Objectives 001225The aim of this qualitative study is to better understand, through the experiences and insights of hospital interpreters, how people from culturally and linguistic diverse (CALD) communities might respond to advance care planning (ACP) and end-of-life discussions.
Methods Hospital interpreters from five Melbourne metropolitan health services were recruited for in-depth semi-structured interviews that explored the question, ‘What can be learnt from hospital interpreters about cultural issues related to ACP and end-of-life decision-making?’ Thirty-nine interpreters, representing 22 language groups, were interviewed. Analysis of the transcribed interviews used qualitative description.
Results Thematic analysis identified three major themes: (1) moral difference; (2) health and death literacy; and (3) diversity within culture.
Conclusion A value-based approach to ACP is recommended as a way to capture the person’s individual values and beliefs. Health and death literacy have been identified as areas that may be over-estimated; areas that can be addressed and improved, if recognised. Health and death literacy is a particular area that needs to be assessed and addressed as a pre-requisite to ACP discussions.
- end of life
- Received 25 August 2016.
- Revision received 24 February 2017.
- Accepted 17 May 2017.
- © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
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Contributors BH and AMF: conceptualised and designed the study. BH: conducted all interviews and data coding. AMF: contributed to data coding. All authors: contributed to interpretation of interview data, and drafting and revising the article.
Funding The study was supported by project funding from the Department of Healthand Human Services Victoria
Competing interests None declared.
Ethics approval Human Research Ethics Committees of: Northern Health; Western Health; Melbourne Health; Monash Health; and Alfred Health.
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement De-identified interview data is held by Dr Barbara Hayes and Anne Marie Fabri and is not accessible by researchers who have not been part of this study.
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