[Thesis]. Manchester, UK: The University of Manchester; 2011.
Background – In Great Britain (GB), international recruitment has been one of the
methods used to tackle the shortage of healthcare professionals. Although research
has been conducted on internationally trained nurses and doctors, studies on internationally
trained pharmacists (ITPs) is limited. In the first stage of this programme of work,
reasons for migration, experiences of work and future intentions of ITPs in GB were
explored. Communicative proficiency of ITPs was then explored in the subsequent stages
from the perspective of ITPs themselves, as well as that of pharmacy employers to
see whether and how this has negative implications for patient safety.Methodology
– For stage one 29 semi-structured interviews were conducted with a purposive sample
of 11 adjudication, 14 EU and four reciprocal pharmacists in Manchester and London.
For stage two eight focus groups and two semi-structured interviews were conducted
with 31 EU and 11 adjudication pharmacists in London, Manchester, Liverpool and Glasgow.
For stage three, nine semi-structured interviews were conducted with seven community
and two hospital ITPs’ employers.Findings - The findings confirmed that reasons for
migration of ITPs are multifactorial. Motives were often, but not exclusively, economic
or professional. In general, adjudication pharmacists are happy with the Overseas
Pharmacists’ Assessment Programme and the pre-registration training that they had
received, while the EU pharmacists tended to be more critical of their adaptation
programmes. While overall the reciprocal pharmacists were happy with their work experience
in GB, EU and adjudication pharmacists’ narratives included some dissatisfactory experiences.
Communication was described as a daunting challenge, especially during the initial
period after their arrival. ITPs experienced communication difficulties through new
dialects, use of idioms, abbreviations and colloquial language. Most, however, were
adamant that communication problems did not compromise patient safety. ITPs’ employers
described the importance of having processes in place to assure EU pharmacists’ overall
language proficiency in the workplace. However, strategies used varied in type and
rigorousness. Conclusion - This novel research provides a foundation for future work
on ITPs in GB, and could assist employers to better target their efforts in development
of standards to support the recruitment and the working experiences of ITPs in GB.