ERIC Number: ED384230
Record Type: RIE
Publication Date: 1995
The Effect of a Physician's Pronunciation on Nurses' Perceptions of the Physician's Medical Competency.
Horani, Laura Anne
A study examined the attitudes of nurses in three hospitals toward non-native-English-speaking physicians. The subjects, 156 medical-surgical nurses, listened to three anonymous audiotaped physicians from different ethnic backgrounds: American, Japanese, and Persian. The physicians were recorded in two contexts: in a formal context, reading a short patient history and giving a verbal order directed toward a nurse; and giving an impromptu response to a question regarding their future plans. Nurses rated each physician for each context, using a semantic differential scale. Results indicate a significant positive relationship between physician pronunciation and nurse perceptions of his medical competence, with the native-English-speaking physician receiving the highest rating. The physician with the strongest accent, the native Japanese-speaker, received the lowest ratings. There was also a significant positive relationship between context of speech and ratings; all physicians received a higher rating on speech in the informal context. It is concluded that if a physician's pronunciation or speech style causes nurses to evaluate him negatively, there is need for pronunciation and accent reduction instruction both in the English-as-a-Second-Language classroom and in continuing language instruction for non-native-speaking hospital personnel in teaching hospitals, and for cross-cultural training for nurses. Contains over 100 references and the survey instrument. (MSE)
Descriptors: Competence, Continuing Education, Cross Cultural Training, Educational Needs, English (Second Language), Interprofessional Relationship, Language Attitudes, Limited English Speaking, Nurses, Nursing Education, Physicians, Pronunciation, Teaching Hospitals, Vocational English (Second Language)
Publication Type: Dissertations/Theses - Masters Theses
Education Level: N/A
Authoring Institution: N/A
Grant or Contract Numbers: N/A
Note: Master's Thesis, Portland State University, Oregon.