Key components in the professional ethics of sign language interpreters in healthcare contexts: a qualitative study in Colombia.

IF 2.3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL BMJ Open Pub Date : 2025-02-11 DOI:10.1136/bmjopen-2024-086490
Laura Catalina Izquierdo Martínez, Nora Ellen Groce, Samia Hurst, Angela Martínez-R, Jessica Cuculick, Minerva C Rivas Velarde
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Abstract

Objectives: To identified the core components of professional ethics for medical sign language interpreters and develop a framework based on empirical data from Colombian sign language (CSL) interpreters.

Design: Purposive and snowball sampling methods were used in this qualitative study, which involved conducting semistructured interviews to CSL interpreters. Inductive data analysis was performed using the constant comparative method, where data collection and analysis occurred simultaneously. Transcriptional coding was performed line by line, and the data results were organised into themes and subthemes.

Setting: The research was conducted in Colombia.

Participants: A total of 17 CSL interpreters were included.

Results: We identified key themes (confidentiality, privacy, professionalism, business practices and professional development). Our data analyses show the need for codes of conduct and establishment of professional codes of ethics for sign language interpreters working in a health context. The proposed framework addresses the challenges within the professional ethics of sign language interpreters in healthcare.

Conclusions: These findings offer unique insights into the ethical experiences of CSL interpreters. This framework can be a valuable reference for interpreters facing ethical dilemmas. The clarity of ethical considerations is crucial for overcoming barriers to healthcare for the D/deaf population. The identified ethical issues underscore the necessity of education, training and the establishment of codes of ethics and legislation for sign language interpreters. These findings can serve as a foundational reference for crafting ethical guidelines for sign language interpreters in other low- and middle-income countries.

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医疗环境中手语口译员职业道德的关键组成部分:哥伦比亚的一项定性研究。
目的:根据哥伦比亚手语(CSL)口译员的经验数据,确定医疗手语口译员职业道德的核心组成部分,并制定一个框架。设计:本定性研究采用目的抽样法和滚雪球抽样法,对对外汉语口译员进行半结构化访谈。采用恒定比较法进行归纳数据分析,数据收集和分析同时进行。逐行进行转录编码,并将数据结果组织成主题和子主题。背景:研究在哥伦比亚进行。参与者:共17名对外汉语口译员。结果:我们确定了关键主题(保密、隐私、专业、商业惯例和专业发展)。我们的数据分析表明,有必要为在卫生领域工作的手语翻译制定行为准则和职业道德准则。提出的框架解决了医疗保健领域手语口译员职业道德方面的挑战。结论:这些发现对对外汉语口译员的道德体验提供了独特的见解。这一框架对面临道德困境的口译人员具有重要的参考价值。明确的伦理考虑对于克服残疾/聋人群体获得医疗保健的障碍至关重要。所确定的道德问题强调了对手语口译人员进行教育、培训和制定道德守则和立法的必要性。这些发现可以作为制定其他低收入和中等收入国家手语口译员道德准则的基础参考。
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来源期刊
BMJ Open
BMJ Open MEDICINE, GENERAL & INTERNAL-
CiteScore
4.40
自引率
3.40%
发文量
4510
审稿时长
2-3 weeks
期刊介绍: BMJ Open is an online, open access journal, dedicated to publishing medical research from all disciplines and therapeutic areas. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around fully open peer review and continuous publication, publishing research online as soon as the article is ready.
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