Moral mediation in interpreted health care consultations

Social Science & Medicine
Clive SealeMoira Kelly

Abstract

This paper reports on the moral work done in routine diabetes review consultations in primary care with nurses. Consultations with fluent English speakers are compared with consultations where an interpreter was present, largely involving patients of Bangladeshi origin. The study setting was Tower Hamlets in London, where type 2 diabetes is particularly common. Existing research has shown some dissatisfaction with diabetes care amongst Bangladeshi patients, and studies of care providers in other locations suggest that they at times experience the care of this group as particularly challenging. Through analysis of video-recorded consultations recorded in 2010-2011 we shed light on possible reasons for these difficulties. The 12 non-English speakers often experienced difficulties in raising issues that concerned them, particularly if their interpreter did not translate their utterance because it was deemed to be unrelated to diabetes. These difficulties were not shared by the 24 fluent English speakers, who also found it easier to convey a positive moral reputation and to excuse behaviour that deviated from recommended self-management practices. Interpreters at times also acted as moral mediators. For example, where a participant...Continue Reading

References

Mar 1, 1991·Family Practice·W I AhmadE E Kernohan
Feb 1, 1968·American Sociological Review·M B Scott, S M Lyman
Mar 26, 2003·Family Practice·Kamila HawthorneRoisin Pill
Oct 28, 2003·Ethnicity & Health·Penny RhodesJohn Wright
Mar 30, 2004·Social Science & Medicine·Dorothy Broom, Andrea Whittaker
Oct 22, 2009·Qualitative Health Research·Linda M McMullen, Jennifer Herman
Dec 4, 2009·Culture, Medicine and Psychiatry·Mara Buchbinder
Sep 8, 2010·Journal of Health Services Research & Policy·Trisha GreenhalghAnne Claydon
Mar 31, 2012·BMC Health Services Research·Susan Hinder, Trisha Greenhalgh
Jun 6, 2013·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Peter Campion

❮ Previous
Next ❯

Citations

Feb 19, 2016·Journal of Health Services Research & Policy·Jeanine SuurmondMarie-Louise Essink-Bot
Oct 1, 2020·Patient Education and Counseling·Lauren GerchowAllison Squires

❮ Previous
Next ❯

Related Concepts

Related Feeds

Biomarkers for Type 2 Diabetes

Biomarkers can help understand chronic diseases and assist in risk prediction for prevention and early detection of diseases. Here is the latest research on biomarkers in type 2 diabetes, a disease in which the body is unable to produce or properly use insulin.

Attention Disorders

Attention is involved in all cognitive activities, and attention disorders are reported in patients with various neurological diseases. Here are the latest discoveries pertaining to attention disorders.