Patients with different ethnicity can be vulnerable due to lack of knowledge of the language in the new country which causes communication difficulties. This problem is an international phenomenon and often contributes to communication problems when these groups of patients meet with the nurses in the health care system. Background: The result of the communication has great impact on the quality of care in the healthcare. A nurse must be aware of the effects the language barriers have on a patient while he/she is under care, and this barriers become an obstacle to get in touch with the healthcare. If the communication between a nurse and patients with different ethnicity hindered, it can lead to for example depression at the patient. Aim: The study’s aim is to describe the factors that influence the immigrant patient’s communication with nurse, from the patient's perspective. Method: A literature review is designed to answer the study’s purpose. Result: The result showed that there have been found three different themes, lack of language skills, interpreter/family and culture. The results showed that patients experienced the communication with the nurse to be decisive about their overall ratings of good or bad care. When language barriers arose the staff could arrange for a certified interpreter, but even this could be problematic as dialect differences.