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Voices from The Clinic: Interpreters, Patients, and Power. 来自诊所的声音：口译员、病人和权力。
Q4 Medicine
Narrative inquiry in bioethics
Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a947861
Marcela Testai

This commentary examines the experiences of medical interpreters through a collection of narratives exploring the complex interplay of language, culture, and power dynamics within the healthcare setting reported by medical interpreters. By analyzing themes of power differentials, language barriers, and vulnerability, this commentary highlights the critical role of interpreters in bridging communication gaps and advocating for patient needs. In addition, this commentary explores the personal and professional challenges faced by interpreters, emphasizing the impact of working conditions on interpretation quality. This commentary contributes to a deeper understanding of the experiences of medical interpreters and underscores the importance of supporting their work to improve patient care and health outcomes.

这篇评论考察了医疗口译员的经验，通过一系列的叙述探索复杂的相互作用的语言，文化，和权力动态的医疗环境中报告的医疗口译员。通过分析权力差异、语言障碍和脆弱性等主题，本评论强调了口译员在弥合沟通差距和倡导患者需求方面的关键作用。此外，这篇评论还探讨了口译员面临的个人和职业挑战，强调了工作条件对口译质量的影响。本评论有助于更深入地了解医疗口译员的经验，并强调支持其工作以改善患者护理和健康结果的重要性。
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引用次数: 0
Navigating Hard Situations that Medical School Cannot Prepare You For. 应对医学院无法为你准备的困难情况。
Q4 Medicine
Narrative inquiry in bioethics
Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a945335
Jenna Bennett
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引用次数: 0
Night Shift. 夜班。
Q4 Medicine
Narrative inquiry in bioethics
Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a945336
Calvin R Gross
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引用次数: 0
Searching for Peace in Death. 在死亡中寻找平静。
Q4 Medicine
Narrative inquiry in bioethics
Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a945337
Laura Wachsmuth
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引用次数: 0
Five More Minutes. 再给我五分钟。
Q4 Medicine
Narrative inquiry in bioethics
Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a944476
Kristen Carey Rock
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引用次数: 0
"A Mother's Love". 《母爱》。
Q4 Medicine
Narrative inquiry in bioethics
Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a945329
Katie L Gholson
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引用次数: 0
The Aftermath. 善后事宜。
Q4 Medicine
Narrative inquiry in bioethics
Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a944478
Andrea Eisenberg
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引用次数: 0
"It's All Personal". "这都是个人问题"。
Q4 Medicine
Narrative inquiry in bioethics
Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a934180
Frances Rieth Maynard
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引用次数: 0
Three Types of Stories About Encountering Bioethics. 关于遭遇生命伦理学的三种故事。
Q4 Medicine
Narrative inquiry in bioethics
Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a934172
Arthur W Frank

This commentary discusses 12 stories about receiving ethics consultation in hospitals. Five stories are by physicians, three by nurses, and four by family members; three of the writers have training in bioethics. Some writers requested the consultation, others experienced the consultation as an imposition forced upon them, and in two cases, the story is about the absence of any consultation service. Three types of narrative are found to structure the stories: the genuine dilemma narrative, the institutional intransigence narrative, and the relational care narrative. Throughout, the question is what makes for a valuable consultation, and the general answer is whether consultation enables the development of mutually supportive relationships.

这篇评论讨论了 12 个关于在医院接受伦理咨询的故事。其中五篇由医生撰写，三篇由护士撰写，四篇由家属撰写；三篇作者接受过生命伦理学方面的培训。一些作者要求进行咨询，另一些则认为咨询是被迫的，还有两个故事是关于没有任何咨询服务的情况。在这些故事中，有三种叙事方式：真正的困境叙事、机构不妥协叙事和亲情关怀叙事。从始至终，问题都是怎样的咨询才是有价值的咨询，一般的答案是咨询是否能促进相互支持关系的发展。
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引用次数: 0
Learning the Language of Medical Interpreters. 学习医学口译员的语言。
Q4 Medicine
Narrative inquiry in bioethics
Pub Date : 2024-01-01 DOI: 10.1353/nib.2024.a947858
Beth Epstein

Every day, medical interpreters encounter the vulnerabilities of patients with limited English proficiency and systemic barriers to doing the right thing for patients. The narratives in this issue of NIB demonstrate a love of the interpretive practice. There are many stories of advocacy that go above and beyond what is expected of them. Yet, even with national standards, tensions exist as to the boundaries of their role-how much advocacy is expected and how much is above and beyond? What are the emotional costs of advocating for patients who are so vulnerable and in a system that is both huge and changing all the time? Overall, the narratives convey a sense of being situated within teams and within healthcare organizations as moral communities. As you read their stories, circle back to this context every now and then to ground the narratives and yourself in what it means to be a member of a team and moral community. I hope this grounding will help us be better at what we do together.

每天，医疗口译员都会遇到英语水平有限的患者的脆弱性和系统障碍，无法为患者做正确的事情。这期NIB中的叙事表现出对解释性实践的热爱。有许多倡导的故事超出了人们对他们的期望。然而，即使有国家标准，他们角色的界限也存在紧张关系——多少倡导是被期望的，多少是超越的？在一个庞大且不断变化的系统中，为如此脆弱的病人辩护的情感成本是什么？总的来说，叙事传达了一种处于团队和医疗保健组织作为道德社区的感觉。当你阅读他们的故事时，时不时地回到这个背景中，把故事和你自己根植于作为一个团队和道德社区的一员意味着什么。我希望这次禁足能让我们在一起工作时做得更好。
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引用次数: 0
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