||Needs Analysis on English Language Use in Nursing:
A Comparison between Certified Nurses and Student Nurses
||Department of English
English for nursing purpose
||外國觀光客及外國勞動者入境台灣人數持續增長同時也帶起了台灣醫療產業在英語能力上的需求。本研究旨在比較護理師與護理實習生在護理職場上工作任務所需之英文的使用頻率，以及英文能力重要性，並進一步探討學習護理英文的動機強弱，以了解何種護理英文課程較可滿足他們實際就業市場的需求。研究方法採問卷調查和深度訪談。問卷調查的對象分兩組，一組是157位具護理學實習經驗的專科護理實習生，另一組則是60位具護理執照的現職護理師。深度訪談則訪問6位護理實習生、9位現職護理師及6位護理英文授課教師。問卷調查結果以統計套裝軟體SPSS for Windows 19.0進行統計分析，並運用描述性統計及One-way ANOVA進行分析探討。
||The increasing number of international visitors coming to Taiwan for travel and work demonstrates an increasing need of English language in the Taiwanese medical industry to meet the needs of the growing population of international visitors. This study investigates the perceptions of certified nurses and student nurses in Taiwan. Specifically, for these two groups, we compared perceptions of (1) how frequently English is used during the completion of various nursing tasks, (2) the importance of English language skills in nursing, and (3) motivations for learning nursing English. For this, we recruited 157 student nurses and 60 certified nurses to complete needs-analysis questionnaires. Among them, we also interviewed nine certified nurses, six student nurses, and six tertiary instructors who teach English for nursing purposes (ENP). Quantitative data analysis was conducted in the SPSS (Statistical Package for the Social Sciences) 19.0 computer program. Specifically, one–way ANOVA was performed to determine whether there were any significant differences between the groups.
The major findings of this study are summarized as follows:
1.For nursing professionals, English reading ability was deemed as profoundly important as well as the most frequently used skill. Listening and speaking ability ranked the second important and writing was the least used skill in clinical settings.
2.Most of the student nurses felt that learning English medical terminology is essential for their practice, and that it is especially helpful during their nursing practicum. In contrast, for certified nurses, oral communicative skills seemed to be more important than learning medical terminology.
3.Both student nurses and certified nurses expressed their needs to improve reading skills to be able to read English professional journal articles.
4.Both the student nurses and the certified nurses expressed their willingness to learn nursing English.
According to the semi-structured interviews and the research findings, practical implications and suggestions for future studies are also addressed in this paper.
||TABLE OF CONTENTS
CHINESE ABSTRACT ii
ENGLISH ABSTRACT iii
TABLE OF CONTENTS iv
LIST OF TABLES vi
LIST OF FIGURES vii
CHAPTER ONE: INTRODUCTION 1
1.1 Background and Motivation of the Study 1
1.2 Statement of the Problems 4
1.3 Purposes of the Study 5
1.4 Research Questions 7
1.5 Significance of the Study 8
1.6 Definitions of Terms 8
CHAPTER TWO: LITERATURE REVIEW 10
2.1 Overview of Nursing Education in Taiwan 10
2.2 Overview of English Education at Nursing Schools in Northern Taiwan 12
2.2.1 English Curriculum in Junior Colleges 13
2.2.2 English Curriculum in Universities 15
2.3 English as a Communicative Language between Health Professionals 18
2.4 Challenge Facing in Nursing Community in Taiwan 19
2.5 English for Specific Purposes (ESP) 20
2.5.1 Characteristics of ESP 21
2.5.2 Classification of ESP 23
2.5.3 Rationale behind ESP 25
2.6. Needs Analysis 26
2.6.1 Methodologies of Needs Analysis for English for Nursing Purposes 30
2.6.2 Criteria of Task 36
2.6.3 Related Studies in Needs Analysis 39
2.7. Summary of Literature Review 43
CHAPTER THREE: METHODOLOGY 45
3.1 Participants 45
3.1.1 Student Nurses with Clinical Nursing Practice Experience 45
3.1.2 Nursing Professionals Who Provide Inpatient Care 46
3.1.3 ENP Instructors from Universities of Technology and Junior Colleges 48
3.2 Research Procedures 49
3.3 Instruments 50
3.3.1 The Questionnaire 51
3.3.2 Semi-structured Interviews 55
3.4 Data Analysis Procedures 59
3.4.1 Quantitative Data Analysis 59
3.4.2 Qualitative Data Analysis 60
3.5 Summary of Research Methodology 61
CHAPTER FOUR: RESEARCH FINDINGS 63
4.1 Findings of Research Question One 64
4.2 Findings of Research Question Two 71
4.3 Findings of Research Question Three 75
4.4 Findings of Research Question Four 77
4.5 Findings of Research Question Five 78
4.6 Findings of Research Question Six 90
CHAPTER FIVE: DISCUSSION 96
5.1 Discussion of the Study 96
5.2 Analysis of Research Question One 97
5.3 Analysis of Research Question Two 99
5.4 Analysis of Research Question Three 101
5.5 Analysis of Research Question Four 102
5.6 Analysis of Research Question Five 103
5.7 Analysis of Research Question Six 104
CHAPTER SIX: CONCLUSION 106
6.1 Pedagogical Implications 107
6.2 Limitations of the Study 107
APPENDICES A: Questionnaire for Certificated Nurses (Chinese Version) 120
APPENDICES B: Questionnaire for Student Nurses (Chinese Version) 127
APPENDICES C: Questionnaire for Certificated Nurses (English Version) 134
APPENDICES D: Questionnaire for Student Nurses (English Version) 140
APPENDICES E: Semi-structured Interviews Questions (Certificated Nurses) 146
APPENDICES F: Semi-structured Interviews Questions (Student Nurses) 147
APPENDICES G: Semi-structured Interviews Questions (ENP Instructors) 148
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