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Community pharmacists' perceptions of barriers to communication with migrants

机译:社区药剂师对与移民沟通障碍的看法

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Objectives Effective communication by pharmacists is essential to ensure patient safety in terms of provision and use of medications by patients. Global migration trends mean community pharmacists increasingly encounter patients with a variety of first languages. The aim of this study was to explore community pharmacists' perceptions of communication barriers during the provision of care to A8 (nationals from central/Eastern European states) migrants. Methods A qualitative face-to-face interview study of purposively sampled community pharmacists, North East Scotland. Key findings Participants (n = 14) identified a number of barriers to providing optimal care to A8 migrants including: communication (information gathering and giving); confidentiality when using family/friends as translators; the impact of patient healthcare expectations on communication and the length of the consultation; and frustration with the process of the consultation. Conclusions Several barriers were specific to A8 migrants but most seemed pertinent to any group with limited English proficiency and reflect those found in studies of healthcare professionals caring for more traditional UK migrant populations. Further research is needed using objective outcome measures, such as consultation recordings, to measure the impact of these perceived barriers on pharmacist-patient consultations. Language and cultural barriers impact on the quality of pharmacist-patient communication and thus may have patient safety and pharmacist training implications.
机译:目标药剂师的有效沟通对于确保患者提供和使用药物的安全至关重要。全球迁移趋势意味着社区药师越来越多地遇到使用多种第一语言的患者。这项研究的目的是探讨社区药剂师对A8移民(来自中欧/东欧国家的国民)提供医疗服务期间对沟通障碍的理解。方法对苏格兰东北部有目的的社区药师进行了定性的面对面访谈研究。主要发现参与者(n = 14)确定了为A8移民提供最佳护理的许多障碍,包括:交流(信息收集和给予);使用家人/朋友担任翻译时的机密性;患者医疗保健期望值对沟通和咨询时间的影响;和沮丧的协商过程。结论有几个障碍是A8移民特有的,但大多数障碍似乎与英语能力有限的任何群体有关,并且反映了在护理专业人员的研究中发现的那些障碍,这些专业人员照顾英国的传统移民。需要使用客观结果测量方法(例如咨询记录)进行进一步研究,以衡量这些感知障碍对药剂师-患者咨询的影响。语言和文化障碍会影响药剂师与患者之间的沟通质量,因此可能会对患者安全和药剂师培训产生影响。

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