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Exploring the experience of polish interpreters who interpret for mental health clinicians in the UK: An interpretative phenomenological analysisThe current study explores the experiences of Polish interpreters who interpret for mental health clinicians and how Polish interpreters view the triadic relationship among themselves, the service user and the mental health clinician they work with when interpreting in a mental health setting. Six participants (four female and two male) were recruited with each taking part in a semi-structured interview. Length of time working as an interpreter in the UK National Health Service (NHS) ranged from six months to 10 years. Interviews were analysed using Interpretative Phenomenological Analysis (Smith, J. A. (2004). Reflecting on the Development of Interpretative Phenomenological Analysis and its Contribution to Qualitative Research in Psychology. Qualitative Research in Psychology, 1, 39–54. doi:10.1191/1478088704qp004oa.). Three themes emerged from the analysis of the participants’ interview transcripts. These were: (1) ‘Just a linguist?’–highlighting the confusion and complexity of the interpreting role; (2) ‘Unspoken alliances’–describing the interpreters’ experiences of the triadic relationship; (3) ‘Communicating emotional reactions’–noting the emotional impact of mental health work on interpreters. The findings of the current research emphasise that it is important for clinicians, mental health and interpreting services to take into account the emotional impact and disempowerment caused by structural systemic factors which limit the voice of the interpreter. © 2017 Informa UK Limited, trading as Taylor & Francis Group.
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Attitudes to radiation safety and cholangiogram interpretation in endoscopic retrograde cholangiopancreatography (ERCP): A UK surveyBackground Fluoroscopy during endoscopic retrograde cholangiopancreatography (ERCP) exposes staff and patients to potentially harmful ionizing radiation. We performed a UK survey to explore trainee and trainer attitudes to radiation protection and cholangiogram interpretation in ERCP. Methods An electronic 10-point survey was prospectively distributed to endoscopy unit leads, training programme directors between October and November 2019. Only UK-based ERCP trainees and trainers with hands-on procedural exposure were eligible for the survey. Results The survey was completed by 107 respondents (58 trainees and 49 trainers), with an estimated overall response rate of 46%. Overall, 49% of respondents were up to date with their radiation protection course, 38% were aware of European Basic safety standards directive (BSSD), 38% wore radiation protection goggles, and 40% were aware of the average radiation screening dose per ERCP procedure. Compared with trainers, trainees were less likely to routinely wear thyroid protection shields (76% vs 92%; p=0.028), have awareness of the BSSD (20% vs 49%; p=0.037) or know their average procedural radiation dosages (21% vs 63%; p<0.001). With regard to cholangiogram interpretation, only 26% had received formal training, with 97% of trainees expressing a desire for further training. Conclusion This survey highlights a relative complacency in safety attitudes to radiation protection during ERCP. These data provide impetus to improve training and quality assurance in radiation protection, which should be regarded as a mandatory safety aspect prior to commencing hands-on ERCP training.
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Interpretation of 28-Joint Disease Activity Score and its Components in the Assessment of Inflammatory and Non-Inflammatory Aspects of Rheumatoid ArthritisBackground: The 28-joint DAS with ESR (DAS28-ESR) is used as a measure of inflammatory disease activity in RA. However, pain and non-inflammatory mechanisms (e.g. central sensitisation) might confound the DAS28 by modulating the visual analogue scale for general health (VAS-GH) and tender joint count (TJC). Several transformations have rearranged the DAS28 formula in an attempt to measure non-inflammatory pain contributions in RA. We aimed to compare different DAS28 components and these derived measures to assess their utility in the analysis of non-inflammatory factors and to inform interpretation of the DAS28 as an index of RA inflammatory disease activity.
