Home Linguistics & Semiotics Chapter 12 Challenging ideologies and fostering intercultural competence: The discourses of healthcare staff about linguistic and cultural barriers, interpreters, and mediators
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Chapter 12 Challenging ideologies and fostering intercultural competence: The discourses of healthcare staff about linguistic and cultural barriers, interpreters, and mediators

  • Raquel Lázaro Gutiérrez and Jesús Manuel Tejero González
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Mapping Ideology in Discourse Studies
This chapter is in the book Mapping Ideology in Discourse Studies

Abstract

Ideologies are shared representations that are expressed and reproduced through discourse in the social practices of groups (Van Dijk 2006). Whereas ideologies are abstract and general social beliefs, attitudes are expressions and manifestations of the set of beliefs that shape a particular ideology in discourses, defined in terms of the topics that they address. Discourse is, thus, the object of our study, and our aim is to examine the discourses of healthcare staff about migration, translation, interpretation, and mediation, with a special focus on how racist attitudes prevail and how social macro-features such as culture, society, or politics influence the agents (healthcare staff) that participate in communicative encounters between healthcare service providers and immigrants. Using a content analysis methodology, we will analyse comments made by SESCAM (Healthcare Service of Castilla-La Mancha) workers in the discussion forums of an online training course on “Techniques and skills to overcome cultural and linguistic barriers”. Knowing SESCAM workers’ attitudes helps us target racist and xenophobic behaviours and misconceptions to reorient them. We hope that the results obtained from this study will help to improve the response of health organisations in minimising cultural barriers that hinder the accessibility of migrant populations to advance healthcare equity.

Abstract

Ideologies are shared representations that are expressed and reproduced through discourse in the social practices of groups (Van Dijk 2006). Whereas ideologies are abstract and general social beliefs, attitudes are expressions and manifestations of the set of beliefs that shape a particular ideology in discourses, defined in terms of the topics that they address. Discourse is, thus, the object of our study, and our aim is to examine the discourses of healthcare staff about migration, translation, interpretation, and mediation, with a special focus on how racist attitudes prevail and how social macro-features such as culture, society, or politics influence the agents (healthcare staff) that participate in communicative encounters between healthcare service providers and immigrants. Using a content analysis methodology, we will analyse comments made by SESCAM (Healthcare Service of Castilla-La Mancha) workers in the discussion forums of an online training course on “Techniques and skills to overcome cultural and linguistic barriers”. Knowing SESCAM workers’ attitudes helps us target racist and xenophobic behaviours and misconceptions to reorient them. We hope that the results obtained from this study will help to improve the response of health organisations in minimising cultural barriers that hinder the accessibility of migrant populations to advance healthcare equity.

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