Phonological Interference in Medical English Pronunciation: An Analysis of Pronunciation Errors Among Nursing Students

Finny Widya Fransiska, Bastian Sugandi

Abstract


This study aimed to analyze the types of English pronunciation errors made by Nursing students and to identify the factors contributing to these errors in the context of English for Nursing instruction. A qualitative descriptive research design was employed, involving 18 fourth-semester Nursing students at Universitas Muhammadiyah Pringsewu, Indonesia, who were selected through purposive sampling. Data were collected through a pronunciation test consisting of medical and nursing-related terminology and semi-structured interviews. All pronunciation performances were audio-recorded and analyzed phonologically, while interview data were examined thematically. The findings revealed that Nursing students experienced systematic pronunciation errors, particularly related to silent letters, consonant clusters, vowel reduction, and incorrect word stress in multisyllabic medical terms. Errors were predominantly influenced by first-language phonological interference, limited exposure to spoken medical English, and instructional practices that emphasized reading comprehension rather than oral and pronunciation-focused activities. These pronunciation difficulties have the potential to affect intelligibility and professional communication in clinical settings. In conclusion, the study highlights the need for pronunciation-focused instruction that is contextualized within authentic clinical communication. It is recommended that English for Nursing courses integrate more listening activities, clinical simulations, and explicit pronunciation training. Future research is suggested to involve larger samples and to examine the effectiveness of instructional interventions designed to improve pronunciation accuracy and clinical communication skills among Nursing students.

Keywords


Pronunciation errors; English for Nursing; Medical terminology; Phonological interference; Clinical communication

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References


Bashori, M., van Hout, R., Strik, H., & Cucchiarini, C. (2024). I Can Speak: improving English pronunciation through automatic speech recognition-based language learning systems. Innovation in Language Learning and Teaching, 18(5), 443–461. https://doi.org/10.1080/17501229.2024.2315101

Campbell, S., Greenwood, M., Prior, S., Shearer, T., Walkem, K., Young, S., Bywaters, D., & Walker, K. (2020). Purposive sampling: complex or simple? Research case examples. Journal of Research in Nursing, 25(8), 652–661. https://doi.org/10.1177/1744987120927206

Cho, M.-K., & Kim, M. Y. (2024). The effect of virtual reality simulation on nursing students’ communication skills: a systematic review and meta-analysis. Frontiers in Psychiatry, 15. https://doi.org/10.3389/fpsyt.2024.1351123

Crawford, T., & Candlin, S. (2013). Investigating the language needs of culturally and linguistically diverse nursing students to assist their completion of the bachelor of nursing programme to become safe and effective practitioners. Nurse Education Today, 33(8), 796–801. https://doi.org/10.1016/j.nedt.2012.03.005

Fransiska, F. W. (2025). EFFECTIVENESS OF USING INTERACTIVE DIGITAL MEDIA INIMPROVING FISIOTHERAPY STUDENTS’IN SPEAKING SKILLS ATMUHAMMADIYAH PRINGSEWU UNIVERSITY. Indonesian Journal of Education (INJOE), 4(3), 350–361.

Fransiska, F. W., Kusumastiti, W., Hutauruk, H., Ma’mun, A. H., Putri, D. M., & Ahmad, Z. (2023). Pengembangan Materi Pembelajaran Bahasa Inggris Yang Konstektual Untuk Situasi Darurat Kesehatan. Jurnal Review Pendidikan Dan Pengajaran (JRPP), 6(4), 2039–2044.

Ge, L. (2025). Research on Online Learning Platforms and Blended Teaching Models in Nursing Discipline. Proceedings of 2024 3rd International Conference on Artificial Intelligence and Education, ICAIE 2024, 112–116. https://doi.org/10.1145/3722237.3722257

Gebreheat, G., Whitehorn, L. J., & Paterson, R. E. (2022). Effectiveness of Digital Simulation on Student Nurses’ Knowledge and Confidence:An Integrative Literature Review. Advances in Medical Education and Practice, 13, 765–775. https://doi.org/10.2147/AMEP.S366495

Gillespie, D. J., & Schiffman, R. (2018). A critique of the Shannon-Weaver theory of communication and its implications for nursing. Research and Theory for Nursing Practice, 32(2), 216–225. https://doi.org/10.1891/1541-6577.32.2.216

Levis, J. M., Sonsaat, S., Link, S., & Barriuso, T. A. (2016a). Native and Nonnative Teachers of L2 Pronunciation: Effects on Learner Performance. TESOL Quarterly, 50(4), 894–931. https://doi.org/10.1002/tesq.272

Levis, J. M., Sonsaat, S., Link, S., & Barriuso, T. A. (2016b). Native and Nonnative Teachers of L2 Pronunciation: Effects on Learner Performance. TESOL Quarterly, 50(4), 894–931. https://doi.org/10.1002/tesq.272

Liebrecht, C., & Montenery, S. (2016). Use of simulated psychosocial role-playing to enhance nursing students’ development of soft skills. Creative Nursing, 22(3), 171–175. https://doi.org/10.1891/1078-4535.22.3.171

Lu, Y.-L. (2023). Retrospective on ESP Courses in the Global English Era. Journal of Nursing, 70(5), 13–20. https://doi.org/10.6224/JN.202310_70(5).03

Manik, M., Gultom, E., Sibuea, R., & Pailak, H. (2022). Virtual Simulation Learning from Indonesian Nursing Students’ Perspectives. Open Access Macedonian Journal of Medical Sciences, 10(G), 112–117. https://doi.org/10.3889/oamjms.2022.8239

Mao, F., & Zhou, J. (2024). A needs analysis of ESP courses in colleges of art and design: Consensus and divergence. PLoS ONE, 19(6 June). https://doi.org/10.1371/journal.pone.0305210

Meskó, B. (2023). Prompt Engineering as an Important Emerging Skill for Medical Professionals: Tutorial. Journal of Medical Internet Research, 25(1). https://doi.org/10.2196/50638

Noviarini, T. (2025). English for Specific Purposes Teaching in Current Academic Atmosphere in Digital Era in STIES Mitra Karya. JELT: Journal of English Language Teaching, 9(1), 48–54.

Nushi, M., & Sadeghi, M. (2021). A Critical Review of ELSA: A Pronunciation App. CALL-EJ, 22(3), 287–302. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85148701200&partnerID=40&md5=0baf29cc950e4e69d3082e0ec85a6fd2

Oliveira Silva, G., Aredes, N. D. A., Siqueira, K. M., Cavalcante, A. M. R. Z., & Campbell, S. H. (2024). Learning the Nursing Process Through Simulation: From Development to Implementation of a Scenario in Pediatrics. Clinical Simulation in Nursing, 94. https://doi.org/10.1016/j.ecns.2024.101580

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

Panggua, S., Fitri, N., & Patanduk, S. T. (2020). Need analysis: Developing speaking skills training materials for high school EFL teacher in Indonesia. Asian EFL Journal, 27(33), 37–50. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85090553070&partnerID=40&md5=91f4759e8941888f218071107475a34a

Park, H., Kim, Y., & Chu, S. H. (2019). Importance-Performance Analysis (IPA) to improve emergency care for novice nurses. Journal of the Korean Academy of Fundamentals of Nursing, 26(3), 155–165. https://doi.org/10.7739/jkafn.2019.26.3.155

Pham, V. T. T., & Pham, A. T. (2025). English major students’ satisfaction with ELSA Speak in English pronunciation courses. PLoS ONE, 20(1 January). https://doi.org/10.1371/journal.pone.0317378

Purnama, S., Purwanto, B. E., Wardhani, S., Kholid, I., Huda, S., & Joemsittiprasert, W. (2019). The impact of listening phonological errors on speaking: A case study on english education. Journal for the Education of Gifted Young Scientists, 7(4), 899–913. https://doi.org/10.17478/jegys.622005

Purwati, D., Faruq Ubaidillah, M., & Restall, G. C. (2023). “Sorry, I Can’t Speak”: English Teachers’ Challenges of Teaching EFL Speaking in an Indonesian Vocational High School Sector. Mextesol Journal, 47(1). https://doi.org/10.61871/mj.v47n1-1

Sardesai, N., Russo, P., Martin, J., & Sardesai, A. (2024). Utilizing generative conversational artificial intelligence to create simulated patient encounters: A pilot study for anaesthesia training. Postgraduate Medical Journal, 100(1182), 237–241. https://doi.org/10.1093/postmj/qgad137

Sattar, A., & Alghamdi, S. S. (2023). Investigating the Use of E-Dictionaries as Strategy to Improve Speaking Skill through Practical Activities of Precise Phonemes Realization: Case Study of EFL Undergraduate Students of Haripur University, Abatabad University, & Hazara University Mansehra, Pakistan. World Journal of English Language, 13(8), 182–193. https://doi.org/10.5430/wjel.v13n8p182

Setiawati, E. (2024). Articulatory phonetic errors and patterns in Thai BIPA speakers: A study at SWM School Thailand. Indonesian Journal of Applied Linguistics, 13(3), 573–587. https://doi.org/10.17509/ijal.v13i3.66948

Srinivas, M. (2024). Designing Customized ESP Materials: Principles, Procedure and Practice. In Critical Issues in Elt. https://doi.org/10.4324/9781003538479-17

Tam, W., Huynh, T., Tang, A., Luong, S., Khatri, Y., & Zhou, W. (2023). Nursing education in the age of artificial intelligence powered Chatbots (AI-Chatbots): Are we ready yet? Nurse Education Today, 129. https://doi.org/10.1016/j.nedt.2023.105917

Williams, B., Beovich, B., Edlington, T., Flemming, G., & Donovan, G. (2017). Difficult Conversations Within Healthcare: a Pilot Study. Medical Science Educator, 27(2), 165–172. https://doi.org/10.1007/s40670-017-0378-4

Yilmaz, D. U., Tuncali, S. H., & Yilmaz, Y. (2019). Nursing education in the era of virtual reality. In Virtual and Augmented Reality in Education, Art, and Museums (pp. 47–70). https://doi.org/10.4018/978-1-7998-1796-3.ch003




DOI: https://doi.org/10.36269/expose.v3i1.4676

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