Health navigation and interpreting services for patients with limited English proficiency: a narrative literature review
Jo Hilder 1 2 , Ben Gray 1 , Maria Stubbe 1
+ Author Affiliations
- Author Affiliations
1 Department of Primary Health Care & General Practice, University of Otago Wellington, PO Box 7343, Newtown, Wellington, New Zealand
2 Corresponding author. Email: jo.hilder@otago.ac.nz
Journal of Primary Health Care 11(3) 217-226 https://doi.org/10.1071/HC18067
Published: 20 September 2019
Journal Compilation © Royal New Zealand College of General Practitioners 2019 This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
Abstract
INTRODUCTION: Culturally and linguistically diverse populations (CALD) have significant health outcome disparities compared to dominant groups in high-income countries. The use of both navigators and interpreters are strategies used to address these disparities, but the intersections between these two roles can be poorly understood.
AIM: To gain an overview of the literature on health navigation and similar roles, with particular reference to the New Zealand context, and to explore the interface between these roles and that of interpreters for CALD populations with limited English proficiency.
METHODS: A narrative review of the literature was conducted using a range of search strategies and a thematic analysis was conducted.
RESULTS: There are several barriers to health-care access relating to health systems and CALD populations. For over 50 years, health workers who are members of these communities have been used to address these barriers, but there are many terms describing workers with wide-ranging roles. There is some evidence of efficacy in economic, psychosocial and functional terms. For health navigation services to work, they need to have staff who are well selected, trained and supported; are integrated into health-care teams; and have clearly defined roles. There may be a place for integrating interpreting more formally into the navigator role for members of communities who have limited English proficiency.
CONCLUSION: To achieve better access to health care for CALD populations, there is an argument for adding another member to the health team who combines clearly defined aspects of the roles of interpreter, community health worker and navigator. Organisations considering setting up such a position should have a clear target population, carefully consider the barriers they are trying to address and define a role, scope of practice and training requirements best suited to addressing those barriers.
KEYwords: Communication barriers; Community health workers; Delivery of health care; Health services accessibility; Pacific.
References
[1] Hines AL, Andrews RM, Moy E, et al. Disparities in rates of inpatient mortality and adverse events: Race/ethnicity and language as independent contributors. Int J Environ Res Public Health. 2014; 11 13017–34.| Disparities in rates of inpatient mortality and adverse events: Race/ethnicity and language as independent contributors.Crossref | GoogleScholarGoogle Scholar | 25514153PubMed |
[2] Maoate K. Pacific people’s health in New Zealand. N Z Med J 2013; 126 12–3.
| 24162627PubMed |
[3] López L, Grant RW. Closing the gap: eliminating health care disparities among Latinos with diabetes using health information technology tools and patient navigators. J Diabetes Sci Technol. 2012; 6 169–76.
| Closing the gap: eliminating health care disparities among Latinos with diabetes using health information technology tools and patient navigators.Crossref | GoogleScholarGoogle Scholar | 22401336PubMed |
[4] Ward E, Jemal A, Cokkinides V, et al. Cancer disparities by race/ethnicity and socioeconomic status. CA Cancer J Clin. 2004; 54 78–93.
| Cancer disparities by race/ethnicity and socioeconomic status.Crossref | GoogleScholarGoogle Scholar | 15061598PubMed |
[5] Ajwani S, Blakely T, Robson B, et al. Decades of Disparity: Ethnic Mortality Trends in New Zealand 1980–1999. Wellington, Ministry of Health; 2003.
[6] Sawrikar P, Katz I. Enhancing family and relationship service accessibility and delivery to culturally and linguistically diverse families in Australia. AFRC Issues 2008; 1–20. https://aifs.gov.au/cfca/publications/enhancing-family-and-relationship-service-accessibility-and/characteristics-and
[7] Ministry of Civil Defense and Emergency Management. Including Culturally and Linguistically Diverse (CALD) Communities. Information for the CDEM sector (IS 12/13). Wellington: Ministry of Civil Defense and Emergency Management; 2013.
[8] Sawrikar P, Katz I. How useful is the term ‘Culturally and Linguistically Diverse’ (CALD) in Australian research, practice, and policy discourse. 11th Australian Social Policy Conference, An Inclusive Society. Sydney: UNSW; 2009. https://www.aspc.unsw.edu.au/sites/www.aspc.unsw.edu.au/files/uploads/files/ASPC_Program09.pdf
[9] Gray B, Hilder J, Donaldson H. Why do we not use trained interpreters for all patients with limited English proficiency? Is there a place for using family members? Aust J Prim Health. 2011; 17 240–9.
| Why do we not use trained interpreters for all patients with limited English proficiency? Is there a place for using family members?Crossref | GoogleScholarGoogle Scholar | 21896260PubMed |
[10] Bancroft M. The interpreter’s world tour: an environmental scan of standards of practice for interpreters. 2005. [cited 2019 August 8]. Available from: http://www.hablamosjuntos.org/resources/pdf/The_Interpreter%27s_World_Tour.pdf
[11] Gray B, Stubbe M, Hilder J. Integrating Health Navigation and Interpreting Services for Patients with Limited English Proficiency. Wellington: Department of Primary Health Care & General Practice, University of Otago Wellington (ARCH Group); 2017.
[12] Hilder J, Gray B, Stubbe M. Integrating health navigation and interpreting services for patients with limited English proficiency. Pac Health Dialog. 2019; 21 116–27.
| Integrating health navigation and interpreting services for patients with limited English proficiency.Crossref | GoogleScholarGoogle Scholar |
[13] Greenhalgh T, Thorne S, Malterud K. Time to challenge the spurious hierarchy of systematic over narrative reviews? Eur J Clin Invest. 2018; 48 e12931
| Time to challenge the spurious hierarchy of systematic over narrative reviews?Crossref | GoogleScholarGoogle Scholar | 29722900PubMed |
[14] CBG Health Research Limited. Improving access to primary health care: An evaluation of 35 reducing inequalities projects. Wellington: Ministry of Health; 2005.
[15] Changemakers Refugee Forum. Barriers to achieving good health outcomes in refugee-background communities: A report prepared for Regional Public Health and the Department of Labour. Wellington, NZ: Changemakers Refugee Forum; 2011.
[16] Foliaki S, Matheson A. Barriers to cervical screening among Pacific Women in a New Zealand urban population. Asian Pac J Cancer Prev. 2015; 16 1565–70.
| Barriers to cervical screening among Pacific Women in a New Zealand urban population.Crossref | GoogleScholarGoogle Scholar | 25743832PubMed |
[17] Southwick M, Kenealy T, Ryan D. Primary Care for Pacific People: A Pacific and Health Systems approach: Report to the Health Research Council and the Ministry of Health. Wellington: Pacific Perspectives; 2012.
[18] Tiatia J. Pacific Cultural Competencies: A literature review. Wellington, NZ: Ministry of Health; 2008.
[19] Lawrence J, Kearns R. Exploring the ‘fit’ between people and providers: refugee health needs and health care services in Mt Roskill, Auckland, New Zealand. Health Soc Care Community. 2005; 13 451–61.
| Exploring the ‘fit’ between people and providers: refugee health needs and health care services in Mt Roskill, Auckland, New Zealand.Crossref | GoogleScholarGoogle Scholar | 16048533PubMed |
[20] Guirgis M, Nusair F, Bu YM, et al. Barriers faced by migrants in accessing healthcare for viral hepatitis infection. Intern Med J. 2012; 42 491–6.
| Barriers faced by migrants in accessing healthcare for viral hepatitis infection.Crossref | GoogleScholarGoogle Scholar | 22151101PubMed |
[21] Henderson S, Kendall E. Culturally and linguistically diverse peoples’ knowledge of accessibility and utilisation of health services: exploring the need for improvement in health service delivery. Aust J Prim Health. 2011; 17 195–201.
| Culturally and linguistically diverse peoples’ knowledge of accessibility and utilisation of health services: exploring the need for improvement in health service delivery.Crossref | GoogleScholarGoogle Scholar | 21645477PubMed |
[22] Komaric N, Bedford S, van Driel ML. Two sides of the coin: patient and provider perceptions of health care delivery to patients from culturally and linguistically diverse backgrounds. BMC Health Serv Res. 2012; 12 322
| Two sides of the coin: patient and provider perceptions of health care delivery to patients from culturally and linguistically diverse backgrounds.Crossref | GoogleScholarGoogle Scholar | 22985266PubMed |
[23] Freeman HP. The history, principles, and future of patient navigation: commentary. Semin Oncol Nurs. 2013; 29 72–5.
| The history, principles, and future of patient navigation: commentary.Crossref | GoogleScholarGoogle Scholar | 23651676PubMed |
[24] Pei P, Becerra A, Do XMT, et al. Health Navigators: Promoting cultural competence and health literacy to increase prevention and wellness in underserved communities. 140th American Public Health Association Annual Meeting and Exposition. San Francisco, CA, 2012. https://apha.confex.com/apha/140am/webprogram/Paper268469.html
[25] Love MB, Gardner K. The emerging role of the community health worker in California. Community Health Works; 1992.
[26] Koh C, Nelson JM, Cook PF. Evaluation of a patient navigation program. Clin J Oncol Nurs. 2011; 15 41–8.
| Evaluation of a patient navigation program.Crossref | GoogleScholarGoogle Scholar | 21278040PubMed |
[27] Manderson B, McMurray J, Piraino E, et al. Navigation roles support chronically ill older adults through healthcare transitions: a systematic review of the literature. Health Soc Care Community. 2012; 20 113–27.
| Navigation roles support chronically ill older adults through healthcare transitions: a systematic review of the literature.Crossref | GoogleScholarGoogle Scholar | 21995806PubMed |
[28] Ferraro M, Seguinot M, Rabbani R, et al. Bringing the social determinants into healthcare: a new perspective on patient navigators, and community health workers and possible payment models. Changing outcomes: The 5th Annual Patient Navigator/Community Health Worker Conference. 8 May, Norwood, MA, 2014.
[29] Volkmann K. Community Health Workers as Patient Navigators. Seattle, WA: Northwest Regional Primary Care Association; 2012. [cited 2014 July 02]. Available from: http://www.nwrpca.org/health-center-news/253-community-health-workers-as-patient-navigators.html
[30] Wells KJ, Battaglia TA, Dudley DJ, et al. Patient navigation: state of the art or is it science? Cancer. 2008; 113 1999–2010.
| Patient navigation: state of the art or is it science?Crossref | GoogleScholarGoogle Scholar | 18780320PubMed |
[31] Dohan D, Schrag D. Using navigators to improve care of underserved patients: current practices and approaches. Cancer. 2005; 104 848–55.
| Using navigators to improve care of underserved patients: current practices and approaches.Crossref | GoogleScholarGoogle Scholar | 16010658PubMed |
[32] Bidwell S. Improving access to primary health care for children and youth: a review of the literature for the Canterbury Clinical network Child and Youth Workstream. Christchurch, NZ: Canterbury District Health Board; 2013.
[33] Hou S-I, Roberson K. A systematic review on US-based Community Health Navigator (CHN) interventions for cancer screening promotion—comparing community-versus clinic-based Navigator models. J Cancer Educ. 2015; 30 173–86.
| A systematic review on US-based Community Health Navigator (CHN) interventions for cancer screening promotion—comparing community-versus clinic-based Navigator models.Crossref | GoogleScholarGoogle Scholar | 25219543PubMed |
[34] Whanganui District Health Board. WDHB’s Maori Health Services. 2018. [cited 2019 August 05]. Available from: https://wdhb.org.nz/content/page/wdhb-s-maori-health-services/m/2851/
[35] Arvey SR, Fernandez ME. Identifying the core elements of effective community health worker programs: a research agenda. Am J Public Health. 2012; 102 1633–7.
| Identifying the core elements of effective community health worker programs: a research agenda.Crossref | GoogleScholarGoogle Scholar | 22813092PubMed |
[36] Fillion L, Cook S, Veillette AM, et al. Professional navigation framework: elaboration and validation in a Canadian context. Oncol Nurs Forum. 2012; 39 E58–69.
| Professional navigation framework: elaboration and validation in a Canadian context.Crossref | GoogleScholarGoogle Scholar | 22201669PubMed |
[37] Wennerstrom A, Bui T, Harden-Barrios J, et al. Integrating community health workers into a patient-centered medical home to support disease self-management among Vietnamese Americans: lessons learned. Health Promot Pract. 2015; 16 72–83.
| Integrating community health workers into a patient-centered medical home to support disease self-management among Vietnamese Americans: lessons learned.Crossref | GoogleScholarGoogle Scholar | 25139872PubMed |
[38] Henderson S, Kendall E. ‘Community navigators’: making a difference by promoting health in culturally and linguistically diverse (CALD) communities in Logan, Queensland. Aust J Prim Health. 2011; 17 347–54.
| ‘Community navigators’: making a difference by promoting health in culturally and linguistically diverse (CALD) communities in Logan, Queensland.Crossref | GoogleScholarGoogle Scholar | 22112703PubMed |
[39] Case MA. Oncology nurse navigator: Ensuring safe passage. Clin J Oncol Nurs. 2011; 15 33–40.
| Oncology nurse navigator: Ensuring safe passage.Crossref | GoogleScholarGoogle Scholar | 21278039PubMed |
[40] Trevillion K, Singh-Carlson S, Wong F, et al. An evaluation report of the nurse navigator services for the breast cancer support program. Can Oncol Nurs J. 2015; 25 409–14.
| An evaluation report of the nurse navigator services for the breast cancer support program.Crossref | GoogleScholarGoogle Scholar | 26897864PubMed |
[41] Thorne S, Truant T. Will designated patient navigators fix the problem? Oncology nursing in transition. Can Oncol Nurs J. 2010; 20 116–21.
| Will designated patient navigators fix the problem? Oncology nursing in transition.Crossref | GoogleScholarGoogle Scholar | 20812603PubMed |
[42] Ministry of Health. New Zealand Framework for Dementia Care. Wellington: Ministry of Health; 2013.
[43] Collinson L, Foster RH, Stapleton M, et al. Cancer care coordinators: what are they and what will they cost? N Z Med J. 2013; 126 75–86.
| 24150268PubMed |
[44] Nutt M, Hungerford C. Nurse care coordinators: Definitions and scope of practice. Contemp Nurse. 2010; 36 71–81.
| Nurse care coordinators: Definitions and scope of practice.Crossref | GoogleScholarGoogle Scholar | 21254824PubMed |
[45] Castañares T. Thirty-four years working hand in hand with community health workers: a doctor’s perspective. J Ambul Care Manage. 2015; 38 280–3.
| Thirty-four years working hand in hand with community health workers: a doctor’s perspective.Crossref | GoogleScholarGoogle Scholar | 26353021PubMed |
[46] Enard KR, Ganelin DM. Reducing preventable emergency department utilization and costs by using community health workers as patient navigators. J Healthc Manag. 2013; 58 412–27.
| Reducing preventable emergency department utilization and costs by using community health workers as patient navigators.Crossref | GoogleScholarGoogle Scholar | 24400457PubMed |
[47] Freeman HP, Rodriguez RL. History and principles of patient navigation. Cancer. 2011; 117 3539–42.
| 21780088PubMed |
[48] Krebs LU, Burhansstipanov L, Watanabe-Galloway S, et al. Navigation as an intervention to eliminate disparities in American Indian communities. Semin Oncol Nurs. 2013; 29 118–27.
| Navigation as an intervention to eliminate disparities in American Indian communities.Crossref | GoogleScholarGoogle Scholar | 23651681PubMed |
[49] Marchand P. Schering Lectureship 2008: The clinical nurse specialist as nurse navigator: Ordinary role presents extraordinary experience. Can Oncol Nurs J. 2010; 20 80–3.
| Schering Lectureship 2008: The clinical nurse specialist as nurse navigator: Ordinary role presents extraordinary experience.Crossref | GoogleScholarGoogle Scholar | 20572431PubMed |
[50] Rotich JP, Kaya A. Critical role of lay health cultural brokers in promoting the health of immigrants and refugees: A case study in the United States of America. Int J Hum Sci. 2014; 11 291–302.
| Critical role of lay health cultural brokers in promoting the health of immigrants and refugees: A case study in the United States of America.Crossref | GoogleScholarGoogle Scholar |
[51] Seattle Children’s Hospital. About Seattle Children’s: Diversity and health equity. Seattle, WA: Seattle Children’s Hospital, 2014. [cited 2019 August 05]. Available from: http://www.seattlechildrens.org/about/diversity/
[52] Verrept H. Intercultural mediation: An answer to health care disparities? In: Crossing borders in community interpreting: Definitions and dilemmas. Garcés CV, Martin A, editors. Amsterdam; Philadelphia: John Benjamins; 2008. pp. 187–202.
[53] Waterworth S, Gott M, Raphael D, et al. Working with older people with multiple long-term conditions: a qualitative exploration of nurses’ experiences. J Adv Nurs. 2015; 71 90–9.
| Working with older people with multiple long-term conditions: a qualitative exploration of nurses’ experiences.Crossref | GoogleScholarGoogle Scholar | 25040364PubMed |
[54] Whop LJ, Valery PC, Beesley VL, et al. Navigating the cancer journey: a review of patient navigator programs for Indigenous cancer patients. Asia Pac J Clin Oncol. 2012; 8 e89–96.
| Navigating the cancer journey: a review of patient navigator programs for Indigenous cancer patients.Crossref | GoogleScholarGoogle Scholar | 22897931PubMed |
[55] Viswanathan M, Kraschnewski JL, Nishikawa B, et al. Outcomes and costs of community health worker interventions: a systematic review. Med Care. 2010; 48 792–808.
| Outcomes and costs of community health worker interventions: a systematic review.Crossref | GoogleScholarGoogle Scholar | 20706166PubMed |
[56] Harun A, Harrison JD, Young JM. Interventions to improve patient participation in the treatment process for culturally and linguistically diverse people with cancer: a systematic review. Asia Pac J Clin Oncol. 2013; 9 99–109.
| Interventions to improve patient participation in the treatment process for culturally and linguistically diverse people with cancer: a systematic review.Crossref | GoogleScholarGoogle Scholar | 22897920PubMed |
[57] Cantril C, Haylock PJ. Patient navigation in the oncology care setting. Semin Oncol Nurs. 2013; 29 76–90.
| Patient navigation in the oncology care setting.Crossref | GoogleScholarGoogle Scholar | 23651677PubMed |
[58] Elkin EB, Shapiro E, Snow JG, et al. The economic impact of a patient navigator program to increase screening colonoscopy. Cancer. 2012; 118 5982–8.
| The economic impact of a patient navigator program to increase screening colonoscopy.Crossref | GoogleScholarGoogle Scholar | 22605672PubMed |
[59] Lasser KE, Murillo J, Lisboa S, et al. Colorectal cancer screening among ethnically diverse, low-income patients: a randomized controlled trial. Arch Intern Med. 2011; 171 906–12.
| Colorectal cancer screening among ethnically diverse, low-income patients: a randomized controlled trial.Crossref | GoogleScholarGoogle Scholar | 21606094PubMed |
[60] Shelton Brown H, Wilson KJ, Pagan JA, et al. Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes. Prev Chronic Dis. 2012; 9 120074
| Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes.Crossref | GoogleScholarGoogle Scholar |
[61] Clegg J, Hanson Smart D, Hyo-Jung Bezemer D, Freeman J. Final Evaluation Report (Seattle Children’s Patient Navigator Program). Seattle, WA: Pacific Hospital Preservation & Development Authority; 2011.
[62] Ferrante JM, Cohen DJ, Crosson JC. Translating the patient navigator approach to meet the needs of primary care. J Am Board Fam Med. 2010; 23 736–44.
| Translating the patient navigator approach to meet the needs of primary care.Crossref | GoogleScholarGoogle Scholar | 21057069PubMed |
[63] Velarde H. The role of social support in a chronic disease patient navigation program among a Latino/Hispanic and Somali refugee population. Master’s thesis. San Diego, CA: San Diego State University; 2013.
[64] Collinsworth A, Vulimiri M, Snead C, et al. Community health workers in primary care practice: redesigning health care delivery systems to extend and improve diabetes care in underserved populations. Health Promot Pract. 2014; 15 51S–61S.
| Community health workers in primary care practice: redesigning health care delivery systems to extend and improve diabetes care in underserved populations.Crossref | GoogleScholarGoogle Scholar | 25359249PubMed |
[65] Witmer A, Seifer SD, Finocchio L, et al. Community health workers: integral members of the health care work force. Am J Public Health. 1995; 85 1055–58.
| Community health workers: integral members of the health care work force.Crossref | GoogleScholarGoogle Scholar | 7625495PubMed |
[66] Nguyen TU, Tran JH, Kagawa-Singer M, et al. A qualitative assessment of community-based breast health navigation services for Southeast Asian women in Southern California: recommendations for developing a navigator training curriculum. Am J Public Health. 2011; 101 87–93.
| A qualitative assessment of community-based breast health navigation services for Southeast Asian women in Southern California: recommendations for developing a navigator training curriculum.Crossref | GoogleScholarGoogle Scholar | 21088273PubMed |
[67] Paskett ED, Harrop J, Wells KJ. Patient navigation: an update on the state of the science. CA Cancer J Clin. 2011; 61 237–49.
| Patient navigation: an update on the state of the science.Crossref | GoogleScholarGoogle Scholar | 21659419PubMed |
[68] Ehrlich C, Kendall E, Muenchberger H. Spanning boundaries and creating strong patient relationships to coordinate care are strategies used by experienced chronic condition care coordinators. Contemp Nurse. 2012; 42 67–75.
| Spanning boundaries and creating strong patient relationships to coordinate care are strategies used by experienced chronic condition care coordinators.Crossref | GoogleScholarGoogle Scholar | 23050573PubMed |
[69] Watson AC. Finding common ground in case management: new titles and terminology along the health care continuum. Prof Case Manag. 2011; 16 52–4.
| Finding common ground in case management: new titles and terminology along the health care continuum.Crossref | GoogleScholarGoogle Scholar | 21304349PubMed |
[70] Villa-Torres L, Fleming PJ, Barrington C. Engaging men as promotores de salud: perceptions of community health workers among Latino men in North Carolina. J Community Health. 2015; 40 167–74.
| Engaging men as promotores de salud: perceptions of community health workers among Latino men in North Carolina.Crossref | GoogleScholarGoogle Scholar | 24989349PubMed |
[71] Taylor VM, Burke NJ, Sos C, et al. Community health worker hepatitis B education for Cambodian American men and women. Asian Pac J Cancer Prev. 2013; 14 4705–9.
| Community health worker hepatitis B education for Cambodian American men and women.Crossref | GoogleScholarGoogle Scholar | 24083730PubMed |
[72] Interpreting New Zealand. Accuracy, impartiality and confidentiality: what do these look like in practice? Wellington, NZ: Interpreting NZ; [cited 2018 August 5]. Available from: https://www.interpret.org.nz/assets/accuracy-impartiality-confidentiality.pdf
[73] New Zealand Society of Translators and Interpreters. NZSTI Code of Ethics and Code of Conduct. Auckland, NZ: New Zealand Society of Translators and Interpreters; 2013. [cited 2019 August 5]. Available from: https://www.nzsti.org/assets/uploads/files/nzsti_code_of_ethics_and_code_of_conduct_may_2013.pdf
[74] Ho A. Using family members as interpreters in the clinical setting. J Clin Ethics. 2008; 19 223–33.
| 19004432PubMed |
[75] Kaufert JM, Putsch RW. Communication through interpreters in healthcare: ethical dilemmas arising from differences in class, culture, language, and power. J Clin Ethics. 1997; 8 71–87.
| 9130112PubMed |
[76] Hsieh E. Conflicts in how interpreters manage their roles in provider-patient interactions. Soc Sci Med. 2006; 62 721–30.
| Conflicts in how interpreters manage their roles in provider-patient interactions.Crossref | GoogleScholarGoogle Scholar | 16046038PubMed |
[77] Messent P. From postmen to makers of meaning: a model for collaborative work between clinicians and interpreters. In: Working with Interpreters in Mental Health. Tribe R, Raval H, editors. Hove and New York: Brunner-Routledge; 2002. pp. 135–50.
[78] National Council on Interpreting in Health Care, American Translators Association. What’s in a word? – A Guide to Understanding Interpreting and Translation in Health Care. Los Angeles: National Health Law Program; 2010. [cited 2019 August 5]. Available from: http://www.nyhq.org/doc/Page.asp?PageID=DOC000312
[79] White K, Laws MB. Role exchange in medical interpretation. J Immigr Minor Health. 2009; 11 482–93.
| Role exchange in medical interpretation.Crossref | GoogleScholarGoogle Scholar | 18975091PubMed |
[80] Hsieh E. “I am not a robot!” Interpreters’ views of their roles in health care settings. Qual Health Res. 2008; 18 1367–83.
| “I am not a robot!” Interpreters’ views of their roles in health care settings.Crossref | GoogleScholarGoogle Scholar | 18832768PubMed |
[81] Cox A. Do you get the message? Defining the interpreter’s role in medical interpreting in Belgium. MonTI 2015; 161–84.
[82] Angelelli CV. Validating professional standards and codes: Challenges and opportunities. Int J Res Prac Interpre. 2006; 8 175–93.
| Validating professional standards and codes: Challenges and opportunities.Crossref | GoogleScholarGoogle Scholar |
[83] Kaufert JM, Koolage WW. Role conflict among ‘culture brokers’: the experience of native Canadian medical interpreters. Soc Sci Med. 1984; 18 283–6.
| Role conflict among ‘culture brokers’: the experience of native Canadian medical interpreters.Crossref | GoogleScholarGoogle Scholar | 6701572PubMed |
[84] Butow PN, Lobb E, Jefford M, et al. A bridge between cultures: interpreters’ perspectives of consultations with migrant oncology patients. Support Care Cancer. 2012; 20 235–44.
| A bridge between cultures: interpreters’ perspectives of consultations with migrant oncology patients.Crossref | GoogleScholarGoogle Scholar | 21110046PubMed |
[85] Gray B, Hilder J, Stubbe M. How to use interpreters in General Practice: the Development of a Toolkit. J Prim Health Care. 2012; 4 52–61.
| How to use interpreters in General Practice: the Development of a Toolkit.Crossref | GoogleScholarGoogle Scholar | 22377550PubMed |
