Bakomliggande orsaker till att tolk inte används inom hälso-och sjukvården

Sammanfattning: Background: In Sweden, every fifth person is born abroad, which implies that many have Swedish as a second language or don't speak Swedish at all. Healthcare personnel have a responsibility to ensure good and safe care for all patients. This requires good communication, which cannot be obtained if a language barrier exists as the patient's participation, safety and autonomy are restricted. However, interpreters aren’t used to a sufficient extent in healthcare.Aim: The aim of this study was to explore the underlying factors that contribute to interpreters not being used in cases with language barriers in healthcare.Method: A descriptive general literature study with 12 qualitative studies from original articles.Results: Three themes were identified. The first theme, logistical difficulties in using an interpreter, showed that it was time consuming, costly, and difficult to access an interpreter. The second theme: Mistrust and misgivings with using an interpreter found that there was a fear of the interpreter breaching confidentiality or interpreting incorrectly. The third theme, that interpreters limit the relationship between nurse and patient by acting unprofessional, increasing stress, and making patients fall silent during conversations.Conclusion: Nurses working with patients with language barriers perceived various straits when using an interpreter. The results identified some of the underlying reasons that contribute to interpreters not being used. Acknowledging these difficulties can increase the understanding of the obstacles providers face to achieve equitable health care.