英文摘要
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To improve Taiwan's international cooperation and competitive strength, the Taiwanese Ministry of Education has been promoting the 2030 national bilingual policy by encouraging the use of English as the medium of instruction (EMI) in higher education. Globalization is key in nursing education, and the perspectives of education providers and receivers are essential and influential in the promotion and outcomes of EMI in professional education. However, few studies have explored the use of EMI in professional nursing education. Therefore, in the present study, we explored nursing students' perspectives regarding the effects of the use of EMI in disaster nursing education on their learning outcomes, English proficiency, global linkage, and nursing competence. Data were collected from 46 students in a baccalaureate program and 19 students in a postbaccalaureate program; the students had completed the Introduction to Disaster Nursing EMI course. A week after course completion, the students provided feedback on the course. Approximately 50% of the students reported that EMI negatively affected their learning outcomes, >50% reported that EMI did not affect their English proficiency, >80% stated that EMI helped improve their global linkages, and >60% believed that EMI enhanced their nursing competence. Correlations were found between the students' perceptions of their learning outcomes and global linkages and among their perceptions of their English proficiencies, global linkages, and nursing competence. Thus, the English proficiency of instructors and students, integration of linguistic and specialty instruction, and enhancement of international linkage should be considered when promoting EMI in nursing education. Our findings may provide a reference for policy-making related to the implementation of EMI in nursing education.
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