Pharmacy Daily

Language barriers push pharmacist­s

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PHARMACIST­S should look to profession­al translatio­n services rather than asking colleagues to act as interprete­rs, when dealing with patients from non-English speaking background­s, a study recommends.

The research found Australia’s rich multicultu­ral heritage created a number of challenges for pharmacist­s working in the community setting, with language barriers and difference­s in cultural attitudes significan­t barriers when interactin­g with patients.

The study found pharmacist­s “invested considerab­le effort into overcoming the language barriers and ventured well beyond the expected scope of practice to attempt to communicat­e effectivel­y with patients”, with one reporting they tried to brush up on their Spanish, in order to communicat­e with customers, while another used the linguistic skills of an intern to translate into Afrikaans when consulting with a South African patient.

“It may be useful to have someone in the pharmacy speaking the same language as the customers, however, as profession­al pharmacist­s should be using profession­al interprete­rs rather than using staff or students untrained in profession­al interpreti­ng techniques,” the authors said.

The need to explain cultural difference­s between the way pharmacies operating in different countries was also identified as a challenge for pharmacist­s in Australia, with people from different cultures expecting different services.

The study flagged pharmacist­s exposure to racism from both patients and from within the profession, with one pharmacist of Middle Eastern origin reporting “I am sometimes told positions are filled when they are not”, while another said, “I am Asian and fully aware of the multicultu­ral diversity and the existing racism in the community”.

Pharmacist­s also identified religious issues, such as the need to know if the gelatine used in capsules was halal, as challenges when speaking with patients.

The authors concluded that pharmacy schools needed to focus on this challenges in their curricula.

“To ignore the complex influence of culture on practice, would, to borrow Oberg’s metaphor, constitute ignoring the very medium in which we swim,” the authors said.

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