Quality and safety issue: language barriers in healthcare, a qualitative study of non-Arab healthcare practitioners caring for Arabic patients in the UAE

BMJ Open. 2023 Dec 22;13(12):e076326. doi: 10.1136/bmjopen-2023-076326.

Abstract

Objectives: To identify language-related communication barriers that expatriate (non-Arabic) healthcare practitioners in the UAE encounter in their daily practice.

Design: Qualitative study utilising semi-structured in-depth interviews. The interviews were conducted in English language.

Setting: Different healthcare facilities across the UAE. These facilities were accessed for data collection over a period of 3 months from January 2023 to March 2023.

Participants: 14 purposively selected healthcare practitioners.

Intervention: No specific intervention was implemented; this study primarily aimed at gaining insights through interviews.

Primary and secondary outcomes: To understand the implications of language barriers on service quality, patient safety, and healthcare providers' well-being.

Results: Three main themes emerged from our analysis of participants' narratives: Feeling left alone, Trying to come closer to their patients and Feeling guilty, scared and dissatisfied.

Conclusions: Based on the perspectives and experiences of participating healthcare professionals, language barriers have notably influenced the delivery of healthcare services, patient safety and the well-being of both patients and practitioners in the UAE. There is a pressing need, as highlighted by these professionals, for the inclusion of professional interpreters and the provision of training to healthcare providers to enhance effective collaboration with these interpreters.

Keywords: health equity; health services accessibility; health services administration & management; international health services; quality in health care; risk management.

MeSH terms

  • Communication
  • Communication Barriers
  • Delivery of Health Care*
  • Humans
  • Language*
  • Qualitative Research