he language barrier in primary care perspectives of …在初級(jí)保健方面的語言障礙…-文庫吧
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【正文】 munities) ? Gender (men and women) ? 26 participants ? 16 women and 10 men ? 10 asylum seekers, ? 6 refugees, ? 10 with residency on the basis of having Irish born children Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Methods: Data Collection Topic Guide ? Research question ? “Tell me about people’s experiences of language differences and munication difficulties with GPs” ? Experiences of making appointments ? Arriving at the surgery, place of consultation ? Being in the consultation ? What happens afterwards ? Experiences with public health nurses and pharmacists Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Methods: Technique ? Emic card sort ? Qualitative data ? ‘Insider’ perspective ? Researcher elicits stories ? Interviews them ? Story broken down onto cards ? Cards ‘sorted’ thematically by participant Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Methods: Emic Card Sort ? Story about daughter acting as an interpreter ? ‘daughter interprets’ ? ‘daughter interpreter absent from school’ ? ‘daughter interpreter explains everything’ ? ‘Sorted’ with cards about friend acting as interpreter Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Methods: Coanalysis of Card Sorts ? Recording forms translated ? Sharing of data ? Manual analysis ? Framework analysis Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Overview of Thematic Framework GPs amp。 Interpreting Strategies GP ‘Attitude’ GP Competency Competency amp。 Communication Responses Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Strategies for Approaching GPs ? Three main strategies ? Use of informal interpreters ? Friends or relatives, including children ? Preparing with dictionaries, phrasebooks ? Gestures and body language ? Sense of agency among refugees and asylum seekers to manage the language barrier in the absence of an adequate structural supports in general practice Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Children as informal interpreters ? B2, for instance, a woman aged 37 who is an asylum seeker, married with two children had no English on arrival in Ireland ? daughter had very good English ? made appointments for her and interpreted for her during GP consultations ? absent from school for up to one or two hours ? This woman tried to attend GP consultations alone with sentences learned by heart ? ….once she had told her GP these few sentences, she couldn’t ask anything else and the consultation folded. Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 English language ability of informal interpreters ? B1 is an asylum seeker from Croatia married two children living in direct provision. She had no English when she arrived in Ireland ? No Croatian speaking friends ? informal interpreters was a friend from Czechoslovakia because there was some similarity between their languages and they could understand each other a little ? inevit
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