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Sjuksköterskan strävar efter att överbrygga språkklyftan; tolken är både hinder och möjlighet i vårdmötet
University of Skövde, School of Life Sciences.
University of Skövde, School of Life Sciences.
2009 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses strive to bridge the language gap; the interpreter is an obstacle and a facilitator in the caring encounter (English)
Abstract [sv]

Omvårdnadsrelationen och omvårdnadsmötet är omvårdnadens livsrum. Ett vårdmöte med tolk inblandad borde ses som en interaktion mellan tre eller möjligen fler personer. Detta arbete syftar till att beskriva sjuksköterskors erfarenheter av relationerna i sådana möten.

Sjuksköterskor med erfarenhet av tolkanvändning ombads att besvara en enkät innehållande kvantitativa och kvalitativa frågor. Utöver detta gjordes två semistrukturerade intervjuer. Svaren analyserades med öppen innehållsanalys.

Tre huvudkategorier hittades: trygghet, tolkteknik och kulturella aspekter. Sju underkategorier hittades: anhöriga (relationen till anhöriga tar över), förluster (olika aspekter av relationen påverkas), normer (skilda normsystem försvårar relationen), profession (spänning mellan professionell och personlig relation mellan de olika parterna), färdighet (parternas färdighet påverkar relationens kvalité), telefontolk jämfört med fysisk tolk (olika sjuksköterskor har olika preferenser) samt tolkanskaffning (sjuksköterskorna väger in relationen när tolk ska anlitas). Relationerna mellan huvudkategorier och underkategorier beskrivs och deras innebörd diskuteras.

Sjuksköterskor kan öka möjligheterna att uppnå en vårdgemenskap med patienten genom god förberedelse inför tolkningen liksom att hjälpa patienten uppnå skicklighet i att använda tolk. En professionell relation till tolken, karaktäriserad av omsorg, möjliggör också vårdgemenskap med patienten.

Abstract [en]

 

The caring relationship and the caring encounter are the life-space of caring. A caring encounter involving an interpreter should be seen as an interaction between three or possibly more persons. This paper seeks to describe nurses' experiences of the relationships in such encounters.

Nurses with experience in using interpretation were asked to answer a survey comprising quantitative and qualitative questions. Additionally, two semi-structured interviews were conducted for clarification and depth. Answers were analyzed using manifest content analysis.

Three main categories were found: security, interpreter technique, and cultural aspects. Seven sub-categories were found: relatives (the relationships with relatives take precedence), loss (different aspects of the relationship are affected), norms (different norm systems complicate the relationship), profession (a tension between professional and personal relationships), skill (the impact of the skills of the parties), telephone vs. physical interpreter (preferences vary among nurses), and acquisition of interpreters (the relationship is a factor when enlisting an interpreter). The interrelationships of the main categories and sub-categories are described and their meaning discussed.

Nurses can increase the probability of achieving a caring connection by preparing well for interpretation as well as helping patients to gain proficiency in using an interpreter. A professional relationship, characterized by caring, with the interpreter will also facilitate a caring connection with the patient.

Place, publisher, year, edition, pages
2009. , 24 p.
Keyword [en]
Nursing care; Nurse-patient relations; Language; Translating
Keyword [sv]
Omvårdnad; Sjuksköterska-patientrelationer; Språk; Tolkservice
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-3023OAI: oai:DiVA.org:his-3023DiVA: diva2:219052
Presentation
(English)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2009-07-28 Created: 2009-05-26 Last updated: 2009-07-28Bibliographically approved

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Citation style
  • apa
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