Podcast
Questions and Answers
What is one critical consideration when selecting a position during a patient encounter?
What is one critical consideration when selecting a position during a patient encounter?
- Positioning yourself in a way that attracts more attention
- Always standing in front of the patient
- Choosing the position away from the provider
- Maintaining a focus on patient health, safety, and privacy (correct)
What should be done if a chosen position does not promote effective communication?
What should be done if a chosen position does not promote effective communication?
- Change your position quickly, if possible (correct)
- Ignore the discomfort and focus on the patient
- Continue in that position regardless of discomfort
- Ask the patient to adjust their seating
What is a primary characteristic of direct speech?
What is a primary characteristic of direct speech?
- Uses the third person
- Promotes direct communication (correct)
- Focuses more on the interpreter
- Adds complexity to the sentence structure
Which situation necessitates the use of indirect speech?
Which situation necessitates the use of indirect speech?
What can result from an inadvisable position during a session?
What can result from an inadvisable position during a session?
What is a disadvantage of using indirect speech?
What is a disadvantage of using indirect speech?
Which of the following is NOT a factor influencing position selection?
Which of the following is NOT a factor influencing position selection?
What is an effective way to signal the need for an interpreter's pause during a conversation?
What is an effective way to signal the need for an interpreter's pause during a conversation?
Which of the following is true about direct speech interpretation?
Which of the following is true about direct speech interpretation?
What should you consider when dealing with patients who may act erratically?
What should you consider when dealing with patients who may act erratically?
Why is it important for speakers to pause frequently during a conversation with an interpreter?
Why is it important for speakers to pause frequently during a conversation with an interpreter?
When interpreting, why might you need to position yourself differently such as behind a curtain?
When interpreting, why might you need to position yourself differently such as behind a curtain?
What is the main purpose of adapting your position during a session?
What is the main purpose of adapting your position during a session?
When intervening as an interpreter, what is a key aspect of communication to maintain?
When intervening as an interpreter, what is a key aspect of communication to maintain?
Which of the following is NOT a recommended strategy for managing the flow of conversation as an interpreter?
Which of the following is NOT a recommended strategy for managing the flow of conversation as an interpreter?
Which of the following best describes a potential outcome of using indirect speech?
Which of the following best describes a potential outcome of using indirect speech?
What is a common mistake that might hinder effective interpretation?
What is a common mistake that might hinder effective interpretation?
What should an interpreter do if a speaker does not pause despite receiving a signal?
What should an interpreter do if a speaker does not pause despite receiving a signal?
Which technique is essential for active listening during interpretation?
Which technique is essential for active listening during interpretation?
Flashcards
Optimal Positioning
Optimal Positioning
Finding a position that supports clear communication between the patient and provider.
Position #1
Position #1
A position away from everyone in the room.
Position #2 (Triangle)
Position #2 (Triangle)
Positioning yourself strategically to form a triangle with the patient and provider.
Position #3
Position #3
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Position #4
Position #4
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Patient Factors
Patient Factors
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Session Dynamics
Session Dynamics
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Poor Positioning Consequences
Poor Positioning Consequences
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Managing the flow
Managing the flow
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Interrupting politely
Interrupting politely
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Interpreter signal
Interpreter signal
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Non-verbal signals
Non-verbal signals
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Verbal intervention
Verbal intervention
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Third person
Third person
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Interpreter's cues
Interpreter's cues
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Communication Flow
Communication Flow
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Direct Speech
Direct Speech
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Indirect Speech
Indirect Speech
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Direct Speech Focus
Direct Speech Focus
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Indirect Speech Focus
Indirect Speech Focus
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Exceptions to Direct Speech
Exceptions to Direct Speech
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Elderly Patients and Indirect Speech
Elderly Patients and Indirect Speech
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Flow Management
Flow Management
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Interpretive Accuracy Limitations
Interpretive Accuracy Limitations
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Study Notes
Standardized Interpreting Protocols
- Protocols are detailed descriptions of how to perform something.
- Protocols are more specific than ethical principles, detailing the practical steps.
- Interpreters use protocols in daily work to adhere to ethical principles.
Four Interpreting Protocols
- Preamble: A short professional introduction to set expectations and guidelines for the encounter (see the Preamble handout).
- Positioning: The interpreter's position should be unobtrusive, facilitating direct communication between the provider and the LEP (Limited English Proficiency) patient.
- Direct Speech: Use of first person ("I") when interpreting, rather than third person ("he says"). It's more accurate, concise, and promotes clear communication between speakers, rather than through the interpreter. However, there are exceptions.
- Managing the Encounter (Managing the Flow): Keeping the conversation flowing smoothly, providing time for interpretation. Interrupt if needed in a polite and concise manner, or using signals.
Positioning
- The interpreter's goal is to be unobtrusive, in the background, and not the center of attention.
- Sightlines should be maintained between parties when appropriate, like with a sign language interpreter and the Deaf/Hard of Hearing person.
- Factors influencing positioning include: the nature of the session, number of speakers, room size, patient's emotional state, presence of a contagious illness, and whether the interpreter should sit or stand.
- There's no one "correct" position; each situation is unique.
Four Positions to Consider
- Position #1: Away from everyone
- Position #2: The triangle position
- Position #3: Near the provider
- Position #4: Next to, but slightly behind, the patient
Direct Speech Protocol Exceptions
- Elderly patients confused by direct speech
- Children
- Emergency situations
- Interpreting for multiple parties at once
- Situations with languages where direct speech isn't understood.
Managing the Flow
- Managing the flow is crucial when multiple people speak simultaneously, or at high speeds.
- Ensure the interpreter has time to interpret accurately.
- Be clear and brief if interrupting, for instance, to request a pause, or to clarify speed or clarity.
- Different gestures can be used. (e.g., raise hand, lean forward, use specific signs).
- Remember to be polite and concise.
Alternatives to Third Person when Intervening
- Explain that the interpreter is speaking
- Ask to pause/slow down/repeat phrases when needed
Eye Contact/Positioning of the Interpreter's Gaze
- Avoid direct eye contact with service users while they are speaking, as this can make the interpreter feel as though they are watching a tennis match.
- Gaze can be directed to notes, facial expressions, or body language to offer a more subtle acknowledgment.
General Reminders
- Practice health and safety protocols.
- If eye contact and smiling is used in the preamble, continue to do so.
- Try to maintain an inconspicuous and unobtrusive presence.
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