International Journal of

ADVANCED AND APPLIED SCIENCES

EISSN: 2313-3724, Print ISSN: 2313-626X

Frequency: 12

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 Volume 7, Issue 5 (May 2020), Pages: 118-123

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 Original Research Paper

 Title: Phenomenological inquiry on nursing science international students’ experiences in a non-native English pre-clinical learning environment

 Author(s): Vincent Isilen Gattud *, Mona Liza Guinar Ergas, Kritsanari Yampaeng, Punyanut Phimchaisai

 Affiliation(s):

 College of Nursing, Christian University of Thailand, Nakon Pathom, Thailand

  Full Text - PDF          XML

 * Corresponding Author. 

  Corresponding author's ORCID profile: https://orcid.org/0000-0002-0887-8120

 Digital Object Identifier: 

 https://doi.org/10.21833/ijaas.2020.05.015

 Abstract:

Pre-clinical learning in nursing science introduces unique terminologies, abstractions, and activities needed in foundational knowledge. The language, culture, and pedagogical differences within the non-native English-medium instruction result in more complex situations for international students. The study aimed to reveal the lived experiences of international nursing students in a non-native English pre-clinical learning environment. Utilizing phenomenological design, interviews gathered data from purposively sampled participants, from four different Asian countries enrolled in an international program. Thematic analysis was done to reveal their experiences. Four major themes emerged from the participants’ narratives. Their lived experiences began with idealized expectations defined by family influence, guided opportunity, and inspiration. It evolved into a communicative struggle with the divergence of reality from their expectations. Their shaken idealizations and disrupted learning process due to language barriers had an emotional toll. The satisfactory laboratory experiences with unmet expectations brought out ambivalence in them. Communing with others, adaptive response and introspection helped them towards reality reorientation and recalibration, the last two themes to emerge. Different aspects with varying impact within the learning environment defined the experiences of the nursing science international students. These students process and develop their own adaptive responses within their evolving experiences in the non-native English pre-clinical learning environment. Policy development, continuing English language support, student development and support programs for nursing science international program students in the context of pre-clinical training are needed. 

 © 2020 The Authors. Published by IASE.

 This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

 Keywords: Nursing science students, Non-native English-medium instruction, Learning environment, Pre-clinical

 Article History: Received 19 November 2019, Received in revised form 22 February 2020, Accepted 24 February 2020

 Acknowledgment:

No Acknowledgment.

 Funding:

This research was funded by the Christian University of Thailand.

 Compliance with ethical standards

 Conflict of interest: The authors declare that they have no conflict of interest.

 Citation:

 Gattud VI, Ergas MLG, and Yampaeng K et al. (2020). Phenomenological inquiry on nursing science international students’ experiences in a non-native English pre-clinical learning environment. International Journal of Advanced and Applied Sciences, 7(5): 118-123

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 References (35) 

  1. Albagawi B, Hussein FM, Alotaibi JS, Albougami AS, Amer MF, Alsharari AF, and Alramadhan SE (2019). Self-efficacy and clinical competence of fourth-year nursing students: A self-reported study. International Journal of Advanced and Applied Sciences, 6(8): 65-70. https://doi.org/10.21833/ijaas.2019.08.009    [Google Scholar]
  2. Bolton K, Botha W, and Bacon-Shone J (2017). English-medium instruction in Singapore higher education: Policy, realities and challenges. Journal of Multilingual and Multicultural Development, 38(10): 913-930. https://doi.org/10.1080/01434632.2017.1304396    [Google Scholar]
  3. Brown ST, Kirkpatrick MK, Mangum D, and Avery J (2008). A review of narrative pedagogy strategies to transform traditional nursing education. Journal of Nursing Education, 47(6): 283-286. https://doi.org/10.3928/01484834-20080601-01    [Google Scholar] PMid:18557318
  4. Carnevale AP, Smith N, Melton M, and Price E (2015). Learning while earning: The new normal. Georgetown University Center on Education and the Workforce, Washington, USA.    [Google Scholar]
  5. Chang JY, Kim W, and Lee H (2017). A language support program for English-medium instruction courses: Its development and evaluation in an EFL setting. International Journal of Bilingual Education and Bilingualism, 20(5): 510-528. https://doi.org/10.1080/13670050.2015.1080658    [Google Scholar]
  6. Choudaha R (2017). Three waves of international student mobility (1999–2020). Studies in Higher Education, 42(5): 825-832. https://doi.org/10.1080/03075079.2017.1293872    [Google Scholar]
  7. Colbert-Getz JM, Tackett S, Wright SM, and Shochet RS (2016). Does academic performance or personal growth share a stronger association with learning environment perception? International Journal of Medical Education, 7: 274-278. https://doi.org/10.5116/ijme.57a6.f141    [Google Scholar] PMid:27570912 PMCid:PMC5018355
  8. Crisp G, Palmer E, Turnbull D, Nettelbeck T, Ward L, LeCouteur A, and Schneider L (2009). First year student expectations: Results from a university-wide student survey. Journal of University Teaching and Learning Practice, 6(1): 11-26.    [Google Scholar]
  9. Dalen JE and Alpert JS (2019). Medical tourists: Incoming and outgoing. The American Journal of Medicine, 132(1): 9-10. https://doi.org/10.1016/j.amjmed.2018.06.022    [Google Scholar] PMid:30016635
  10. Dorsett J (2017). Exploring international student adaptation through a first-year experience course at Iowa State University. Ph.D. Dissertation, Iowa State University, Ames, USA.    [Google Scholar]
  11. Drennan VM and Ross F (2019). Global nurse shortages-The facts, the impact and action for change. British Medical Bulletin, 130(1): 25-37. https://doi.org/10.1093/bmb/ldz014    [Google Scholar]PMid:31086957
  12. Foubert JD and Urbanski LA (2006). Effects of involvement in clubs and organizations on the psychosocial development of first-year and senior college students. Journal of Student Affairs Research and Practice, 43(1): 166-182. https://doi.org/10.2202/1949-6605.1576    [Google Scholar]
  13. Gattud V, Hengnalen B, and Treetin W (2019). Internationalization of nursing education: English medium instruction by and for non-native English speakers. Journal of Nursing Science Christian University of Thailand, 6(2): 113-123. 
  14. Gruppen L, Irby DM, Durning SJ, and Maggio LA (2018). Interventions designed to improve the learning environment in the health professions: A scoping review. MedEdPublish, 7(3): 73. https://doi.org/10.15694/mep.2018.0000211.1    [Google Scholar]
  15. Haraldseid C, Friberg F, and Aase K (2015). Nursing students' perceptions of factors influencing their learning environment in a clinical skills laboratory: A qualitative study. Nurse Education Today, 35(9): e1-e6. https://doi.org/10.1016/j.nedt.2015.03.015    [Google Scholar] PMid:25873478
  16. Hassel S and Ridout N (2018). An investigation of first-year students' and lecturers' expectations of university education. Frontiers in Psychology, 8: 2218. https://doi.org/10.3389/fpsyg.2017.02218    [Google Scholar] PMid:29434555 PMCid:PMC5790796
  17. Hernandez-Nanclares N, and Jimenez-Munoz A (2017). English as a medium of instruction: Evidence for language and content targets in bilingual education in economics. International Journal of Bilingual Education and Bilingualism, 20(7): 883-896. https://doi.org/10.1080/13670050.2015.1125847    [Google Scholar]
  18. Hu G (2019). English-medium instruction in higher education: Lessons from China. Journal of Asia TEFL, 16(1): 1-11. https://doi.org/10.18823/asiatefl.2019.16.1.1.1    [Google Scholar]
  19. Huang YP (2018). Learner resistance to English-medium instruction practices: A qualitative case study. Teaching in Higher Education, 23(4): 435-449. https://doi.org/10.1080/13562517.2017.1421629    [Google Scholar]
  20. ICN (2013). Cultural and linguistic competence. International Council of Nurses, Geneva, Switzerland. Available online at: https://bit.ly/2WQyWII
  21. Ismaile S and Alhosban F (2018). Students perceptions of audience response system in classroom feedback: A qualitative study. International Journal of Advanced and Applied Sciences, 5(4): 67-72. https://doi.org/10.21833/ijaas.2018.04.008    [Google Scholar]
  22. Jenkins J (2019). English medium instruction in higher education: The role of English as Lingua Franca. In: Gao X (Eds.), Second handbook of English language teaching: 91-108. Springer, Cham, Switzerland. https://doi.org/10.1007/978-3-030-02899-2_7    [Google Scholar] PMid:30444280
  23. Kim J and Feldman L (2011). Managing academic advising services quality: Understanding and meeting needs and expectations of different student segments. Marketing Management Journal, 21(1): 222-238.    [Google Scholar]
  24. Kim J and Tatar B (2017). Nonnative English-speaking professors’ experiences of English-medium instruction and their perceived roles of the local language. Journal of Language, Identity and Education, 16(3): 157-171. https://doi.org/10.1080/15348458.2017.1295811    [Google Scholar]
  25. Kirkpatrick A (2017). The languages of higher education in East and Southeast Asia: Will EMI lead to Englishisation? In: Fenton-Smith B, Humphreys P, and Walkinshaw I (Eds.), English medium instruction in higher education in Asia-Pacific: 21-36. Volume 21, Springer, Cham, Switzerland. https://doi.org/10.1007/978-3-319-51976-0_2    [Google Scholar]
  26. Mooney M, Glacken M, and O’Brien F (2008). Choosing nursing as a career: A qualitative study. Nurse Education Today, 28(3): 385-392. https://doi.org/10.1016/j.nedt.2007.07.006    [Google Scholar] PMid:17888547
  27. Nguyen TL (2019). Enhancing students’ learning motivation for better academic performance: An empirical case in Dong Nai Province, Vietnam. International Journal of Advanced and Applied Sciences, 6(3): 17-22. https://doi.org/10.21833/ijaas.2019.03.003    [Google Scholar]
  28. Pagnucci N, Carnevale FA, Bagnasco A, Tolotti A, Cadorin L, and Sasso L (2015). A cross-sectional study of pedagogical strategies in nursing education: Opportunities and constraints toward using effective pedagogy. BMC Medical Education, 15: 138. https://doi.org/10.1186/s12909-015-0411-5    [Google Scholar] PMid:26303930 PMCid:PMC4549094
  29. Sanner S and Wilson A (2008). The experiences of students with English as a second language in a baccalaureate nursing program. Nurse Education Today, 28(7): 807-813. https://doi.org/10.1016/j.nedt.2008.03.004    [Google Scholar] PMid:18448206
  30. Smith K and Hopkins C (2005). Great expectations: Sixth-formers' perceptions of teaching and learning in degree-level English. Arts and Humanities in Higher Education, 4(3): 304-318. https://doi.org/10.1177/1474022205056173    [Google Scholar]
  31. Starkey TJ (2015). The critical factors that influence faculty attitudes and perceptions of teaching English as Second Language nursing students: A grounded theory research study. Nurse Education Today, 35(5): 718-725. https://doi.org/10.1016/j.nedt.2015.01.017    [Google Scholar] PMid:25660266
  32. Suliman WA and Tadros A (2011). Nursing students coping with English as a foreign language medium of instruction. Nurse Education Today, 31(4): 402-407. https://doi.org/10.1016/j.nedt.2010.07.014    [Google Scholar] PMid:20732730
  33. Wu HP, Garza E, and Guzman N (2015). International student’s challenge and adjustment to college. Education Research International, 2015: 202753. https://doi.org/10.1155/2015/202753    [Google Scholar]
  34. Yeop MA, Wong KT, and Goh PSC (2016). Blended learning: Pedagogy, learning styles, and assessment activities in the classroom. International Journal of Advanced and Applied Sciences, 33(11): 36-39. https://doi.org/10.21833/ijaas.2016.11.007    [Google Scholar]
  35. Zhang Z (2018). English-medium instruction policies in China: Internationalisation of higher education. Journal of Multilingual and Multicultural Development, 39(6): 542-555. https://doi.org/10.1080/01434632.2017.1404070    [Google Scholar]