ethiopian/copy_of_ethiopian-cultural-profile

Which of the following is the belief that one's own culture and traditions are better than those of another?

Ethnocentrism is the tendency to look at the world primarily from the perspective of one's own culture. Part of ethnocentrism is the belief that one's own race, ethnic or cultural group is the most important or that some or all aspects of its culture are superior to those of other groups.

What are 3 important factors to consider when developing multicultural therapeutic communication?

3 important actions to promote multicultural communication :.

Become knowledgeable and aware of the beliefs and values of different cultures..

Recognize barriers of multicultural communication..

Develop techniques that build and foster multicultural communication..

Which of the following terms best describes the idea that one's cultural group and beliefs are superior to all others?

Ethnocentrism is a belief in the superiority of your own culture. It results from judging other cultures by your own cultural ideals.

What percentage of the meaning and intent of communication is by spoken word?

The rule states that 7 percent of meaning is communicated through spoken word, 38 percent through tone of voice, and 55 percent through body language. It was developed by psychology professor Albert Mehrabian at the University of California, Los Angeles, who laid out the concept in his 1971 book Silent Messages (1971).