title: Community pharmacists' perceptions of barriers to communication with migrants.
abstract: OBJECTIVE
  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.
  
  
  RESULTS
  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.
authors.affiliation: Division of Medical and Dental Education, University of Aberdeen, Aberdeen, UK. jen.cleland@abdn.ac.uk
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Cleland
authors.forename: Margaret C
authors.initials: MC
authors.lastname: Watson
authors.forename: Leighton
authors.initials: L
authors.lastname: Walker
authors.forename: Alan
authors.initials: A
authors.lastname: Denison
authors.forename: Neil
authors.initials: N
authors.lastname: Vanes
authors.forename: Mandy
authors.initials: M
authors.lastname: Moffat
mesh_terms: D003142:Communication; D003157:Community Pharmacy Services; D006801:Humans; D010465:Perception; D010595:Pharmacists; D012017:Referral and Consultation; D014171:Transients and Migrants; D006113:United Kingdom