Correlators of Achievement in English for Medical Purposes among Baccalaureate Nursing Students

某大學護生醫學英文成績相關因素之探討

陳雅雯(Ya-Wen Chen)；丘周萍(Chou-Ping Chiou)

醫學英文 ； 學習策略 ； 學習動機 ； 大學護生 ； English for medical purposes ； learning strategies ； learning motivation ； baccalaureate nursing students

The Journal of Nursing Research

18卷1期（2010 / 03 / 01）

11 - 17

英文

背景　醫學英文是專業醫護人員用來書寫記錄及溝通之重要語言，而醫療記錄是一份具有法律效力的文件，包含病歷、檢驗報告及護理措施之執行，因此，為了提供病人安全的照護，運用醫學英文之正確性是相當重要的。 目的　此橫斷面研究的目的，主要為探討大學護生醫學英文成績及其學習策略、學習動機和個人變項（如性別、和普通英文程度）之間的相關性；並找出醫學英文成績的預測因子。 方法　共計103位大學二年級護生參與此項研究，包括24位男生及79位女生。測量工具採取Oxford的語言學習策略和外國語文學習動機量表，測量結果以描述性統計、皮爾森相關、及複迴歸統計方法分析。 結果　此研究運用複迴歸統計分析，結果發現：學生之學習動機、性別、補償策略、與普通英文程度為醫學英文成績的預測因子，可解釋其32%的變異量。 結論／實務應用　研究者建議，規劃大學護生醫學英文課程時應考慮：(1)提升學生之學習動機以改善其運用醫學英文之正確性；(2)增加學生於專業護理課程運用醫學英文的機會；(3)介紹學生多樣的學習策略以學習醫學英文。

Background: Healthcare professionals use English language medical terminology and phraseology to write medical records and to communicate within their profession. Patient medical records provide information and data critical to facilitating proper medical care. Therefore, it is essential for nurses to be able to apply and to understand medical English (known as ”English for medical purposes” or EMP) correctly to provide optimal care for patients. Purpose: This study investigated the relationship between EMP achievement levels among baccalaureate nursing students and learning strategies, learning motivation, and individual variables such as student gender and general English proficiency. This study also identified important explanatory factors behind achieved EMP level for nursing students. Methods: A cross-sectional correlational design was used. A sample of 103 nursing students (24 men and 79 women) in the second semester of their sophomore year completed Oxford's Strategy Inventory for Language Learning and the Foreign Language Learning Motivation Scale. Data were analyzed using descriptive statistics, Pearson's correlation, and multiple regression. Results: Multiple regression analysis showed learning motivation, gender, compensation strategy, and general English proficiency explained 32% of the variance in EMP achievement level. Conclusions and Implications for Practice: This study suggests that when designing an EMP curriculum for baccalaureate nursing students, course designers should consider (a) enhancing student learning motivation to improve the general level of EMP achievement, (b) increasing the use of EMP in professional nursing courses, and (c) introducing a variety of strategies aimed to help students master EMP.

1. Bremner, S.(1999).Language learning strategies and language proficiency: Investigation the relationship in Hong Kong.Canadian Modern Language Review,55(4),1-14.
2. Chin, Y. C.(1994).Taipei, Taiwan, ROC.,National Chengchi University.
3. Chou, Y. C.(2002).Iowa City, IA, USA.,University of Iowa.
4. Da, H.(2005).A research into the causality model affecting junior high school students' English academic achievement.Psychological Science,28(4),984-988.
5. Green, J. M.,Oxford, R.(1995).A closer look at learning strategies, L2 proficiency, and gender.TESOL Quarterly,29(2),261-297.
6. Huang, H. W.(2005).Taichung County, Taiwan, ROC.,Department of Applied Foreign Languages in Chaoyang University of Technology.
7. Huang, S. C.(2001).Effects of language learning strategy training on English learning.ERIC Database (ED 461287).
8. Kobayashi, Y.(2002).The role of gender in foreign language learning attitudes: Japanese female students' attitudes towards English learning.Gender and Education,14(2),181-197.
9. Lee, C. Y.(1998).English for nursing purposes: A needs assessment for professional-oriented curriculum design.Academic Journal of Kang-Ning,1(1),55-72.
10. Lewis, K. N.(2004).The language of modern medicine: It's all Greek to me.American Surgeon,70(1),91-93.
11. Lo, H. C.(2005).Application of Fuzzy theory in psychology assessment: An example of cognitive style analysis.Journal of Education and Psychology,28(3),527-549.
12. Narayanan, R.,Rajasekaran, N.,Iyyappan, S.(2007).Do female students have higher motivation than male students in learning of English at the tertiary level.ERIC Database (ED 496970).
13. O''Malley, J. M.,Chamot, A. U.(1990).Learning strategies in second language acquisition.New York:Cambridge University Press.
14. O''Malley, J. M.,Chamot, A. U.,Stewner-Manzanares, G.,Kupper, L.,Russo, R. P.,Rosslyn, V.(1985).Learning strategies used by beginning and intermediate ESL students.Language Learning,35(1),21-46.
15. Oxford, R. L.(1990).Language learning strategies: What every teacher should know.Boston:Heinle & Heinle.
16. Oxford, R. L.,Burry-Stock, J. A.(1995).Assessing the use of language learning strategies worldwide with the ESL/EFL version of the Strategy Inventory for Language Learning (SILL).System,23(1),1-23.
17. Oxford, R. L.,Ehrman, M.(1995).Adults' language learning strategies in an intensive foreign language program in the United States.System,23(3),359-386.
18. Oxford, R. L.,Nyikos, M.(1989).Variables affecting choice of language learning strategies by university students.The Modern Language Journal,73(3),291-300.
19. Pajares, F.(2002).Gender and perceived self-efficacy in self-regulated learning.Theory into Practice,41(2),116-125.
20. Pajares, F.,Valiante, G.(2001).Gender differences in writing motivation and achievement of middle school students: A function of gender orientation?.Contemporary Educational Psychology,26,366-381.
21. Richards, J. C.,Schmidt, R.(2002).Longman dictionary of language teaching & applied linguistics.London, UK:Pearson Education Limited.
22. Schroder, M. A.(2001).Diagnosing and dealing with multicolinearity.Western Journal of Nursing Research,12(2),175-187.
23. Sisko, N. M.(1994).Newark, DE, USA.,University of Delaware.
24. Asian EFL Journal
25. Asian EFL Journal
26. Asian EFL Journal
27. Yang, M. N.,Su, S. M.(2003).A study of Taiwanese nursing students' and in-service nursing professionals' English needs.Journal of Chang Gung Institute of Technology,2,269-284.

1. Joan Wan-Ting Huang(2023)。AN INVESTIGATION OF EFL NURSING STUDENTS' VOCABULARY LEARNING STRATEGIES (VLS) FOR MEDICAL TERMINOLOGY ACQUISITION。Taiwan Journal of TESOL，20(1)，115-142。
2. Yu, Chun-Min,Hsu, Shih-Yun,Chang, Huo-Tsan(2017).An Assessment of Quality and Quantity for Foreign Language Training Course to Enhance Students' Learning Effectiveness.International Journal of Information and Management Sciences,28(1),53-66.
3. 賴甫誌,蔡沁筠,陳柏安,凌旺楨,李筱薇(2022)。由護理學生觀點探討全英語教學在災難護理教育的運用。榮總護理，39(4)，412-420。
4. 謝金杏、張詠涵、吳淑美(2018)。小組遊戲教學策略於課程之運用－以醫學術語為例。護理雜誌，65(6)，111-116。
5. (2024)。探討護理科學生學習英文專業術語的歷程。健康科技期刊，10(2)，31-40。