English Proficiency in Nursing Students
English Proficiency in Nursing Students
CHAPTER 1
Introduction
people in most countries of the world. It is, in fact, the most important means of
English and benefit the world. In this way, English helps to spread knowledge and
progress.
English is the linguistic engine that drives the global economy. If you look at the
most important communications and transportation innovations in the last 150 years,
nearly all of them were invented by English speakers, so their documentation was in
English. English has been the sole linguistic engine driving this process. Therefore, in
order to truly participate in globalization and the global economy, English is absolutely
critical.
easy to learn. As well as it is very useful to us. English is one of the widely used
languages in the world. We use this language to communicate with other countries of
the world. If one knows English very well he or she can get better results in any field of
study and can reach the top ranks of the profession. When we apply a high professional
job we should fill the application in English. As well as when we face to an interview, we
must know how to use the English language in correct way and we can get high marks
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for it. When we have passed the English subject in an examination it is extra
qualification for out job. For us nursing students who take the local nursing examination
soon, we believe that better reading comprehension would give us the chance to pass
the local examination. Now all the subjects in the university are taught in English. Every
student must learn English, for them to pass the examinations and get good job. If we
know English we can read many books because many books are written in English
world and exchange our ideas with other country people. Even when we use the
computers we should know English because all the computers programs are written in
English. When we send E-mail and use the internet we use English language. Learning
cultures, it has become very rich. It contains so many words, ideas and thoughts that a
good knowledge of English enriches the mind and enables one to express oneself well.
It also helps one to think better and understand the people of the country and the
English language thus lead to one’s ability to influence others, gain respect and gain
In this study, we will find out what is the level of English proficiency or third year
nursing students in Arellano University. We are also going to discover the different
factors and teaching strategies that help the students in English proficiency. The result
the allotted time is not enough to improve the English proficiency of nursing students
because in the eight semesters, only four of them that English subject is included. It
English subject is important for the nursing students because the researchers
believe that good reading comprehension will help the graduates in taking the board
examination. Most of them wanted to work abroad where English language is the most
important mean to communicate with foreign patients with this the nurse would be able
to effectively provide health care for sick patients. Misunderstanding may be prevented
English competence will help also the students to increase their chance to pass
local and international examinations because as well all know the test items on these
tests are all on English medium. As most flankers share their opinions regarding their
experiences is that they are having difficulty in understanding the questions and that
Therefore, the results of this investigation may provide a basis for remediation
program of English subject by knowing the level of English proficiency of third year
nursing students. And it may improve the competence of English proficiency of the
Theoretical Framework
English is the universal language and one of the most common used languages
in order to communicate with other nations, thus a person who mastered this language
has the capability to communicate easily and may understand other’s culture.
Nowadays, there is a need to learn this language either in school or at home in order to
relate with others especially the nurses who wanted to work abroad. English proficiency
The theoretical framework for this study includes the linguistic theory of
work, the central object of study in linguistics is “the language faculty”, a postulated
utterances. The aim of linguistic theory is to describe the initial state of this faculty and
how it changes with exposure to linguistic data. Chomsky (1981) characterizes the initial
consists in setting these open parameter values on the basis of linguistics data available
to a child. The initial state of the system is a Universal Grammar (UG); a super-recipe
Linguistic theory, given these views, has a double mission. First, it aims to
‘adequately’ characterize the grammars (and hence the mental state) attained by native
speakers. Theories are ‘descriptively adequate’ if they attain this goal. In addition,
linguistic theory aims to explain how grammatical competence is attained. Theories are
5
‘explanatorily adequate’ if they show descriptively adequate grammars can arise on the
basis of exposure to ‘primarily linguistic data (PLD): the data children are exposed to
and use in attaining their native grammars. Explanatory adequacy rest on an articulated
theory of UG, and in particular a detailed theory of the general principles and open
parameters that characterize the initial state of the language faculty (that is, the
comprehension and grammatical competence in nature and the knowledge of this things
speech community who knows his language perfectly and is unaffected by such
irrelevant condition as memory limitation, attention and interest and error in applying his
Operational Framework
The operational framework of the study was guided by the problems of the study.
INPUT
PROCESS
Information/Data gathered through survey
OUTPUT
Level of English Proficiency among third year
nursing students
As shown in the diagram, the input is the Level of English Proficiency of Nursing
students at the present. It also includes the factors affecting the student’s interest on
English subject.
Information and feedback about this research shall be gathered from the selected
third year nursing students of Arellano University. Information shall be studied, interpret
From this process, there will be remediation will be include the different proposed
teaching strategies and methods. These suggestions can be given to develop the
competence and confidence of the students in English subject. This shall result to
This study aimed to discover the level of English proficiency of third year nursing
1. What are the factors that will help the students to be proficient in English?
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proficiency?
3.1 Comprehension
3.2 Grammar
3.3 Vocabulary
most?
Hypotheses
1. Personal motivation and interest is one of the factors that will help the
participation from the students is the teaching strategy that students prefer in enhancing
The researcher wish is to help improve the level of English proficiency of third
year nursing students. Hopefully, this study will be a great help to the following sectors:
English course.
a basis for whatever remedial program to be implemented for enhancing the student’s
communication skills.
To the PROFESSORS, the result of this study may be able to adjust the teaching
To the PARENTS, who are directly concerned with the education of their children
may also be benefit form the findings of their study in terms of improved quality of
education that their children may be getting form the improved English course.
To the STUDENTS, who will know the level of their English proficiency. It would
motivate them to exert more effort in studying English. It would help them to realize the
importance of this subject as the gateway to academic success especially in taking the
board examination.
To the FUTURE RESEARCHERS, the result of this study may be utilized as their
basis for further study on teaching learning processes and academic performance of the
students in English.
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This study will be conducted at the Arellano University (Main), Legarda Manila. It
will mainly focus on the level of English proficiency of nursing students and the result
may propose remediation for the given subject. The respondents will be the third year
college students enrolled in the Nursing course. Random sampling will be use to get the
participants. It is focused on some of the factors that could affect the proficiency level in
Definition of Terms
(Webster Dictionary)
discerning a reading material. It is the readiness, ability and capacity of the mind to
2002)
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and are responsible for not only their own learning but also for the learning of other
(Chapman, 2002)
Grammar. The systematic analysis of the classes and structure of words and of
2003)
Listening Skills. This refers to the students ability to identify and understand
Remediation. A program in which particular subject was been teach again and
Reading Skills. This refers to the student’s ability to read reading materials and
Speaking Skills. This refers to the students ability to express their ideas,
Writing Skills. This refers to the student’s ability to express their ideas, thoughts
CHAPTER II
This chapter discusses some related literature and studies about motivational
patterns, critical thinking skills and English language competence. It also includes a few
related articles and studies on the influence of gender, mother tongue, school, expose
to the English language in the tri-media and residence on language learning. The
discussion of the related literature and the studies is done according to topic.
The World Health Organization (W.H.O) has cited the Philippines as the largest
exporter of Nurses to foreign countries. Part of the reason for such popularity is the
proficiency of the Filipino Nurse in the English language, today’s lingua franca of
hospitals worldwide. The educational system for nurses in the Philippines mandates
– all lectures and school work being done in English. Nursing programs in the
Philippines have been certified to be equivalent to the education standards in the U.S.
As many students there have been made aware of the vast opportunities in nursing,
both at home and abroad, the Philippines now trains more nurses that she requires.—
The Department of Education (DepEd) said that it was seeing improvement from
its efforts to improve English proficiency among public school students if students’
Education Secretary Jesli Lapus said that the department was also pursuing its
programs to further improve English proficiency by pushing ahead with its National
program. Under the program, a total of 10,500 teachers and school administrators have
students in the National Achievement Test (NAT) within the five-year analysis
other key subjects such as Science and Mathematics use English in textbooks and
“Filipinos’ edge in the English language is also vital as more work opportunities
It will be recalled that Andrew King, country director of IDP Education Philippines,
Language Testing Sys-tem (IELTS) exam to Filipinos who seek to enter Australia as
Filipinos’ proficiency in English from the results of Filipino takers of the IELTS they
administered in 2008.
In the IDP Education Pty. Ltd’s review of IELTS results they had administered in
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countries all over the world for 2008, he said that the Philippines’ average overall score
was 6.69, which was below the 7 passing score of the Australian government.
In their analysis of the results and the Philippines’ system of English instruction in
schools, King said that the deteriorating level of English proficiency could be attributed
to the deficiencies in the proficiency of the teachers teaching English as well as the poor
quality of resources or textbooks being used in schools. (The Philippine Star 2009)
stay as one of the most attractive areas for business process outsourcing (BPO)
China, which has as advantage in terms of manpower is already catching up. “ It’s a
The NEDA chief said although there is still no cause for alarm, there should be
competitive.
Aside from the BPO industry, Filipinos are easily hired abroad because their
English proficiency skills are higher than those from workers in neighboring countries.
English is the number one language in the entire world. If we want to increase
Santos said. Santos said a recent study showed that China is moving to boost the
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English proficiency of its people. “We have to continue beefing up our English
The Phillippines has one of the leading BPO industries in the world aside from
India and China. It is forecast to earn US 11 billion dollars and employ about 900,000
personnel by 2010. The excellent English language skills of the Filipino workforce and
the coutry’s ability to attract investments from leading companies in the world have
made the country one of the leading areas for BPO investments. (Madel Sabater 2009)
English proficiency of Filipinos has recovered and improved in the last two years,
especially in the fields of written and spoken English, a study by research outfit Social
The survey, conducted from March 30 to April 2, 2008, showed that the ability of
April 2008. Filipinos' proficiency in spoken English also improved from 32 percent in
Filipinos' understanding of spoken and written English also improved in April and
even surpassed previous levels set 15 years ago. The SWS said Filipino adults'
percent in March 2006 and went back up to 76 percent in April 2008. Filipinos who read
Filipinos' ability to think in English also improved from 27 percent in March 2006
to 38 percent in April 2008. SWS president Mahar Mangahas said the improvement in
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"The most important finding is that there is an improvement in all the expected
properties. This is all age groups, of different classes and sectors. These are the people
actively thinking of improving themselves. They are drawing from their own foundation
He added that the increasing dependence on the Internet is also pushing people
The survey said eight percent of the Filipino adults polled claimed they made full
use of the English language; 39 percent said they made fair use of the English
language; 29 percent said they made partial use of the English language, and 17
The SWS interviewed 1,200 respondents nationwide for the survey, which was
conducted for the Promoting English Proficiency Project of the American Chamber of
MBC President Ramon del Rosario said the move to improve English proficiency
is largely market-driven due to the rise in the business process outsourcing (BPO)
in the Philippines. After all, the perceived advantage of the Philippines in terms of
English proficiency is not being born out because the recruitment rate in call centers has
He said the business sector is addressing the problem by pushing for the
improvement of the overall quality of education in the country. He added that English
proficiency is advantageous not just to the BPO industry but also to the local tourism
sector especially with more English-speaking tourists going to the Philippines. (DAVID
DIZON [Link]-2008)
According to one of the author from the US, she have read many of the
messages posted here and to be honest and frank with everyone, I think that the quality
of the English classes taught in the Philippine schools has definitely deteriorated and is
reflected in the way of the Filipino nurses expresses their thoughts in English when
Granted that English is a second language to the vast majority of the Filipinos,
and to the Filipino nurses in particular, in the Philippines English is taught in grade
school, in high school and in college. Therefore, is it fair to expect a college educated
If a Filipino nurse is not fluent in English, should that nurse be required to take
remedial English classes before that nurse can be hired overseas? - (Daly City 2008)
The Business Process Association of the Philippines reported last year that the
country's BPO industry was regarded as a second front runner after India. Today, the
Philippines has overtaken the latter in certain aspects of outsourcing. The country has
also become top destination for American companies for their back office requirements.
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These companies cite Filipinos' cultural inclination towards Americans and their
call center in Manila because he said he could not find enough English proficient
workers. “Not even 3 percent of the students who graduate college here are employable
2007. So where is the veracity of those claims that the Philippines have a substantial
A friend who works in the HR department for one of the Manila offices of
Canadian telecom, Telus, said that they interview an average of 50 people a day and
The proliferation of BPO companies in the country has entailed the setting up of
intonation.
The bureaucracy has made a short-term solution to fill the vacancies in these
burgeoning contact center offices in the country. What the government and the industry
should do is go back to formal education, a step steadily taken through the House Bill
305: mandating the use of English as the medium of instruction in all academic subjects
from Grade 3 onwards and encouraging the use of English as the medium of interaction
Aside from its bountiful natural resources, the other main wealth of the
Philippines is perhaps its people. Despite the poverty and corruption that still pervade in
the country, the current generation of Filipinos has ably demonstrated they can surpass
the achievements of their elders and raise the standard of living in the country.
If not for the youth, the country would not have made a name in the outsourcing
business. Their exposure to global cultures and practices has also pushed them to
apply these yardsticks in their own country, spurring improvement and innovations.
I mean no disrespect to our elders, but I hate it when they say their generation
was better in a lot of things. You know it when someone blurts out the familiar line
"...during our time, it was so and so". If that was the case, then how come the
One of the issues that our seniors have been harping on about the past is the
declining proficiency of the English language among Filipinos. There's certain ring of
truth in this so I won't argue against that. But. the good news is that today's youth
certainly knows how to bounce back when they recognize a problem is hindering their
growth.
I'm talking about a recent survey conducted by local pollster SWS (Social
language has recovered in the last two years, after a decline over the previous twelve
years.
The April 2008 survey revealed that, compared to the March 2006 results, more
In the poll, three-fourths of Filipino adults (76 percent) say they understand
spoken English; 75 percent say they read English; three out of five (61 percent) say
they're comfortable writing in English; close to half (46 percent) say they speak English;
about two-fifths (38 percent) say they think in English; while 8 percent say they are not
This is a recovery from the previous survey in March 2006, when about two-
thirds of Filipino adults (65 percent) said they could understand spoken English; another
65 percent said they could read English; about half (48 percent) said they could write
English; about a third (32 percent) said they could speak English; a fourth (27 percent)
said they could think in English; while 14 percent said they were not competent in any
the Makati Business Club (MBC) and IT vendor, Sun Microsystems Philippines.
A statement that accompanied the survey results quoted Ramon del Rosario Jr.,
the MBC president, as having credited market forces, specifically the outsourcing
I certainly agree with Del Rosario. But, more than just market forces, I believe our
youth consciously upgraded their skills knowing fully well that their future depended on
I can really relate to your feelings here: my growing awareness of a belief among
Japanese students of English that they can somehow learn English ONLY by being in
practice (alone or with a Japanese partner), drills (both oral and written), learning vocab,
are either irrelevant or can somehow be bypassed when you have a real, live, English-
speaking (and preferably blond(e) and blue-eyed because we all know that those are
the only real foreigners) “gaijin” to yourself, if even for a few minutes;
My recent trip to the Philippines has me raving about the fluency possibilities for
all students in Asia. Some of my students have asked why I think the Filipino people
have been so [much more] successful [than Japanese] in adopting English as their
second language. I’ll leave the historical differences between the two countries alone
this time and simply point out that there are two major differences in their approaches to
English education:
1) In the Philippines, the government took the bold step of making English their second
national language. Effectively, this means that the citizens are receiving a single, unified
message: English proficiency is important for this country and each of its citizens, and
we will all start using English. In Japan, we see something along the lines of ‘English is
important for your class ranking and college admissions, but not so important that we
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adults are going to start using it,’ which is the policy equivalent of ‘Do as I say, not as I
do.’
2) Filipinos speak English with each other. Why would they do such a strange thing?
Many reasons, I suppose, but the most important is that knowing both of your country’s
tied to level of education, English ability is seen as a symbol of status. I’m sure there is
an ugly side to this as well, but it drives the younger generations to approach English
proficiency as a tool for communication, and one that will open doorways, even in their
own society. Nothing even close to this happens in Japan, where English is looked at as
Amid all the discussion in the press, academic circles and the political sector, as
to whether or not English should be the primary language for education in this country,
one of the greatest advantages of an English language education for Filipinos is almost
always overlooked. The ability to read and comprehend English makes vast amounts of
Philippine history and heritage, along with East Asian and world history, accessible to
Filipinos. Constantly promoting English, as a means for contract workers to find jobs
intellectual capabilities and enriches national culture and identity. Books in English also
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open up vast reservoirs of collective human knowledge regarding world history, science,
religion, political theory, literature and the arts. Works originally written in English or
translated into modern English over the last several centuries make up the largest
repository of printed information. Despite the marvels of the Internet, I still believe
reading full-length printed books is the best way to absorb complex information
If the Philippines lose its college level English language skills, which seem to be
happening at present, it will be losing access to much of its own indigenous history and
national memory. Some parochial nationalists argue that this is just fine with them; let
the nation build its future on a local Malay-based language such as Tagalog. What they
overlook is that the majority of educated Filipinos have been writing in English or have
been translated into English from Spanish for well over a century.
Today the large majority of Filipino writers, historians, scholars and journalists
are working almost entirely in English. English is very much part and parcel of the
Unfortunately for the ardent nationalists, the sheer practicality of trying to acquire
a college graduate level education in the humanities solely in Filipino is not feasible.
Young people in third world countries, especially in the case of the Philippines, can
spurn the serious study of foreign languages in the name of national sovereignty but
ironically they will end up sacrificing a large portion of their own national memory and
individual heritage. A nation that forgets its past identity and place in world history is ill-
prepared for the inevitable challenges of future colonial pressures. Pop culture flooding
the Philippines from other Asian countries is as shallow as anything Hollywood churned
Filipino regional languages and their many spoken dialects are beautiful and
deeply expressive of local cultures and the modern Philippine nation. They represent
ancient and modern oral and written traditions which capture the finest nuances of the
Filipino character and the Filipino world. However, as is true in all parts of the world,
local languages are dying off or being hybridized at a rapidly increasing rate. Much is
being done to try to record and save these linguistic traditions but the loss is an
this phenomenon is that greater and greater numbers of people across the globe are
now able to communicate with each other in the remaining international languages and
can share massive amounts of knowledge and information, stored in the collective
The current government policy seems to give every poor Filipino a bit of fractured
English and send them on their way abroad, hopefully to earn foreign exchange. No
class of people should be groomed to be overseas workers; they need jobs here at
home, near their families, in the country they love. The high social cost of this public
policy is broken homes, not to mention that intelligent and motivated citizens are being
forced overseas when they should be home mentoring their children. Working the
graveyard shift at call centers catering to foreign clients, is not much more desirable.
Tremendous resources, local and foreign, are now being spent on teaching
English to impoverished elementary school kids. The current mantra being that English
is one's passport out of the Philippines to high-paying jobs. It would be better to strongly
promote English for high school and college students, especially reading and writing
skills, so they can build a strong new nation from within, on their own terms. Rich
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Filipinos automatically provide their children with this type of English instruction. It
should be available in every high school and college with standardized testing and
mandatory reading assignments. Not only English but Chinese and Spanish should be
promoted by the Board of Education. For the evolving Philippine middle class this would
create a new generation of highly articulate readers and writers with excellent abilities to
access information and form critical opinions and thoughtful analysis of their society and
According to the latest Social Weather Stations survey., Results of the March 30-
April 2 survey of the SWS showed an “apparent recovery” -- based on the respondents’
own assessment of themselves -- in the locals’ ability to read and write English,
However, their ability to speak and think in English has not fully recovered,
according to SWS head Mahar Mangahas. About 76 percent of 1,200 voting-age adults
surveyed said they could understand spoken English, 11 percentage points higher than
they could read English while 61 percent of respondents said they could write English,
respondents (46 percent) said they could speak English while 38 percent said they
could think in English, clearly an improvement over 2006 survey results of 32 percent
and 27 percent.
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The same survey also showed a marked improvement in the English competency
(66 percent). The March 2006 survey showed a decline in all aspects of English
spoken English, another 65 percent said they could read the foreign language, 48
percent said they could write English, 32 percent said they could speak the language,
In the latest SWS survey, eight percent of respondents said they were not
competent in any way when it comes to the English language, a decline of six
Capital Region where almost nine out of 10 adults (86 percent) said they could
understand spoken English; three out of four (77 percent) said they could read English;
two out of three (68 percent) said they could write English; three out of five (62 percent)
said they could speak English; half or 51 percent said they could think in English while a
low two percent they were not competent in the [Link] competence was also
higher in urban compared to rural areas. In urban areas, 81 percent of adults said they
graduates end up jobless, no matter what university they came from. The battle of who
knows more and who is best among these graduates in their chosen field is not the only
basis that any company is looking for and when applying for a job, good communication
According to her, big companies, both here and abroad, are now looking for good
English communication skills among potential employees. Sadly, these companies are
disappointed.
TOEIC one of PEP's partners, is the world's leading test of English proficiency in
the workplace context, it is used by more than 4,000 companies worldwide and
administered to more than 4,000,000 test takers every year. TOEIC is developed by the
Educational Testing Service (ETS) based in Princeton, New Jersey, the same world-
renowned organization that constructed TOEFL, SAT, GRE, GMAT and TSE.
From the tests they have conducted on workers of companies, the results
showed that most of the workers need to improve their English communication skills.
Most jobs require this in their newspaper ad, looking for the right employee, the whole
Beunaventura also said that from the thousands of nurses applying for a job
abroad, many of them fail because they were not able to meet the English proficiency
Manila Bulletin)
English has been dubbed as the “language of the world”. Over a billion people in
the world have considered English as their second tongue. Filipinos are expected to
For nurses who are taking TOEFL or Test of English as a Foreign Language, this
language should be mastered more than anything else. This is an exam designed to
determine the ability to write, read and understand North American English of a
foreigner. Filipino nurses are known for their requisite technical skills, and their patient
skills. With the Philippines’ claim of being the 3rd largest English-speaking nation in the
Filipinos may have been the 3rd largest English-speaking nation, but the quality
is now fast deteriorating. OFWs should brush up their English soon because our Asian
Singapore and India are encouraging their young generation to excel in English. We
seem to be heading down while the countries are going up as far as English is
concerned.
Filipino nurses should be especially aware that Chinese nurses are set in taking
(FAME), the Chinese nurses were catching up in English proficiency. No wonder, for the
29
Asian giant has been setting up English schools for its 300,000 nurses. A website for
Chinese nurses aspiring a job abroad , have stated the need to gain an advantage over
The declining proficiency in English means that more opportunities are lost
simply by not excelling in the “language of the world”. (OFW guide 2005)
nursing schools to educate students whose first languages are those other than English.
The good news is that in the past decade, nursing programs in this country
bad news is that these students have been identified as at-risk, yielding higher rates of
The National League for Nursing reports that 17.6 percent of nursing students
are from nonwhite populations, while the U.S. Bureau of Census notes that 13.8 percent
question formats and Western ways of interacting with faculty and peers to be a
challenge. "ESL nursing students need assistance because they struggle with
Many ESL students enrolled in nursing programs are living on their own for the
first time, without their usual support system. Some are experiencing culture shock in
addition to the rigors of the academic program. Inadequate social, physical, emotional
Although many of these students were successful in their native countries and
previous careers, Powell says, they might face self-esteem issues related to entering a
new profession coupled with the challenges of learning a new language and culture.
needs of ESL students. "Project ESL: Enhancing Student Learning for ESL Nursing
Students" is a collaboration between TJU, Holy Family and La Salle to address the
$653,797 grant from the Health Resources and Services Administration's Bureau of
Beginning this August, the project will provide resources for 40 junior and senior
nursing undergraduates — 20 from TJU and 10 each from Holy Family and La Salle,
Students from the three campuses attend workshops together and then meet in
small groups on their own campuses for camaraderie and support. Task-oriented
sessions will walk students through clinical scenarios where they problem-solve or role-
In January, the program provided its first workshop for 45 faculty members at
TJU. Chinese student Shen Xinying (who is called Jessica by her American friends),
BSN, shared her story of being a nursing student in the U.S., including how she
overcame the challenges of working with some faculty who were not understanding or
School of Nursing and a teaching assistant at TJU, credits her success to faculty who
The program will continue to provide developmental support for nursing faculty,
who might not be prepared to work with nontraditional ESL students in a culturally
competent manner. Educators will learn how to ensure an optimal learning environment
for the students. This support will be directed by Lyn Buchheit, RN, MS, TESOL, grant
students, especially those for whom English is not the first language.
"International students bring such richness to the classroom," says Powell. "We
want to honor their cultures as they become acculturated into a new profession in the
U.S. These graduates will make a considerable contribution to the health needs of
When nurses who are educated internationally immigrate to the United States,
competent nurse. The purpose of this research was to provide sufficient information to
32
recommended passing standard for English proficiency. This standard was based upon
the Test of English as a Foreign Language (TOEFL). A large panel of nurses and nurse
Simulated Minimally Competent Candidate (SMCC) procedure and the Examinee Paper
standard because the adoption of this standard rest entirely with the individual state.
In Dubai , nursing students in the country must have English language skills as a
qualification before they can join the three nursing schools under the Health Ministry.
Dr Ali Bin Shakar, undersecretary at the ministry, told Gulf News the applicants
have to pass a proficiency test in English language, rejecting the suggestion that the
language is a must and we cannot solve the problem of [shortage in nursing staff] just
"More than 700 people have applied to enter the schools and we are only
accepting 400. I don't think there will be enough [with the language skills]."
Bin Shakar said for the time being, the ministry would not require applicants to
Foreign Language (Toefl). Instead, they have to pass written and oral exams set by
continuous medical education lectures, mandatory for all health professionals working in
the UAE. Bin Shakar said in a press statement other new conditions set for enrolment
proficiency. There are three nursing institutes in the UAE - in Sharjah, Fujairah and
Ras Al Khaimah, accepting both nationals and non-nationals. The ministry needs more
than 1,000 nurses for their health centres and hospitals. ( Shakar, 2007)
This article discusses the status of existing English language proficiency (ELP)
tests, and compares the content coverage and psychometric characteristics of ELP
assessments that existed prior to the implementation of the No Child Left Behind Act
(NCLB) with those developed after NCLB Title III guidelines were introduced. The article
argues that the newly developed ELP assessments (post-NCLB) exhibit higher
assessment quality when compared with most ELP tests developed prior to NCLB (pre-
NCLB). However, more work needs to be done if the new ELP assessments are to
students. The results of analyses suggest that ELP assessment outcomes can help
children’s behaviors associated with self-efficacy beliefs and their strategy use across
emotional state, interest, attitude toward the English language and the English speaking
community, and the social and cultural context. These findings have extended scholarly
work in children’s self-efficacy beliefs and their use of language-learning strategies and
context of second language acquisition. The implications of this study also extend to
language classroom teaching since teachers may better understand their student’
efficacy and the impact of self-efficacy based on this study. They may incorporate SRL
strategies to second language learning in the curriculum and enhance students self-
Federal law obligates health care providers receiving federal funding to ensure
communicate with their provider. The survey included items on English proficiency,
Language access was defined as having a provider who speaks the individual’s
participants, of whom 371 (37%) were aware of the language law. Four hundred and
remaining 509 LEP participants without a language concordant provider, 111 (22%)
reported interpreter utilization in the health care setting. After controlling the gender,
education, income, insurance status, years in the United States, health care utilization,
and level of English proficiency, awareness of law was not associated with interpreter
utilization. Awareness of language law is not sufficient to resolve language barriers for
LEP individuals. Provider and organization level barriers to language access must be
Students take in and process information in different ways. Learning styles can
be defined simply as visual, auditory and kinesthetic; or as more in-depth and complex
occur between your teaching style and the learning styles of your students. The results
units and lesson plans to meet the proficiency standards of ELL students is
incorporating multiple strategies to deliver the material. If you have not done so, take a
learning style survey. They are readily found online. Just type in the search term:
"learning style survey." You'll be able to choose from a host of survey websites. Armed
ELL proficiency standards are used to plan, deliver and evaluate instruction.
Certain factors must be considered. What is the length of the unit? What are its content
standards and objectives? What strategies will be used in the lessons plans to develop
36
English skills? Do the strategies take into account the learning styles (modalities) of the
students? The following are ways to address the effective use of learning modalities for
scaffolding instruction.
We should keep in mind that, "It is important for teachers to make sure their
ineffective if students do not understand the content due to limited language proficiency
or unfamiliarity with the background of the content being taught." (Echevarria, Vogt and
Short, 2004)
The English-Language Arts Content Standards for the California Public School
(1998) and the Reading/Language Arts Framework for California Public Schools (1999)
define what students learning English as a second language are expected to know.
These standards are designed for assessing the progress of ELLs to master language
proficiency. The strategies used vary with age and language levels. English Language
Development (ELD) standards are written as benchmarks of the English language arts
standards. (California State Board of Education, 1999). Teachers must examine the
format and the alignment of these standards to the language arts academic standards
One challenge for ELL teachers is to address the diversity of learning needs and
styles while keeping the integrity of the curriculum to realize higher scores on
The SIOP Lesson Plan contains the following strategies for scaffolding:
"Scaffolding helps ELLs organize their thoughts in English, develop study skills
and follow classroom procedures. Scaffolding uses contextual support: which includes
simplified language, teacher modeling, visuals and graphics and cooperative and
What can you do? Simplify language and speak clearly without using slang or
idioms (auditory learning style). Model correct usage and correct your students in a
convey meaning (auditory and visual styles). Whenever possible, engage students with
tables, charts, outlines and graphs (visual modality). Implement hands-on activities to
It should be noted ELL proficiency and high achievement are a result of well-
planned units and lessons implementing best practices for English language acquisition.
Scaffolding is but one essential and effective strategy to attain these goals. (Judith
Malu and Figlear (2005) report that there is an increasing number of English as a
Second Language (ESL) students enrolling in nursing programs. They define ESL
students as a student whose primary language at home is not standard English, and
38
therefore, may not be fluent in standard English. Many of these students have difficulty
with the coursework and/or clinical work. Memmer and Worth (1991) found that ESL
students have a higher attrition rate than their non-ESL peers due to failure or becoming
discouraged. In another study that compares the academic characteristics of ESL and
non-ESL students, it shows that ESL students are especially at risk during their first
semester (Femea, Brathwaite, & Abdur-Rahman, 1995). Many times the academic
communication in terms of translating doctor's orders and recording patient data. But
of the information and many orders are passed on verbalize. In a comparison between
ESL and non-ESL students, ESL students report more difficulty in the clinical courses
than non-ESL students. It has been suggested that this is due to the high level of
interactive communication skills that are needed (Jalili-Grenier & Chase, 1997). ESL
students also have difficulty passing the NCLEX-RN exam. Johnston (2001) reports that
students whose first language was English had a pass rate between 67.7% and 95%.
Students for whom English was a second language had a passage rate between 33.3%
and 47%. Johnston concluded that language skills are a key factor in passing the
NCLEX-RN exam.
(Cummins, 1991) is useful. Cummins explains that language acquisition is divided into
two types. The first is basic interpersonal communication (BICS) that comprises
(CALP) that enables students to analyze, evaluate, and interpret abstract concepts.
39
Although students may beproficient at the social level (BICS), they may not be able to
Phillips and Hartley (1990) divide language skills into four categories: reading,
listening, speaking, and writing. To succeed in the healthcare environment, the student
must be proficient in each of these areas. It is even more difficult in the medical field,
since the students not only must be proficient in general English, but they also must
complicated by the fact that there is not a direct word-for-word translation into another
Several authors have suggested teaching strategies that have been effective with
ESL students. Memmer and Worth (1991) recommend that students participate in a
conversation laboratory where they can practice the language. Kurz (1993) suggests
giving ESL students typed copies of a professor's lecture notes and allowing more time
qualified English-speaking peer. Study groups with only ESL students are not as
beneficial. The students may be confused by the language in the nursing content, and
they do not have the necessary feedback about the language from a non-ESL peer to
help themselves (Keane, 1993). Other authors suggest the use of non-graded dialogue
journals that allow the students to have written interaction with the instructor about
relevant topics in a non-threatening way (Holmes & Moulton, 1997). Journals also allow
for the modeling of correct grammatical forms. Another strategy is to have students
Practicing the verbal report prior to giving it to the team leader also increases students'
Foreign Studies
instructional strategies which shows that novice Iranian EFL teachers feel more
efficacious in applying instructional strategies than in managing an EFL class. They also
perceive their efficacy to motivate and engage students to learn English not as high as
their efficacy for instructional strategies. Second, the teachers perceive their reading
skill to be the most highly developed language skill and listening to be the least
developed language skill. Third, the teachers report that their use of grammatically
The most important finding was the positive relationship between perceived level
of language proficiency and sense of self-efficacy. The higher the teachers’ perceived
Moreover, the higher the teachers’ sense of self- efficacy the more tendency they
more on meaning rather than accuracy. This result is different from the findings of other
studies (Chacón, 2005; Sato, 2005), which show grammar was the central focus of EFL
This study adds to the previous literature by examining the relationships among
teachers’ sense of efficacy and other factors. However, this is a new contribution to the
41
study was conducted to fill in the gap in the literature and to study the relationship of
Based on the premise that teachers are key agents of change (Ghaith &
Shaaban, 1999) and that their self-efficacy should be considered in the successful
efficacy. Since language proficiency was related to a teachers’ sense of self efficacy, it
is suggested that teacher education programs and schools provide English language
enhancement classes for EFL teachers in order for them to maintain or improve their
language proficiency. EFL teachers require adequate preparation in all four skills so that
they build a strong sense of efficacy to use the language and engage students in
learning English.
contribute to teachers’ sense of efficacy. The teaching experience of the teachers in this
study ranged from 1-5 years. Further research is needed to examine how years of
experience influence the development of teachers’ sense of efficacy and under what
The findings in this study are based on self-reported data which has some built-in
limitations. The desirability factor, meaning that teachers may have reported what they
important to investigate whether and under what conditions teachers actually implement
need to complement the results of this study and determine the difference or similarity
of actual use of instructional activities with the reported data. It would also be insightful
Further studies should look at the personal and environmental factors collectively
developed to reflect the standards and competencies that EFL teachers in different
in different countries and different subject areas. Such a study would make it possible to
discern the country and discipline specific factors and would reveal how different factors
might interact with teacher’s sense of self-efficacy in different settings. (Iran, 2007)
Language learning strategies are specific actions or techniques that learners use
to assist their progress in developing second or foreign language skills (Oxford, 1990).
Language learning strategies are believed to play a vital role in learning a second
43
language, as they may assist learners in mastering the forms and functions required for
reception and production in the second language and thus affect achievement
(Bialystok, 1979). Many researchers have suggested that the conscious use of
language learning strategies makes good language learners (Naiman, Frohlich &
Todesco, 1975; Oxford, 1985; Wenden, 1985). Researchers believe that strategies of
successful language learners can provide a basis for aiding language learners (Rubin,
strategies more often than those of aboriginal background. The effects of ethnicity in the
present study seem to support the findings in previous studies. Research has shown
that ethnicity has a strong influence on the kinds of strategies used by learners of all
languages (Ehrman and Oxford, 1995; Bedell, 1993; Grainger, 1997). The results
confirmed the findings of two other studies (Bedell, 1993; Grainger, 1997), which
aboriginal languages and culture are different from those of non-aboriginal students.
to the highly competitive high school and college entrance exams in Taiwan, classmates
are usually regarded as competitors rather than cooperators. Teachers prefer to assess
get good grades, non-aborigines are eager to use study strategies or techniques that
would help them acquire new things effectively. In the traditional Taiwanese aboriginal
Taiwanese aborigines may not exert more efforts to employ learning strategies to
learning strategies because they do not have the same educational background as their
non-aboriginal peers. Since the academic knowledge they acquire in school is out of
touch with their actual lives in mountainous areas and offshore islands, they may take
little interest in school education. In addition, there are problems with the quality and
in temporary positions and apply for transfer to schools on the plains after the first year.
They are not able to understand these students’ learning problems, such as, their
English pronunciation problems, and help them acquire effective learning strategies in a
short time. Moreover, their efforts are often wasted because these non-aboriginal
1995).
Third, the learning style of the aborigines in Taiwan may be different from non-
(Ehrman & Oxford, 1995; Zhang, 1990). Finally, aborigines might have different
motivation and attitudes from non-aborigines. Gardner (1985) claimed that the primary
learning.
A second finding of this study was that junior college students in Taiwan who
have high English proficiency levels did employ overall language learning strategies
45
more often than those who have low English proficiency levels. This finding is also
consistent with the evidence of other studies. Many researchers have found that that
proficiency level had a strong effect on overall strategy use (Chen, 2001; Ehrman &
Oxford, 1995; Luo, 1998; Oxford & Ehrman 1995; Park, 1997; Tsao, 2002; Wang, 2002;
Yang, 1994).
most often, followed by social, cognitive, metacognitive, affective and least frequently,
memory strategies. The result that junior college students, no matter what ethnic
background they belong to, employed compensation strategies most often is consistent
with the findings of studies performed by Chang (1990), Yang (1993a), and Watanabe
(1990) which showed that the compensation category was the highest ranking category.
It is natural for students to make greater use of compensation strategies as these can
allow them to guess the meaning of what they have heard or read or to remain in the
studies have found social strategies to be generally unpopular among Chinese and
Japanese students (Noguchi, 1991; Politzer & McGroarty, 1985). This does not hold
true in this study. English learners in Taiwan learn English in an environment where
English is not used for communicative needs in their social and economic daily lives.
Consequently, EFL learners are typically situated in what Kouraogo (1993) called an
“input-poor” English learning environment, and are exposed to meager target language
reading. Students are not encouraged to ask questions (Chang, 1990). Thus the less
46
frequent use of social strategies in the study is expected. Contrary to our expectations,
social strategies are the second most-preferred strategies by the subjects in this study.
The high usage of social strategies could be attributed to the development of computer,
foreign cultures and more English input. Further research should be conducted to find
Memory and affective strategies were found to be the least used categories by
students in the current study. This was often the case in other studies among Chinese
students in Yang’s study (1993a) and Koreans in Oh’s study (1992). The possible
explanation is that Chinese students almost depend on rote learning, therefore, they
know little about using visual imagery or linking verbal material with motion. Affective
strategies are techniques that help learners control their emotions and attitudes towards
language learning. All affective categories deal with how to combat fear or anxiety when
teachers usually function as an information giver, students do not have many chances
to speak English not to mention the chance to speak with native speakers. This shows
why affective strategies ranked as the second least employed strategy category in the
Synthesis
The related literatures and studies presented in this research paper provide the
foundation and basis from which the present study shall take off. The articles and
research studies present the latest trends about the English proficiency of graduates
47
English skills, the different programs and teaching methods/strategies to improve one’s
English competence.
jobs especially those who wanted to work abroad such as nurses. It will help them to
communicate with other race and be able to provide care effectively. Nowadays, Filipino
nurses are in demand abroad because they have tender loving care that other race
doesn’t have. However they must pass many international exams first and having
English skills is a major step in accepted on this jobs. So there were many programs
and studies to improve their English competence here and abroad. In the latest surveys
graduate students.
English proficiency will also help the economy to uplift its status by attracting
foreign investors. Businessmen wanted a place in which they were able to communicate
English should be emphasized not only in college but also in elementary and
intellectual capabilities and enriches national culture and identity. If you have this skills,
it will help you to understand foreign people and be able to share and influence ideas. It
may also give you respect from other people and uplift your status.
48
Chapter III
RESEARCH METHODOLOGY
This chapter presents the research design, research instruments, data gathering
process, respondents of the study and statistical treatment used in the study.
Research Design
The research method that will be used in this study is descriptive research
normative survey with the aid of a questionnaire as data gathering procedure as data
gathering tool. This type of research according to Kerlinger (1986) was designed to
gather information about the present existing conditions. The principal aim in employing
this method was to describe the nature of the situation as it exists, at the same time
explore the causes of the particular phenomena. It likewise determines the nature of
collection of data in order to test hypotheses and to answer questions concerning the
This study aim to find the level of English proficiency of third year nursing
students in Arellano University (Main). It will also discover the different factors that affect
the English proficiency of the students and their suggestion and recommendations to
The respondents of this study are ninety-five (95) third year nursing students at
the present school year in Arellano University (Main). Each section has five students
that will be selected in random sampling and they will participate on this research. The
Instruments Used
The self-made questionnaire based on readings will be use in the study. The first
part of the questionnaires was been develop by the researchers and the second which
consist of tests about comprehension, grammar, and vocabulary was been obtained
from the TOEFL website. It was presented to the researchers’ adviser fro validation. We
also did a pilot study or a small trial run of the actual research project to those students
who are not included in the sample. We asked to confirm the validity of the
questionnaire in relation to the study. Based on their suggestion and comment , it was
This study will use the descriptive- normative method using the survey type. The
researchers will personally administer the distribution of the questionnaires to the third
year nursing students who are the respondents. The questionnaires and responses will
categories and the data will be prepared for the statistical treatment.
50
Statistical Treatment
Weighted mean with likert scale will be use to measure the following
1. What are the factors that will help the students to be proficient in English?
proficiency?
most?
Likert Scale
choose one option that best aligns with their view. The measurement of variables will be
ordinal using a five point likert scale. Specifically, the scale had the following structure
3--- Agree
1--- Disagree
51
Weighted Mean
The weighted frequency for each item was determined by multiplying frequency
for each item by the weight of said item in the instrument using the 5 point numerical
1.49-1.0 Never 1
The summation of the weighted frequency was computed by adding all the
The weighted mean of the weighted frequencies was completed using the
formula.
∑WF
WM=
∑F
Where:
WM = weighted mean
∑F = sum of frequency
In question,
52
1 Comprehension
2. Grammar
3. Vocabulary
Weighted mean is the only method that we will use. The summation of the
weighted frequency was computed by adding all the weighted frequencies for each
The weighted mean of the weighted frequencies was completed using the
formula.
∑WF
WM=
∑F
Where:
WM = weighted mean
∑F = sum of frequency