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A Language-Focused Needs Analysis for ESL-Speaking Nursing Students.pdf
A Language-Focused Needs Analysis for
ESL-SpeakingNulsing Students in
Class and Clinic
Richard Cameron
The Uniuersilyof Illinois at Chicago
ABSTRACT Because clinical experience is essentialfor nursing education, even students with
modest-to-lowproficiency in English as a second language @L) receive training and provide
care in clinics. Yet modest-to-low language proficiencycouldprove hazardous for the students
or theirpatients. Therefore, these nursing students would benefit from special classes in EL.
Such classes require prior needs analyses that precisely articulate academic and clinical lan-
guage needs. These needs statements serve as suggestionsfor course content. Reported here
are the results o fan extensive needs analysisfor ESL-speaking graduate nursing students. The
approach to needs definition derivesfrom Stufflebeamet al. (1985). The analysisfocuses on
skills requiredfor school, clinicalpractice, and interaction with a multicultural, socially strati-
fied patient population. Resulting needs statements are organized in terms of (1) Speech Pro-
duction Accuracy, (2)Academic Performance, (3) ClinicalPerformance, (4) Dialect (Culturag
Variation,and (5) lnferencing Skills.
~~~ ~
IntroducEion wisdom of placing non-nativespeaking (NNS)
Graduatelevel training of nursing students typ nurses with modest levels of linguistic c o m p e
ically consists of academic course work fol- tence in clinical contexts. Yet, given the need
lowed by on-site practice in those clinical for clinical experience, this is precisely what
settings most relevant
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