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Presentation from the 6th Annual Hawai’i Conference on Language Access
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NCIHC National Standards of
Practice for Healthcare Interpreters
Joy Connell6th Annual Hawai’i Conference on
Language AccessAugust 7-8, 2013
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NCIHC1994 – informal working group1998 – formally establishedMultidisciplinary membershipMission: to promote and enhance language access in health care in the United States
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Building a Profession
Create and build support for a single code of ethics that would guide the practice of interpreters working in health care venues
Develop a nationally accepted, unified set of standards of practice based on the National Code of Ethics to define competent practice in the field
Develop standards for healthcare interpreter training
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National Code of Ethics
Developed between 2002-2004 using a national consensus-building process
Partially funded by the DHHS Office of Minority Health
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What are Standards of Practice?
Accepted protocols to meet the core obligations of one’s profession
A clear set of guidelines that delineate expectations for the interpreter’s conduct and practice.
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Code of Ethics vs Standards of Practice
• A code of ethics provides a set of principles or values that govern the conduct of members of a professions while they are engaged in the enactment of that profession.
• Gives guidelines for making judgments about what is acceptable and desirable behavior in a given context or in a particular relationship.
• Standards of Practice define what an interpreter does in the performance of his or her role – the tasks and skills the interpreter should be able to perform in the course of fulfilling the duties of the profession.
• Ensure a consistent quality of performance.
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How can the Standards be used?
To define competent practices in the fieldTo improve the quality of interpreter services, resulting in improved communication and better outcomes in health careTo lead to standards for health care interpreter training
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Why National Standards?
National standards represent the thinking and practice of interpreters across geographic and linguistic boundaries.
National standards are more likely to be widely accepted due to broader input and buy-in.
Funders of healthcare interpreting were interested in seeing national unity build around key issues.
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Organization of the Standards
32 Standards of Practice
Grouped under 9 headings demonstrating the relationship between the standards to the 9 ethical principles of the National Code of Ethics.
Each heading includes a stated objective, defining the overall goal of that set of standards.
Corresponding ethical principles are stated under each heading.
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Accuracy
To enable other parties to know precisely what each speaker has said.
Related ethical principle:Interpreters strive to render the message accurately, conveying the content and spirit of the original message, taking into consideration the cultural content.
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AccuracyThe interpreter renders all messages accurately and completely, without adding, omitting, or substituting.The interpreter replicates the register, style, and tone of the speaker.The interpreter advises parties that everything said will be interpreted.The interpreter manages the flow of communication.The interpreter corrects errors in interpretation.The interpreter maintains transparency.
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Confidentiality
To honor the private and personal nature of the health care interaction and maintain trust.
Related ethical principle:Interpreters treat as confidential, within the treating team, all information learned in the performance of their professional duties, while observing relevant requirements regarding disclosure.
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Confidentiality
The interpreter maintains confidentiality and does not disclose information outside the treating team, except with the patient’s consent or if required by law.
The interpreter protects written patient information in his or her possession.
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Impartiality
To eliminate the effect of interpreter bias or preference.
Related ethical principle:Interpreters strive to maintain impartiality and refrain from counseling, advising, or projecting personal biases or beliefs.
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Respect
To acknowledge the inherent dignity of all parties in the interpreted encounter.
Related ethical principle:Interpreters treat all parties with respect.
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Respect
The interpreter uses professional, culturally appropriate ways of showing respect.The interpreter promotes direct communication among all parties in the encounter.The interpreter promotes patient autonomy.
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Cultural Awareness
To facilitate communication across cultural differences.
Related ethical principle:Interpreters strive to develop awareness of the cultures encountered in the performance of interpreting duties.
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Cultural Awareness
The interpreter strives to understand the cultures associated with the languages he or she interprets, including biomedical culture.
The interpreter alerts all parties to any significant cultural misunderstanding that arises.
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Role Boundaries
To clarify the scope and limits of the interpreting role, in order to avoid conflicts of interest.
Related ethical principle:Interpreters maintain the boundaries of the professional role, refraining from personal involvement.
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Professionalism To uphold the public’s trust in the interpreting profession.
Related ethical principle:Interpreters at all times act in a professional and ethical manner.
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Professionalism
The interpreter is honest and ethical in all business practices.
The interpreter is prepared for all assignments.
The interpreter discloses skill limitations with respect to particular assignments.
The interpreter avoids sight translation, especially of complex or critical documents, if he or she lacks sight translation skills.
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Professionalism
The interpreter is accountable for professionalism performance.
The interpreter advocates for working conditions that support quality interpreting.
The interpreter shows a respect for professionals with whom he or she works.
The interpreters acts in a manner befitting the dignity of the profession and appropriate to the setting.
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Professional Development
To attain the highest possible level of competence and service.
Related ethical principle:Interpreters strive to further their knowledge and skills through independent study, continuing education, and actual interpreting practice.
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Professional Development
The interpreter continues to develop language and cultural knowledge and interpreting skills.
The interpreter seeks feedback to improve his or her performance.
The interpreter supports the professional development of fellow interpreters.
The interpreter participates in organizations and activities that contribute to the development of the profession.
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Advocacy
To prevent harm to parties that the interpreter serves.
Related ethical principle:When the patient’s health, well-being, or dignity are at risk, the interpreter may be justified in acting as an advocate.
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Advocacy
The interpreter may speak out to protect an individual from serious harm.
The interpreter may advocate on behalf of a party or group to correct mistreatment or abuse.
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Using the Standards for Training
The Standards of Practice can be read as an independent study.
The Standards of Practice can be used to develop training scenarios and exercises.
The Standards of Practice can be used as a resource document.
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Using the Standards for Hiring
Knowledge of the Standards of Practice, and the ability to apply the Standards, can be used as a criteria for hiring staff interpreters.
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Using the Standards for Performance Monitoring
The Standards of Practice can be used to develop a performance checklist for monitoring interpreters.
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Using the Standards as the Basis for Certification
The Standards of Practice have become the basis for national certification.
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Thank you!Mahalo!
