Consultations with patients for whom English is not their first language

2019 ◽  
Vol 19 (6) ◽  
pp. 536-540
Author(s):  
Benjamin Turner ◽  
Heba Madi

Good communication is essential in neurological consultations, yet this is obviously compromised by the absence of a common language. Interpreters can make valuable contributions to improving consultations, but translation has its shortcomings. The consultation dialogue is not always interpreted correctly or accurately, even (or especially) when friends or family are translating. Clinicians should therefore try to ensure that key information has been communicated and understood, perhaps by repetition or asking the patient to say what they have understood. Cultural factors are also important in the patient–physician interaction. Physicians should try to adopt a culturally sensitive approach during consultations, familiarising themselves with cultural norms within the prevalent ethnic minority groups in their area. They should resist directive approaches to save time and try to involve the patient in decision-making. This requires allocating extra time to consultations with patients for whom English is not their first language.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S412-S412
Author(s):  
Kristina Shiroma ◽  
Nathan Davis ◽  
Bo Xie

Abstract Older adults of Asian ethnic minority groups are often underrepresented in the literature on cultural aspects of end-of-life (EOL) decision making. This literature review aimed to systematically investigate the cultural aspects of EOL decision making for aging adults of Asian ethnic minority groups. In February 2019, systematic searches were conducted in PubMed using MeSH terms “end-of-life”, “decision-making”, and “culture OR cultural”. Articles with human subjects, full text in English, published in the past 10 years, with original, empirical findings were included. After multiple rounds of screening, the final sample included 22 results, with sample sizes ranging from 11 to over 9 millions representing South Asian, Chinese, Korean, Taiwanese, Singaporean, Asian and Asian/Pacific adults. The findings suggest the literature on older Asian adults is present, but limited. Future research is needed to explore cultural aspects of Asian ethnic minority groups in respect to older adult’s information preferences in EOL decision-making.


2016 ◽  
Vol 19 (2) ◽  
pp. 32-40 ◽  
Author(s):  
Tu Van Vo

The rituals of ethnic minority groups contain many values and cultural norms. They are closely linked to the social system including the economy, culture, education, etc. However, the culture of the ethnic minorities has been changed in either positive or negative direction for numerous reasons. This paper focuses on presenting the tradition and changes of the childbirth rituals of Coho Sre living in Di Linh District, Lam Dong Province based on the field research to clarify the cultural characteristics of ethnic minority groups and to contribute reference materials to those interested in this issue.


2020 ◽  
Vol 16 (5) ◽  
pp. 457-470 ◽  
Author(s):  
Mohammad H. Zafarmand ◽  
Parvin Tajik ◽  
René Spijker ◽  
Charles Agyemang

Background: The body of evidence on gene-environment interaction (GEI) related to type 2 diabetes (T2D) has grown in the recent years. However, most studies on GEI have sought to explain variation within individuals of European ancestry and results among ethnic minority groups are inconclusive. Objective: To investigate any interaction between a gene and an environmental factor in relation to T2D among ethnic minority groups living in Europe and North America. Methods: We systematically searched Medline and EMBASE databases for the published literature in English up to 25th March 2019. The screening, data extraction and quality assessment were performed by reviewers independently. Results: 1068 studies identified through our search, of which nine cohorts of six studies evaluating several different GEIs were included. The mean follow-up time in the included studies ranged from 5 to 25.7 years. Most studies were relatively small scale and few provided replication data. All studies included in the review included ethnic minorities from North America (Native-Americans, African- Americans, and Aboriginal Canadian), none of the studies in Europe assessed GEI in relation to T2D incident in ethnic minorities. The only significant GEI among ethnic minorities was HNF1A rs137853240 and smoking on T2D incident among Native-Canadians (Pinteraction = 0.006). Conclusion: There is a need for more studies on GEI among ethnicities, broadening the spectrum of ethnic minority groups being investigated, performing more discovery using genome-wide approaches, larger sample sizes for these studies by collaborating efforts such as the InterConnect approach, and developing a more standardized method of reporting GEI studies are discussed.


2021 ◽  
pp. 107780042110146
Author(s):  
Xing Teng ◽  
Ping-Chun Hsiung

Xing Teng has spearheaded ethnic minority education and educational anthropology in China. As a member of the Han majority and an ally to ethnic minority groups, he has endeavored to open space for ethnic minority education in China. I sat down with Professor Teng in the summer of 2018. After transcribing the original interview into Chinese and in consultation with Professor Teng, four segments from the interview are translated for this Special Issue, with added footnotes. Statements are also included in the text for clarity. The final version has been lightly edited and condensed for length and clarity.


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