Advance Care Planning Program, Northern Health, Bundoora, Victoria, Australia.
Palliative & Supportive Care, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
BMJ Support Palliat Care. 2020 Mar;10(1):e8. doi: 10.1136/bmjspcare-2016-001225. Epub 2017 Jul 4.
001225The aim of this qualitative study is to better understand, through the experiences and insights of hospital interpreters, how people from culturally and linguistic diverse (CALD) communities might respond to advance care planning (ACP) and end-of-life discussions.
Hospital interpreters from five Melbourne metropolitan health services were recruited for in-depth semi-structured interviews that explored the question, 'What can be learnt from hospital interpreters about cultural issues related to ACP and end-of-life decision-making?' Thirty-nine interpreters, representing 22 language groups, were interviewed. Analysis of the transcribed interviews used qualitative description.
Thematic analysis identified three major themes: (1) moral difference; (2) health and death literacy; and (3) diversity within culture.
A value-based approach to ACP is recommended as a way to capture the person's individual values and beliefs. Health and death literacy have been identified as areas that may be over-estimated; areas that can be addressed and improved, if recognised. Health and death literacy is a particular area that needs to be assessed and addressed as a pre-requisite to ACP discussions.
001225 本定性研究旨在通过来自文化和语言多样化（CALD）社区的医院口译员的经验和见解，更好地了解人们对预先医疗指示（ACP）和临终讨论的反应。
从墨尔本五个大都市卫生服务机构招募了医院口译员进行深入的半结构化访谈，探讨了“从医院口译员那里可以了解到与 ACP 和临终决策相关的文化问题有哪些？” 共有 39 名口译员，代表 22 个语言群体接受了采访。对转录访谈的分析采用了定性描述。
主题分析确定了三个主要主题：（1）道德差异；（2）健康和死亡素养；（3）文化内的多样性。
建议采用基于价值观的 ACP 方法，以捕捉个人的价值观和信仰。已经确定健康和死亡素养是被高估的领域；如果认识到这一点，这些领域是可以解决和改进的。健康和死亡素养是 ACP 讨论之前需要评估和解决的一个特定领域。
