• Johanna Granhagen Jungner, Elisabet Tiselius, Klas Blomgren, Kim Lützén, and Pernilla Pergert.
• Childhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Tomtebodavägen 18 A, floor 5, SE-171 77 Stockholm, Sweden. Electronic address: johanna.granhagen-jungner@ki.se.
• Patient Educ Couns. 2019 Apr 1; 102 (4): 656-662.

ObjectivesThe objective of this study was to explore interpreters' perceived strategies in the interaction in interpreter-mediated consultations between healthcare personnel and patients/families with limited Swedish proficiency in pediatric oncology care.MethodsThis study had an inductive approach using an exploratory qualitative design. A total of eleven semi-structured interviews were performed with interpreters who had experience interpreting in pediatric oncology care.ResultsThe interpreters' perceived strategies were divided into four generic categories; strategies for maintaining a professional role, strategies for facilitating communication, strategies for promoting collaboration, and strategies for improving the framework of interpreting provision. These four generic categories were then merged into the single main category of carrying the bilingual conversation.ConclusionsThe interpreters stretch their discretionary power in order to carry the bilingual conversation by using strategies clearly outside of their assignment.Practical ImplicationsThe study contributes to the understanding of the interpreter-mediated consultation in pediatric oncology care, and this can be used to improve the care of patients and families in pediatric oncology care with limited knowledge of a country's majority language.Copyright © 2018 Elsevier B.V. All rights reserved.

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