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Paeds Casesprofessional-practice-and-evidence

Paeds Cases · professional-practice-and-evidence

Working with interpreters and culturally responsive communication OSCE — emergency consent and adolescent confidentiality

Observed communication encounter testing professional interpreter use, the avoidance of child interpreters, teach-back, a cultural competence framework and the protection of adolescent confidentiality.

osce communication station2 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Station A is a Dari-speaking mother whose 8-year-old daughter is being asked to interpret consent in the emergency department. Station B is a migrant adolescent needing a confidential consultation where the mother wishes to stay with a trusted community interpreter.

Station objectives

  1. Select the correct interpreter mode for an urgent encounter and avoid using a child as interpreter. [1] [4]
  2. Conduct an interpreter-mediated consent using first-person address, short chunks and teach-back. [4] [5]
  3. Protect adolescent confidentiality through interpreter choice and separate adolescent time. [1]
  4. Apply a cultural competence framework (LEARN) to negotiate a shared plan. [10] [11]
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References7ShowHide
  1. [1]Flores G, Rabke-Verani J, Pine W, Sabharwal A The importance of cultural and linguistic issues in the emergency care of children. Pediatric emergency care, 2002.PMID 12187133
  2. [2]Boylen S, Cherian S, Gill FJ, Leslie GD, Wilson S Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review. JBI evidence synthesis, 2020.PMID 32813387
  3. [4]Karliner LS, Jacobs EA, Chen AH, Mutha S Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Health services research, 2007.PMID 17362215
  4. [5]Nápoles AM, Santoyo-Olsson J, Karliner LS, Gregorich SE, Pérez-Stable EJ Inaccurate Language Interpretation and Its Clinical Significance in the Medical Encounters of Spanish-speaking Latinos. Medical care, 2015.PMID 26465121
  5. [6]Elderkin-Thompson V, Silver RC, Waitzkin H When nurses double as interpreters: a study of Spanish-speaking patients in a US primary care setting. Social science & medicine (1982), 2001.PMID 11286360
  6. [10]Betancourt JR, Green AR, Carrillo JE, Ananeh-Firempong O 2nd Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports (Washington, D.C. : 1974), 2003.PMID 12815076
  7. [11]Anderson LM, Scrimshaw SC, Fullilove MT, et al. Culturally competent healthcare systems. A systematic review. American journal of preventive medicine, 2003.PMID 12668199
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