Spanish for Emergency Room Nursing
A task-based needs analysis
Published online: 16 December 2024
https://doi.org/10.1075/task.00032.hel
https://doi.org/10.1075/task.00032.hel
Abstract
This study conducts a task-based needs analysis (NA) to (1)
determine the Spanish language needs of primarily English-speaking emergency
room nurses in the Southeastern US and (2) inform the design of a potential
Spanish for ER Nursing course. This mixed-methods study included three phases of
both data collection and analysis, adapted from Serafini, E. J., & Torres, J. (2015). The
utility of needs analysis for nondomain expert instructors in designing
task-based Spanish for the professions
curricula. Foreign Language
Annals, 48(3), 447–472. [URL]. and Malicka, A., Gilabert, G. R., & Norris, J. M. (2019). From
needs analysis to task design: Insights from an English for specific
purposes context. Language Teaching
Research, 23(1), 78–106. . In Phase 1, a variety of
open-ended measures were used to determine tasks common in ER settings as
reported by each type of participant. In Phase 2, participants rated the
frequency and importance of these tasks. In Phase 3, the participants reviewed
the list of tasks in follow-up interviews. Results are presented as a series of
tasks performed in the ER context, ranked according to frequency and importance.
The study improves upon previous task-based needs analyses by implementing
recent methodological considerations by Serafini, E. J. (2022). Adapting
and advancing task-based needs analysis (NA) methodology across diverse
language learning
contexts. In M. J. Ahmadian & M. H. Long (Eds.), The
Cambridge handbook of task-based language
teaching (pp. 73–98). Cambridge University Press. and Gilabert, R., & Malicka, A. (2022). From
needs analysis to task-based design: Methodology, assessment and programme
evaluation. In Task-Based
Language Teaching and Assessment: Contemporary Reflections from Across the
World (pp. 93–118). Springer Nature Singapore..
Article outline
- Literature review
- The needs analysis in medical contexts
- A case for a strong task-based approach
- Methodological considerations
- The present study
- Research question
- Methodology
- Context
- Participants
- Domain superiors
- Domain experts
- Domain insiders
- Procedures
- Phase 1
- Phase 2
- Phase 3
- Results
- Phase 1
- Phase 2
- Phase 3
- Pedagogical implications
- Course objectives
- An example pedagogical task sequence
- Discussion
- Conclusion
- Limitations
- Recommendations for future research
- Acknowledgments
References
References (47)
Allande-Cussó, R., Macías-Seda, J., & Porcel-Gálvez, A. M. (2020). Adaptación
transcultural de la escala caring nurse-patient interactions para la
evaluación de la competencia en la relación
enfermera-paciente. Enfermería
Clínica, 30 (1), 42–46.
Altstaedter, L. L. (2017). Developing
a Spanish for health professions course: A preliminary mixed-methods
study. Foreign Language
Annals, 50 (1), 38–56. [URL].
Bender, D., Clawson, M., Harlan, C., & Lopez, R. (2004). Improving
access for Latino immigrants: Evaluation of language training adapted to the
needs of health professionals. Journal of
Immigrant
Health, 6(4), 197–209.
Bernal de Pheils, P., & Saul, N. M. (2009). Communicating
with Latino patients. Journal of Nursing
Education, 48(9), 515–518.
Berwick, R. (1989). The
normative bases of needs assessment in applied linguistics: A critical
re-examination. Needs
Assessment, 6(2), 24.
Brown, G., Andersen, S., & Yule, G. (1984). Teaching
talk: Strategies for production and
assessment. Cambridge University Press.
Brown, G., & Yule, G. (1983). Teaching
the spoken language: An approach based on the analysis of conversational
English. Cambridge University Press.
(2009). Foreign
and second language needs
analysis. In M. H. Long & C. Doughty, The
Handbook of Language
Teaching (pp. 267–293). Wiley-Blackwell.
Bryfonski, L., & McKay, T. H. (2019). TBLT
implementation and evaluation: A
meta-analysis. Language Teaching
Research, 23(5), 603–32.
Cameron, R. (1998). A
language-focused needs analysis for ESL-speaking nursing students in class
and clinic. Foreign Language
Annals, 31(2), 203–218. [URL].
Coss, M. D. (2023). The
case for a true task-based curriculum for medical Spanish
courses. Teaching and Learning in
Medicine, 35(2), 224–239.
Fernandez, A., Schillinger, D., Waeton, E., Adler, N., & Schenker, Y. (2011). Language
barriers, physician-patient language concordance, and glycemic control among
insured Latinos with diabetes: The diabetes study of Northern
California. Journal of General Internal
Medicine, 26(2), 170–176.
Fortin, A. H. (2002). Communication
skills to improve patient satisfaction and quality of
care. Ethnicity &
Disease, 12(4), 58–61. [URL]
Gilabert, R. (2005). Evaluating
the use of multiple sources and methods in needs analysis: A case study of
journalists in the Autonomous Community of Catalonia
(Spain). In M. H. Long, ed. Second
language needs
analysis (pp. 182–189). Cambridge University Press.
Gilabert, R., & Malicka, A. (2022). From
needs analysis to task-based design: Methodology, assessment and programme
evaluation. In Task-Based
Language Teaching and Assessment: Contemporary Reflections from Across the
World (pp. 93–118). Springer Nature Singapore.
Hardin, K. (2015). An
overview of medical Spanish curricula in the United
States. Hispania, 98(4), 640–661.
Helms, L., Pitner, H., & Adams, R. (2023). Spanish
for nursing: A needs analysis for a Spanish for nursing
course. Revista de Lenguas para Fines
Específicos, 291, 74–93. [URL].
Huang, Q., Pun, J., & Huang, S. (2022). Using
a mixed-methods needs analysis to ensure the sustainability and success of
English for nursing communication courses: Improving nurse-patient
engagement practices in globalized health
care. Sustainability, 14(21), 14077.
Jasso-Aguilar, R. (1999). Sources,
methods and triangulation in Needs Analysis: A critical perspective in a
case study of Waikiki hotel maids. English
for Specific
Purposes, 18(1), 27–46.
Jones, A. (2003). Nurses
talking to patients: Exploring conversation analysis as a means of
researching nurse-patient
communication. International Journal of
Nursing
Studies, 40(6), 609–618.
Juan, L. I. (2014). Literature
review of the classifications of “needs” in needs analysis
theory. International Journal of Education
and Literacy
Studies, 2(3), 12–16.
Kailani, A., & Murtiningsih, T. (2019). Teaching
English for nursing by using task-based language
teaching. IJEBP (International Journal of
Educational Best
Practices), 31, 28–40.
Lambert, C. (2010). A
task-based needs analysis: Putting principles into
practice. Language Teaching
Research, 14(1), 99–112.
Lepetit, D., & Cichocki, W. (2002). Teaching
languages to future health professionals: A needs assessment
study. The Modern Language
Journal, 86(3), 384–396. [URL].
Malicka, A., Gilabert, G. R., & Norris, J. M. (2019). From
needs analysis to task design: Insights from an English for specific
purposes context. Language Teaching
Research, 23(1), 78–106.
Martinez, G. A. (2010). Language
and power in healthcare: Towards a theory of language barriers among
linguistic minorities in the United
States. In J. Watzke & P. Chamness Miller (Eds.), Readings
in language studies: Language and
power (pp. 59–74). International Society for Language Studies.
(2015). Spanish
in the Health
Professions. In M. Lacorte, The
Routledge Handbook of Hispanic Applied
Linguistics (pp. 420–437). Routledge.
McCormack, L. A., Treiman, K., Rupert, D., Williams-Piehota, P., Nadler, E., Arora, N. K., Lawrence, W., & Street, R. L. (2011). Measuring
patient-centered communication in cancer care: A literature review and the
development of a systematic approach. Social
Science &
Medicine, 72(7), 1085–1095.
Munby, J. (1981). Communicative
syllabus design: A sociolinguistic model for designing the content of
purpose-specific language
programmes. Cambridge University Press.
Richterich, R. (1972). A
model for the definition of language needs of adults learning a modern
language. Council of Europe, Strasbourg (France). Committee for Out-of-School Education and Cultural Development.
Robinson, P. (2005). Cognitive
complexity and task sequencing: Studies in a componential framework for
second language task
design, IRAL, 431, 1–32.
(2011). Situating
and distributing cognition across task demands: The SSARC model of pedagogic
task
sequencing. In M. Putz & L. Sicola (Eds.), Cognitive
processing in second language acquisition: Inside the learner’s
mind (pp. 243–68). John Benjamins.
Serafini, E. J. (2022). Adapting
and advancing task-based needs analysis (NA) methodology across diverse
language learning
contexts. In M. J. Ahmadian & M. H. Long (Eds.), The
Cambridge handbook of task-based language
teaching (pp. 73–98). Cambridge University Press.
Serafini, E. J., & Torres, J. (2015). The
utility of needs analysis for nondomain expert instructors in designing
task-based Spanish for the professions
curricula. Foreign Language
Annals, 48(3), 447–472. [URL].
(2009). Modelling
second language performance: Integrating complexity, accuracy, fluency and
lexis. Applied
Linguistics, 301, 510–32.
Timmins, C. L. (2002). The
impact of language barriers on the health care of Latinos in the United
States: A review of the literature and guidelines for
practice. Journal of Midwifery and Women’s
Health, 47(2), 80–96.
Van Avermaet, P., & Gysen, S. (2006). From
needs to tasks: Language learning needs in a task-based
approach. In K. Van den Branden, M. Bygate & J. M. Norris (Eds.), Task-based
language
teaching (pp. 143–170). John Benjamins.
Wright, B. D., Geissler, E. M., & Cowell, C. E. (1997). Achieving
linguistic proficiency and cross-cultural competence in the health
professions: An intensive content
model. Global Business
Languages, 68–88.
Yeh, M., & Hsu, W. (2023). Using
authentic doctor-patient consultations in improving communication
skills. Foreign Language
Annals, 56(2), 428–452. [URL].
