Interpreting is a Practice Profession Improving Professional Performance with Demand-Control Schema
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The document discusses a webinar hosted by the National Council on Interpreting in Health Care, focusing on the demand control schema (DCS) in interpreting as a practice profession. It highlights the roles and challenges interpreters face, emphasizing the importance of supervision and reflective practice to improve decision-making and professional performance. Research findings indicate that interpreters trained in DCS are better equipped to analyze situations and manage demands compared to untrained interpreters.
Interpreting is a Practice Profession Improving Professional Performance with Demand-Control Schema
- 2. NATIONAL COUNCIL ON INTERPRETING IN HEALTH CARE Housekeeping • This session is being recorded • Certificate of Attendance *must attend full 90 minutes *certificates will be emailed by September 22, 2021 • Use “Q&A” to send comments and questions to the hosts Home for Trainers Interpreter Trainers Webinars Workgroup An initiative of the Standards and Training Committee www.ncihc.org/home-for-trainers
- 3. NATIONAL COUNCIL ON INTERPRETING IN HEALTH CARE Welcome to our guest presenter! Debbie Lesser, MS, CI/CT, QMHI, CoreCHI
- 4. Interpreting: A Practice Profession Improving Professional Performance with Demand Control Schema Debbie Lesser, MS, CI/CT, QMHI, CoreCHI debbie.lesser@wellstar.org 404-226-5607
- 5. Encounters with Reality 1001 Interpreter Scenarios Barabara E. Cartwright “Once one has mastered (sign) language, the mechanics of interpreting, and internalized the Code of Ethics, the really difficult work begins.”
- 6. Practice Professions Doctors/Nurses Teachers Social Workers Lawyers Interpreters – ➢ Must understand contextual factors of our work ➢ The relationship between consumers and interpreters ➢ Requires flexibility in the encounter ➢ Requires ongoing analysis and judgement It is the technical skill of being able to process language that makes an interpreter effective in an assignment
- 7. Metaphors & Roles ….what are we really trying to communicate? How We Describe Ourselves ❖ Invisible ❖ Operator ❖ Machine ❖ Telephone ❖ Window ❖ Bridge ❖ Helper How the Interpreter Behaves ❖ Conduit ❖ Moderator ❖ Cultural gate keeper ❖ Co-diagnostician ❖ Clarifier ❖ Manager ❖ Welcomer ❖ Professional Communicator ❖ Language Facilitator You can’t measure the size of a room with the color blue. -Robyn Dean
- 8. Supervision – aka… Reflective practice Case conferencing Peer guidance Professional consultation Mentoring Supervision provides guidance to enhance one’s knowledge, skills, and attitudes, and allows the supervisee to reflect on ethical issues from various perspectives. ➢ Discuss the work for the purpose of improvement (ethics) ➢ Discuss possible options available and how effective those options are ➢ Discuss actions taken & resulting consequences (Did the intended result occur?) ➢ Re-examine our values, principles & beliefs ➢ Learn from the decisions made Supervision – purpose
- 9. Patient Meeting with Genetic Counselor
- 10. Demand-Control Theory – Robert Karasek characteristics of the job that impact health and wellbeing Low Strain Jobs Active Jobs Passive Jobs High Strain Jobs High Low Low High Job decision latitude (Controls) Job demands Learning motivation to develop new behavioral patterns Risk for psychological and physical stress Mulder, P. (2017). Job Demand Control Model by Robert Karasek. Retrieved from ToolsHero: https://www.toolshero.com/human-resources/job-demand-control-model/
- 11. Demands Environmental That which is specific to the setting (e.g. professional roles, terminology, goal/purpose of the setting, physical surroundings ) Interpersonal That which is specific to the interaction of the consumers and interpreter Paralinguistic That which is specific to the expressive skills or qualities of the consumers, deaf or hearing Intrapersonal That which is specific to the feelings or thoughts of the interpreter
- 12. Controls Pre-Assignment Controls Assignment Controls Post-Assignment Controls Race - Gender – Ethnicity - Education - Work Experience – Preparation – Clothing Choice Positive self talk – Direct Interventions – CPC/COE – Identifying Demands - Interpretation Debriefing – Supervision – Further Education – Follow-up with people involved – Self Care
- 13. Ethical and Effective Decisions Too Liberal Therefore, ineffective and/or unethical Effective & Ethical Decision-Making Too Conservative Therefore, ineffective and/or unethical Liberal - favoring action, creativity, assertiveness Conservative - favoring inaction, reservation, patience
- 14. Main Demand – what would you do if…. Main Demand Concurrent Demand Concurrent Demand Concurrent Demand Concurrent Demand Concurrent Demand
- 16. Traditional Feedback in Supervision You did a good job. It went well. Interpreters can’t improve with non-specific feedback Traditional feedback tends to be judgmental vs. analytical in nature Traditional feedback tends to focus on the interpreter’s actions rather than the demands & controls ➢ Provides a framework to assist the supervisee in evaluating their own work ➢ Feedback is specific based on requirements of the job and interpreter’s decision latitude ➢ Enables case conferencing regardless of whether supervision leader and supervisee speak the same language ➢ Considers potential resulting demands once control decisions were made Demand Control Schema
- 17. Conclusions From My Research Interpreters who are well versed in Demand Control Schema (DCS) are better equipped to analyze the interpreting situation more robustly than the untrained interpreter. The DCS trained interpreters appeared to be able to separate themselves from their work, thus allowing them to focus less on intrapersonal demands and more on the other demands of the setting. Providing interpreters with the opportunities to become more experienced with DCS, potentially through Reflective Practice and Supervision sessions, could improve the experienced interpreter’s ability to process the work environment more robustly, enabling them to learn from their experiences and improve their decision- making strategies in future assignments. DCS trained interpreters considered the thought world of the provider, including their goals in the moment significantly more than untrained interpreters Untrained interpreters were less likely to consider potential resulting demands once control decisions were made. DCS trained interpreters were able to verbalize twice as many interpersonal demands between patient and provider as compared to untrained interpreters.
- 18. Q & A The Demand Control Schema: Interpreting as a Practice Profession 1st Edition by Robyn K. Dean (Author), Robert Q Pollard Jr (Author)
- 19. NATIONAL COUNCIL ON INTERPRETING IN HEALTH CARE • Upcoming webinars • Webinar evaluation form • Follow up via email: TrainersWebinars@ncihc.org • ncihc.org/participate Announcements Home for Trainers Interpreter Trainers Webinars Workgroup An initiative of the Standards and Training Committee www.ncihc.org/home-for-trainers