N Z Med J. 2026 Mar 13;139(1631):38-65. doi: 10.26635/6965.7259.
ABSTRACT
AIM: We aimed to examine the experiences of Pacific nurses in Aotearoa New Zealand who provide informal language assistance to Pacific patients with limited English proficiency (LEP).
METHODS: A cross-sectional online survey was distributed to 229 alumni of the Aniva Leadership Programme. The survey included quantitative and qualitative questions about interpreting experiences. Descriptive statistics and logistic regression were used for quantitative analysis; framework analysis was applied to free-text responses.
RESULTS: The response rate was 69% (n=159). Of respondents, 80% spoke a Pacific language and 85% of these had been asked to interpret in clinical settings, most commonly by patients, families and colleagues. While 75% felt confident interpreting, many reported difficulties with technical terminology. Nurses observed improved patient trust, understanding and engagement when using Pacific languages. However, interpreting often conflicted with core duties, raised ethical concerns and was not formally recognised or supported.
CONCLUSION: Pacific nurses routinely provide informal interpreting, significantly enhancing patient care. Yet this work is uncompensated, untrained and exposes nurses to professional risks. Health systems must reduce reliance on informal interpreting by investing in professional services, offering interpreter training for bilingual staff and formally recognising the cultural and linguistic labour of Pacific nurses to support equitable care.
PMID:41818759 | DOI:10.26635/6965.7259
