Aligning English Language Teaching with Nursing Students’ Needs in Indonesia: A Classroom-Based Need Analysis
DOI:
https://doi.org/10.33394/jo-elt.v12i2.18051Keywords:
English language teaching (ELT), Nursing students, Needs analysisAbstract
Although English is recognized as a key competency for nursing students in academic and clinical settings, English instruction in many Indonesian nursing programs remains focused on General English and does not fully address profession-specific communication needs. This study investigates the alignment between current English teaching practices and nursing students’ actual communicative requirements through a classroom-based needs analysis. Using a descriptive-quantitative design supported by classroom observations and document analysis, data were collected from 202 purposively selected nursing students at the Akademi Keperawatan Kesdam Iskandar Muda Banda Aceh (AKIMBA). Questionnaire responses were analyzed using descriptive statistics, and qualitative data were examined through content analysis. The findings reveal that English is primarily used for academic purposes (80.6%), with reading identified as the strongest skill (69.3% good) and speaking the weakest (18.3% poor). Students expressed a strong preference for interactive instruction (87% favoring group or pair work) and for lecturers to act as facilitators (67.3%). Although most students preferred General English (66.8%), a significant proportion (32.7%) indicated the need for English for Specific Purposes (ESP), supporting the relevance of a blended curriculum model. These results highlight a mismatch between current instructional practices and students’ professional communication needs. The study recommends integrating communicative, student-centered approaches and progressively combining General English with English for Nursing Purposes to better prepare students for academic success and effective clinical communication. The implications of these findings contribute to ESP curriculum development in nursing education within similar institutional contexts.
References
Byrnes, H., Maxim, H. H., & Norris, J. M. (2010). Realizing advanced foreign language writing development in collegiate education: Curricular design, pedagogy, and assessment. The Modern Language Journal, 94(S1), 1–235.
Dochy, F., Gijbels, D., Segers, M., & Van den Bossche, P. (2011). Theories of learning for the workplace. Routledge.
El-Sobky, T. A. (2021). An author’s guide to mastering academic writing skills: Discussion of a medical manuscript. Journal of Musculoskeletal Surgery and Research, 5(4), 227–234. https://doi.org/10.4103/jmsr.jmsr_65_21
Fatubun, R. R., Sulistyorini, D., Juliana, J., Syahputri, V. N., Rahmawati, Y., Hasni, J., Rahma, E. A., Setiyana, R., Purwaningsih, N. K., & Rochma, A. F. (2024). Start speaking English: Basic English for everyday conversations. PT Sonpedia Publishing Indonesia.
Franklin, H., & Harrington, I. (2019). A review into effective classroom management and strategies for student engagement: Teacher and student roles in today’s classrooms. Journal of Education and Training Studies, 7(1), 1–12. https://doi.org/10.11114/jets.v7i1.3727
Harju, V., Koskinen, A., & Pehkonen, L. (2019). An exploration of longitudinal studies of digital learning. Educational Research, 61(4), 388–407. https://doi.org/10.1080/00131881.2019.1660586
Huang, F.-F., Zhang, N., Han, X.-Y., Qi, X.-N., Pan, L., Zhang, J.-P., & Li, H. (2017). Improve nursing in evidence-based practice: How Chinese nurses read and comprehend scientific literature. International Journal of Nursing Sciences, 4(3), 296–302. https://doi.org/10.1016/j.ijnss.2017.06.005
Judijanto, L., Holida, S. S., Safari, G., Restiana, N., Nurlina, F., Falah, M., & Andiyan, A. (2024). Application of therapeutic communication as a talking technique between nurses and patients. Community Practitioner, 21(6), 260–273.
Joubert, P. H., & Rogers, S. M. (2015). Strategic scientific and medical writing. Springer.
Juliana, J. (2016). Teaching reading comprehension by using reciprocal teaching approach. English Education Journal, 7(2), 260–271.
Juliana, J., & Afrianti, N. (2020). The effect of extracurricular activity toward English learning achievement of nursing students. Premise: Journal of English Education and Applied Linguistics, 9(2), 183–197. https://doi.org/10.24127/pj.v9i2.2950
Juliana, J., Muliawati, I., Sayuti, M., Syah, A. Y., & Pertiwi, E. R. (2024). Pelatihan pengajaran bahasa Inggris dengan media digital comic strips pada guru PAUD. Idea Pengabdian Masyarakat, 4(3), 250–256.
Juliana, J., & Syah, A. Y. (2021). The implementation of flipped classroom in teaching English for nursing students. Premise: Journal of English Education and Applied Linguistics, 10(2), 201–220. https://doi.org/10.24127/pj.v10i2.3870
Kaewpet, C. (2009). A framework for investigating learner needs: Needs analysis extended to curriculum development. Electronic Journal of Foreign Language Teaching, 6(2), 209–220.
McKenna, L., Brown, T., Oliaro, L., Williams, B., & Williams, A. (2020). Listening in health care. In The handbook of listening (pp. 373–383). Wiley-Blackwell.
Nguyen, C. T. (2011). Challenges of learning English in Australia toward students coming from selected Southeast Asian countries: Vietnam, Thailand, and Indonesia. International Education Studies, 4(1), 13–20. https://doi.org/10.5539/ies.v4n1p13
O’Toole, G. (2024). Communication: Core interpersonal skills for healthcare professionals (E-book ed.). Elsevier Health Sciences.
Reynolds, B. L., Zhang, X., & Ding, C. (2023). A mixed-methods study of English vocabulary for medical purposes: Medical students’ needs, difficulties, and strategies. Applied Linguistics Review, 14(3), 643–678. https://doi.org/10.1515/applirev-2021-0103
Siregar, A. T. B., & Evangeline, H. (2017). Kemampuan berbahasa Inggris, motivasi, dan sikap terhadap bahasa Inggris mahasiswa program studi ilmu keperawatan (S1). Jurnal Skolastik Keperawatan, 3(1), 11–18.
Susmini, S., & Episiasi, E. (2021). Nursing students’ perception of the necessity of English for specific purposes course. Jurnal Perspektif Pendidikan, 15(1), 13–22.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Juliana Juliana, Rizki Dhian Nushur, Nurlayli Yanti, Gopal Prasad Pandey

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
License and Publishing Agreement
In submitting the manuscript to the journal, the authors certify that:
- They are authorized by their co-authors to enter into these arrangements.
- The work described has not been formally published before, except in the form of an abstract or as part of a published lecture, review, thesis, or overlay journal.
- That it is not under consideration for publication elsewhere,
- That its publication has been approved by all the author(s) and by the responsible authorities “tacitly or explicitly“ of the institutes where the work has been carried out.
- They secure the right to reproduce any material that has already been published or copyrighted elsewhere.
- They agree to the following license and publishing agreement.
Copyright
Authors who publish with Jo-ELT (Journal of English Language Teaching) Fakultas Pendidikan Bahasa dan Seni Program Studi Pendidikan Bahasa Inggris IKIP agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Licensing for Data Publication
Jo-ELT (Journal of English Language Teaching) Fakultas Pendidikan Bahasa dan Seni Program Studi Pendidikan Bahasa Inggris IKIP use a variety of waivers and licenses, that are specifically designed for and appropriate for the treatment of data:
- Open Data Commons Attribution License, http://www.opendatacommons.org/licenses/by/1.0/
Other data publishing licenses may be allowed as exceptions (subject to approval by the editor on a case-by-case basis) and should be justified with a written statement from the author, which will be published with the article.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.





1.jpg)

