Trainers Webinar # 35

WWG 35 image

This live webinar took place on May 16, 2019 from 5:00 PM to 6:30 PM Central.

Watch the Recording

To watch the recording of this webinar, be sure you are logged into your NCIHC account and then go to the NCIHC Learning Center.
NCIHC Learning Center

Click here to access the presentation slides.

NCIHC Members: free          
Non-NCIHC Members:  $30.00 (Become an NCIHC Member today!)

This webinar is approved by CCHI for 1.5 instructional hours and by ATA for 1 CEP.


If you wish to receive a certificate of attendance after viewing the recording, you must:

1. Provide at least one screenshot of the webinar; and

2. Provide the verification code mentioned at the beginning of the presentation (if there is one).

Please email requests for certificates of attendance to [email protected] and indicate that you are requesting a certificate in the subject line. Every effort will be made to provide certificates to individuals who meet eligibility requirements within two weeks of their request.


This webinar is sponsored by

 CLI Logo


Some of the comments received:

  • Really fascinating to see the process for designing and verifying the instrument.  Thanks!
  • One of the best presentation I have attended. Thank you so much for this fantastic teamwork!!
  • This is a topic of research which so valuable. I do not believe sometimes that providers, hospital staff, etc realize how exhausting it is to interpret all day.   Keep up the research and sharing the results. Very validating!
  • Very informative.  Both ladies were extremely knowledgeable with their presentation, It's obvious the amount of work that went into it.
  • Thank you for sharing your research! It was very fascinating! 


Healthcare interpreters' work can be mentally taxing. However, we are often uncertain as to what contributes to our mental fatigue, outside of the obvious issue of long encounters and long workdays. Unfortunately, interpreter fatigue is not well documented.  This presentation provides information on various factors that can affect both concentration and performance contributing to mental fatigue. It also sheds light on precedents in other industries that make the case for use of a measurement tool to address such factors and mental fatigue in a more sophisticated way. 

Gaps in understanding interpreter mental fatigue led the presenters to develop and internally validate the Complexity and Fatigue in Interpreted Encounters (CFIE) tool.  The CFIE, comprised of three domains: paralinguistic, sensory and intrapersonal/physical, includes 16 affirmative factors identified by interpreters as causes of mental fatigue. Seven interpreters participated in using the CFIE tool across 444 interpreter encounters. The presenters will share their findings which indicated increased mental fatigue in departments with high acuity, fast pace and unpredictable encounters.  Interpreters experiencing mental fatigue may jeopardize accuracy of interpretation in these encounters, resulting in unfavorable patient outcomes. The presenters will discuss plans for future research on interpreter inaccuracies related to mental fatigue.

Interpreter trainers will consider the implications of the study’s results and their relevance to interpreter skill development and real-world performance. Trainers will also gain insight into the need to present these concepts to their students.


At the end of this presentation the participant will:


  1. Identify common factors which contribute to interpreter mental fatigue
  2. Learn about precedents in other fields for measuring workload & productivity
  3. Describe research that focuses on measurement of interpreter mental fatigue in a healthcare environment
  4. Consider ways that trainers can apply these concepts in interpreter training programs

About the presenters:

K Murphy pic






Kathy Murphy is a Clinical Nurse Specialist at Children’s Healthcare of Atlanta-Egleston.  In her nearly 30 year tenure at Children’s, Kathy serves as an educator on congenital heart defects for patients, families and staff.  She has authored 2 book chapters on Pediatric Assessment and has conducted nursing research in the heart center.  Kathy has been responsible for the development of numerous patient and family education materials for cardiac patients and families.  She has been awarded the Golden Apple award for excellence in patient education twice.  Kathy was also a Georgia March of Dimes finalist for Advanced Practice Nursing.

A Henry photo

Andrea Henry has been active in healthcare interpreting for 23 years, beginning her career in 1994 as a freelancer and later as a fulltime remote interpreter in Portland, Oregon. After relocating to Atlanta, Andrea spent six years in development/management. Andrea earned her B.A. from the University of Oregon in Spanish/International Studies with a minor in Ethnic Studies. She is a national expert on interpreter fatigue research. She has received over 120 hours of interpretation education and has attended 30+ conferences.The most satisfying part of Andrea’s career is working as an interpreter at Children’s Healthcare of Atlanta while carrying out this research.

System Requirements

PC-based attendees:        Required: Windows® 8, 7, Vista, XP or 2003 Server

Mac®-based attendees:    Required: Mac OS® X 10.6 or newer

Mobile attendees:            Required: iPhone®, iPad®, Android™ phone or Android tablet 

Reasonable Accommodation:  If you require an ADA accommodation, please contact Nicole Steen, the NCIHC Administrative Assistant, at (202) 505-1537 or email [email protected].  Nicole Steen must receive your request for an accommodation no later than two weeks prior to the date of this event. For those who request an accommodation after this date, every effort will be made to provide a reasonable accommodation; however, we may not be able to do so given potential time constraints.

You may download the Webinar Policies HERE