Abstract
This study investigates the alignment of Outcome-Based English for Nursing curriculum with the language needs of healthcare settings in Indonesia. Despite national curriculum reforms and the increasing global demand for nursing professionals, there remains a gap in research examining whether current curricula adequately prepare students for English mediated clinical communication. This qualitative case study employed document analysis and semi-structured interviews with seven nursing alumni and three nurse managers. Guided by Tyler’s (1949) curriculum rationale and Brown’s (2016) needs analysis framework, the study explored curriculum structure, stakeholder expectations, and actual communicative needs in healthcare sector. Results revealed that while the curriculum supported foundational communication skills and aligned with national nursing competencies, it needed improvement in terms of materials authenticity, international relevance, and performance-based assessment. Key gaps included insufficient integration of discipline-specific vocabulary, limited instructional time, underutilisation of task-based learning, and minimal stakeholder involvement in course design. Speaking emerged as the most essential skill, yet participants emphasised inadequate practice and the need for structured, context-rich language support. The findings underscore the need for curriculum reform that embeds authentic clinical tasks, stakeholder-driven content, and performance-based assessment. This study offers practical recommendations for enhancing English for Specific Purposes (ESP) in nursing education, particularly in multilingual and export-oriented healthcare contexts.
References
Alfehaid, A. F. T. (2011). Developing an ESP curriculum for students of health sciences through needs analysis and course evaluation in Saudi Arabia [Doctoral dissertation, University of Leicester].
Biggs, J. (1996). Enhancing teaching through constructive alignment. Higher Education, 32(3), 347-364. https://doi.org/10.1007/BF00138871
Braun, V., & Clarke, V. (2012). Thematic analysis. In H. Cooper (Ed.), APA handbook of research methods in psychology (Vol. 2, pp. 57-71). American Psychological Association. https://doi.org/10.1037/13620-004
Braun, V., & Clarke, V. (2020). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328-352. https://doi.org/10.1080/14780887.2020.1769238
Brown, J. D. (2016). Introducing needs analysis and English for specific purposes. Routledge. https://doi.org/10.4324/9781315671390
Byrne, D. (2021). A worked example of Braun and Clarke’s approach to reflexive thematic analysis. Quality & Quantity, 56(3), 1391-1412. https://doi.org/10.1007/s11135-021-01182-y
Cahyadin, W. (2023). Learning needs of nursing students to study English for nursing purposes (ENP). Journal of Teaching of English, 8(2), 196-202. https://doi.org/10.36709/jte.v8i2.304
Chetsadanuwat, K. (2024). Needs of English nursing communicative skills, functions and content for nursing students in a Thai program: Perspectives of nursing lecturers at a university in Northern Thailand. LEARN Journal, 17(2), 711-744. https://doi.org/10.70730/PCAH8109
Chien, C. (2019). Identifying core learning needs for English for nursing purposes. English Language Teaching, 12(7), 1–11. https://doi.org/10.5539/elt.v12n7p1
Choi, L. J. (2021). Implementing English for medical purposes (EMP) in South Korea: Nursing students' ongoing needs analysis. Nurse Education Today, 104, 1-6. https://doi.org/10.1016/j.nedt.2021.104989
Choi, L. L. S., & Brochu, N. (2022). English-as-an-additional-language nursing student support group: Student leadership and engagement. Nursing Education Perspectives, 43(1), 41-43. https://doi.org/10.1097/01.NEP.0000000000000746
Crawford, T., & Candlin, S. (2013). A literature review of the language needs of nursing students who have English as a second/other language and the effectiveness of English language support programmes. Nurse Education in Practice, 13(3), 181-185. https://doi.org/10.1016/j.nepr.2012.09.008
Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). Sage Publications.
D’Souza, P., George, A., Nair, S., Noronha, J., & Renjith, V. (2021). Effectiveness of an evidence‐based practice training program for nurse educators: A cluster‐randomized controlled trial. Worldviews on Evidence‐Based Nursing, 18(4), 261-271.
Dudley-Evans, T., & St John, M. J. (1998). Developments in English for specific purposes. Cambridge University Press.
Faculty of Nursing and Health Sciences. (2022). Curriculum guide of outcome-based learning education for Bachelor of Nursing and professional nursing education programmes. Universitas Muhammadiyah Banjarmasin.
Fadliah, U., & Sugirin. (2019). Developing English speaking materials for nursing students. Proceedings of the 3rd International Conference on Current Issues in Education (ICCIE 2019). Atlantis Press. https://doi.org/10.2991/iccie-18.2019.87
Fleischer, S., Berg, A., Zimmermann, M., Wüste, K., & Behrens, J. (2009). Nurse-patient interaction and communication: A systematic literature review. Journal of Public Health, 17, 339-353. https://doi.org/10.1007/s10389-008-0238-1
Gerchow, L., Burka, L. R., Miner, S., & Squires, A. (2021). Language barriers between nurses and patients: A scoping review. Patient Education and Counseling, 104(3), 534-553. https://doi.org/10.1016/j.pec.2020.09.017
Habók, A., Magyar, A., & Hui, S. K. F. (2019). The effects of EFL reading comprehension and certain learning- related factors on EFL learners’ reading strategy use. Cogent Education, 6(1), 1-19. https://doi.org/10.1080/2331186x.2019.1616522
Havery, C. (2024). Learning to read patient notes in the workplace: How reading aloud and reading alongside can help students for whom English is an additional language. English for Specific Purposes, 75, 69-83. https://doi.org/10.1016/j.esp.2024.04.003
Henry, A. (2023). English-as-an-additional language nursing students: A literature review. Teaching and learning in Nursing, 18(4), 527-533. https://doi.org/10.1016/j.teln.2023.07.001
Khoram, A., & Zhang, Z. (2019). The impact of task type and pre-task planning condition on the accuracy of intermediate EFL learners’ oral performance. Cogent Education, 6(1). https://doi.org/10.1080/2331186x.2019.1675466
Kirca, N., & Bademli, K. (2019). Relationship between communication skills and care behaviors of nurses. Perspectives in psychiatric care, 55(4), 624-631. https://doi.org/10.1111/ppc.12381
Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centred care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00684-2
Lewis, L. S., Rebeschi, L. M., & Hunt, E. (2022). Nursing education practice update 2022: Competency-based education in nursing. SAGE Open Nursing, 8, 1-6. https://doi.org/10.1177/23779608221140774
Lu, Y. L. (2018). What do nurses say about their English language needs for patient care and their ESP coursework: The case of Taiwanese nurses. English for Specific Purposes, 50, 116–129. https://doi.org/10.1016/j.esp.2017.12.004
Mitchell, K. M. (2018). Constructing writing practices in nursing. Journal of Nursing Education, 57(7), 399–407. https://doi.org/10.3928/01484834-20180618-04
Namaziandost, E., Gilakjani, A. P., & Hidayatullah. (2020). Enhancing pre-intermediate EFL learners’ reading comprehension through the use of Jigsaw technique. Cogent Arts & Humanities, 7(1), 1738833. https://doi.org/10.1080/23311983.2020.1738833
Nashir, M., Laili, R. N., Sholihin, S., & Wirawati, W. A. (2022). Needs analysis: The primary step in designing English instructional materials for nursing students. Acitya: Journal of Teaching and Education, 4(2), 374-390. https://doi.org/10.30650/ajte.v4i2.3305
Nurakhir, A., & Palupi, F.N. (2018). Exploring ESP needs of undergraduate nursing students in a university in Indonesia. Advances in Social Sciences Research Journal, 5(7), 77-85. https://doi.org/10.14738/assrj.57.4276
Oducado, R. M. F., Sotelo, M., Ramirez, L. M., Habaña, M., & Belo-Delariarte, R. G. (2020). English language proficiency and its relationship with academic performance and the nurse licensure examination. Nurse Media Journal of Nursing, 10(1), 46-56. https://doi.org/10.14710/nmjn.v10i1.28564
Onovo, G. N. (2019). Fundamentals of nursing practice and the culturally diverse ESL nursing students: The students’ perspectives for teaching and learning in nursing. Teaching and Learning in Nursing, 14(4), 238-245. https://doi.org/10.1016/j.teln.2019.03.003
Rajasa, G. (2018). Indonesian EFL nursing students’ learning process: Obstacles & expectations. IJELTAL (Indonesian Journal of English Language Teaching and Applied Linguistics), 2(2), 133–150. https://doi.org/10.21093/ijeltal.v2i2.96
Ralph, N., Graham, C., Beccaria, L., & Rogers, C. (2019). Entry requirements in nursing: Results from a national survey of nurse academics on entry requirements in Australian Bachelor of Nursing programmes. Collegian, 26(2), 140–145. https://doi.org/10.1016/j.colegn.2018.06.005
Robinson, P. (1991). ESP today: A practitioner’s guide. Prentice Hall.
Sailsman, S. (2021). English as a Second Language (ESL) nursing students’ academic integration: A review of literature. Nursing Education Perspectives, 42(3), 152-156. https://doi.org/10.1097/01.nep.0000000000000731
Salamonson, Y., Glew, P., Ramjan, L., Jefferies, D., Maneze, D., Crook, B., & Everett, B. (2021). Psychometric testing of the English Language Usage Scale (ELUS-11) in first-year nursing students. Nurse Education Today, 96, 104599. https://doi.org/10.1016/j.nedt.2020.104599
Saragih, E. (2014). Designing ESP materials for nursing students based on needs analysis. International Journal of Linguistics, 6(4), 59-70. https://doi.org/10.5296/ijl.v6i4.5983
Saragih, E. (2022). Designing ESP materials for student nurses based on needs analysis: A developmental study. Current Research in Language, Literature and Education, 4, 117–127. https://doi.org/10.9734/bpi/crlle/v4/1617B
Schimböck, F., Erichsen, G., Petersen, I., & von Gahlen-Hoops, W. (2024). Linguistically responsive learning and teaching for non-native speakers in undergraduate nursing education: A scoping review protocol. BMJ Open, 14(8), e083181. https://doi.org/10.1136/bmjopen-2023-083181
Susandi, N. (2023). English for nurse anesthetists in Indonesia: The needs analysis. JEES (Journal of English Educators Society), 8(2). https://doi.org/10.21070/jees.v8i2.1752
Susandi, N. K. A., & Krishnawati, N. L. P. (2016). Needs analysis: ESP syllabus design for Indonesian EFL nursing students. Proceedings of ISELT FBS Universitas Negeri Padang, 4(2), 130-140.
Sudusinghe, W. S., & Gamage, C. K. W. (2023). The importance of English language proficiency for the success of nursing education in Sri Lanka. South East Asian Journal of Medical Education. 17(1), 39-42. https://doi.org/10.4038/seajme.v17i1.529
Tweedie, M. G., & Johnson, R. C. (2022). Medical English as a lingua franca (Vol. 16). Walter de Gruyter GmbH & Co KG.
Tyler, R. W. (1949). Basic principles of curriculum and instruction. The University of Chicago Press.
Vu Thi, H. (2022). English for crop science in Vietnam: Taking perceptions from the workplace to university teachers (Doctoral dissertation, Victoria University of Wellington, New Zealand).
Widodo, H. P. (2017). Approaches to needs analysis in ESP curriculum development. The European Journal of Applied Linguistics and TEFL, 6(1), 127-146.
Wibowo, A. (2021). The needs analysis of English learning on nursing students. Linguistic, Literature and English Education, 1(1), 11–21. https://doi.org/10.55526/lied.v1i1.104
Xu, Y. (2011). A comparison of regulatory standards for initial registration/licensure of internationally educated nurses in the United Kingdom, Australia, Canada, and the United States. Journal of Nursing Regulation, 2(3), 27–36. https://doi.org/10.1016/s2155-8256(15)30270-2

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