Needs Analysis: English for Nursing

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In the following report, we assess the Target Needs Analysis carried out for students following the BSc Nursing as a preliminary step to the design of a custom-made ESP course. What must be kept in mind is that language courses must ultimately improve the language skill of the learners involved; ESP courses then, must ultimately improve definite requirements of learners‟ language ability, because ESP learners do not have nine years‟ (i.e. ample time) to achieve proficiency. Thus ESP courses should improve specific requirements in the BSc Nursing students‟ language proficiency, because their time to achieve proficiency is limited too. In order to achieve this objective, course design must be meticulously planned: Needs Analysis, as explained above, is the most crucial part of this meticulous planning process.

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    Contents

    Title Page

    Acknowledgements ... 2

    PART A

    The Importance of Needs Analysis to the ESP Courses ... 3

    PART B

    Background Information 5

    The Programme of Study ... 5

    Target Group ...... 7

    Details of the Survey .. 8

    Results of the Survey . 10

    Recommendations .. 23

    Limitations of the Survey .. 26

    Concluding Remarks .. 29

    References ... 30

    Annexures 31

    A: Group Questionnaire with collated answers

    B: Individual Questionnaire

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    Acknowledgements

    Thank you to:

    The Man who has always given me the strength to keep going whenever I have

    wanted to give up

    All at home, especially Nirosha and Pierre, for letting me use and reuse their

    computers, and to Nirosha and Nimmi for providing immeasurable support

    Sunesh for coming to the rescue and for Microsoft Word 2007

    Those names too numerous to mention, but whose immense sincerity and

    patience have borne my exclamations, sighs and e-mails throughout the

    compilation of this project report.

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    PPAARRTT AA::

    TThhee IImmppoorrttaannccee ooff NNeeeeddss AAnnaallyyssiiss ttoo tthhee EESSPP CCoouurrsseess

    Raheem (2010) says, One can spend nine years teaching English to students in

    a school, but one cannot spend nine years teaching a scientist how to speak English.

    ESP, or English for Specific Purposes, is an approach to the teaching of English that is

    driven by identified and prioritised learner needs so as to defeat the constraints of time

    faced by the professionals who undertake such courses. ESP practitioners from

    Hutchison and Waters (1987) to Robinson (1991) to Dudley-Evans (1998) have all

    agreed on one undeniable characteristic of ESP: i.e. that it caters to the needs of a target

    situation and the needs of learners involved. As is evident in the diagram below, needs

    make up the largest proportion of the ingredients of an ESP course: in other words,

    without the consideration of needs, an

    ESP course is redundant and

    ineffective. Hutchison and Waters

    (1987) tell us that ESP is different

    from General English not because of

    the existence of a need but rather an

    awareness of the need. In order to

    become aware of a need, the ESP

    course designer must therefore carry

    out a survey or analysis involving

    stakeholders of the course. Also,

    because ESP refers to English for Specific Purposes, these needs are specific too. In this

    report, needs are Specific to the staff of the Department of Nursing. However, the

    A basic diagrammatic representation of what an

    ESP course constitutes

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    stakeholders of a course are not just one group of individuals course designers must

    analyse Target Needs (in this report, the needs of the Dept. of Nursing) which are

    concerned with the use of language, in order to identify what people will do with the

    language; in addition, Learner Needs (in this context, needs of students following the B.

    Sc Nursing) must be analysed in order to discover how people learn to do what they do

    with language. Often, there are discrepancies between Target Needs and Learner

    Needs, and Dudley-Evans and St John (1998) state, rather alarmingly, that The

    findings from a needs analysis are not absolute but relative, and there is no single,

    unique set of needs. Nevertheless, it is essential that both specific Target Situation

    Needs and specific Learning Needs are taken into account. Without the specificity of

    needs, there is no specificity of purpose for the course (i.e. there is no awareness of

    needs); as a result, the course ceases to be an ESP course and is left once more in the

    categorization of General English.

    In the following report, we assess the Target Needs Analysis carried out for

    students following the BSc Nursing as a preliminary step to the design of a custom-

    made ESP course. What must be kept in mind is that language courses must ultimately

    improve the language skill of the learners involved; ESP courses then, must ultimately

    improve definite requirements of learners language ability, because ESP learners do not

    have nine years (i.e. ample time) to achieve proficiency. Thus ESP courses should

    improve specific requirements in the BSc Nursing students language proficiency,

    because their time to achieve proficiency is limited too. In order to achieve this

    objective, course design must be meticulously planned: Needs Analysis, as explained

    above, is the most crucial part of this meticulous planning process. In other words,

    Needs Analysis is the hinge on which the door of a successful ESP course swings.

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    PPAARRTT BB:: TThhee SSuurrvveeyy

    (a) Background Information

    Programme of Study

    The following information has been derived from the BACHELOR OF SCIENCE

    (NURSING) DEGREE - PROGRAMME GUIDE FOR STUDENTS 2011/2012 provided

    by the Open University of Sri Lankas Faculty of Natural Sciences. The data has been

    summarised in bullet point form for the sake of clarity and word economy.

    The Bachelor of Science Nursing Degree:

    Is currently a two-year programme (Level 5 and 6) supplied by the Department

    of Health Sciences of the Faculty of Natural Sciences

    Commenced in July 1994 and is offered to registered nurses at the request of the

    Ministry of Health

    Was initiated with academic assistance provided by The Athabasca University

    and funded by The Canadian International Development Agency (CIDA) for a

    period of five years (1992 - 1997)

    Believes that nurses must respond appropriately to the continually changing

    health care environment

    Enables, among other aspects, the appropriate use of communication skills in the

    nurse-client relationship, as well as with other members of the health team

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    Provides courses that, among other aspects, should:

    a) Use concepts from the humanities and the behavioural sciences to

    understand oneself and others, the relationships between people, and the

    functioning of communities;

    b) Contribute to the development of a graduate who will demonstrate a

    sensitivity and responsiveness to the needs of others;

    c) Promote clear and effective reading and writing in English so that one

    will have access to further knowledge that will enable one to share with

    the international nursing community;

    Has enrolled 15 groups of registered nurses between 1997 and 2010

    subsequently giving rise to 351 Graduate Nurses

    Recently expanded into a five-year programme, with the introduction of Levels

    3 and 4 (three-year Diploma Programme) in association with Hemas Hospitals

    (Pvt.) Ltd.

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    (a) Background Information (Continued)

    Target Group

    The following information has been derived from the Open Universitys BSc (Nursing)

    Programme Guide as well as information provided by the interviewees prior to the

    administering of the Group Questionnaire. The data has been summarised in tabulated

    bullet point form for the sake of clarity and straightforward reference.

    Name Mrs. S. L. H. Vithanarachchi Mr. B. S. S. De Silva

    Position Head of Department

    Senior Lecturer Lecturer

    Educational

    Qualifications

    Diploma in Nursing (Ministry of

    Health)

    B.Sc. Nursing (OUSL) in 1994

    MSN (Brit. Columbia)

    R.N.

    Diploma in Nursing (Ministry

    of Health)

    Post-Basic Diploma in Nursing

    B.Sc. Nursing (OUSL)

    MN (RES) (Melbourne)

    R.N.

    Professional

    Experience

    On the teaching staff of OUSL

    since 1998

    Promoted to Senior Lecturer in

    2004

    Appointed Head of Department

    in late 2004

    Worked as a Nurse for 28 years

    at National Hospital

    Worked as a Nurse for 3 years in

    Iran and Oman

    Worked as a Nurse for 3 years in

    the Private Sector

    On the teaching staff of OUSL

    since 2006

    Pending appointment as Senior

    Lecturer

    Worked as a Male Nurse for 5

    years at Neurosurgical Unit of

    National Hospital

    Worked as Ward Master for 2

    years at Neurosurgical Unit of

    National Hospital

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    (b) Details of the Survey

    The data below has been summarised in bullet point form for the sake of clarity and

    straightforward reference.

    Preparation of Questionnaire: 6th March 2011 at OUSL Premises

    Questions were discussed and planned prior to finalising the

    questionnaire required

    Once finalised, the questionnaire was typeset and circulated amongst all

    members of the Level 5 B.A. in ELT Batch

    Survey Format: Printed text questionnaire, mostly MCQ-type

    Each question was posed orally to the interviewees while a hard copy of

    the questionnaire was also provided to each interviewee.

    Date of administering questionnaire: 11th March 2011

    Persons Interviewed / Target Group:

    Mr. B. S. S. De Silva

    Time: 10.30 am

    Venue: Dept of Nursing/ OUSL

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    Mrs. S. L. H. Vithanarachchi

    Time: 11.45 am

    Venue: Dept of Nursing/ OUSL

    Additional Individual Questions:

    03 (THREE) questions were prepared independently by the writer of this

    report in relation to course content.

    These 3 questions were administered to the staff member Mr. B. S. S.

    De Silva at around 11.30 am at the Dept of Nursing/ OUSL

    .

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    (c) Results of the Survey

    In this section, we will analyse and discuss each question and answer individually

    on the Interview Questionnaire, and the subsequent effect it will create on the ESP

    course in terms of Content and Time. Where possible, parallels have been drawn

    between the questions of the Survey administered, and the work of ESP

    Practitioners. A detailed Table of Needs has been derived and is included at the end

    of this discussion.

    Group Questionnaire

    1. In what medium will the B.Sc. Nursing be conducted?

    a) English

    The question above was included in the questionnaire in order to assess the type of

    English which the students of the BSc (Nursing) require, and how it will be used. As is

    evident, the students will not merely require the usual English as a Second Language

    (ESL) course, because the medium of instruction itself is English. It goes without saying

    that reading material as well as assignments submitted by the BSc students will be in

    English, while in-class discussions will also be in English. The ESP course designer will

    need to bear this in mind in order to ensure specificity.

    2. What is the duration of the B.Sc. Nursing course?

    2 academic years

    The purpose of this query was to determine, according to how much time the BSc

    (Nursing) students would spend on their course, the upper limit of time when the target

    language will be used. The ESP course designer would benefit from this information

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    since, if required, levels/modules could be introduced at various points of these two

    years according to the type of language being used at that point in time. The

    interviewees also noted Students are recommended to follow the B.Sc. Nursing course

    over 4 years because of the workload might be too much since the students are

    employed full time. This too is valuable information as the course designer will have to

    balance specificity according to the needs of the staff and students, in order that students

    who undertake the degree programme and follow the ESP course, will have achieved

    the required proficiency irrespective of whether they finish the course in 2 years or 4

    years.

    3) From which level of the course will English be required?

    From Level 5 onwards.

    From 23rd

    March, the new procedures will come into effect and English will be

    required from level 3 and level 4.

    Although initially aimed at pinpointing the actual need for English in relation to

    Question 1 of the Target Situation, this question gave rise to integral information for the

    ESP course designer. Till now, the course has required the use of English only at BSc

    level (i.e. Level 5); however, in a recent development, the course expanded into the

    Diploma Levels 3 and 4. This means that the ESP course designer may have to consider:

    - catering to all 4 levels of the course

    - designing an evolving ESP course

    - conducting yet another Needs Analysis once BSc Level 3 gets underway

    in order to ensure maximum exactness of the ESP course.

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    4) Why do the students of the B. Sc. Nursing course need English?

    a. For studies

    b. For work

    c. For training

    d. As a qualification

    e. Other : Overseas Travel

    This question was included to gauge the staffs view of the students necessities. The

    target need identified here is the diversity of uses that the students will require English

    for. With reference to response (d) the interviewer group was informed by Mrs.

    Vithanarachchi that although the Degree was awarded to students upon successful

    completion of the course, the Degree Certificate would not be awarded to previously

    identified BSc students who had not fulfilled the English course currently in operation.

    With the interviewees inclusion of Overseas Travel, we gather more information about

    the linguistic context of the target language. As such, while ensuring that the ESP

    course meets the precise needs of studies, work and training for Nursing, the ESP course

    designer will need to keep in mind that a change may be necessary in the course having

    an effect on the award of the degree; also, the course designer will need to cater to the

    possible change of country context and the relevant language required.

    5) Is there an age limit for the B.Sc. Nursing course?

    There is no age limit applied by the Open University.

    The motive behind this question was to assess the age group or groups that the ESP

    course would have to cater to. Although no group is specified, the interviewer group

    was told Students will be around 25 years of age by the time they complete the

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    minimum entry qualifications by Mr. De Silva. This Target Situation information will

    serve to guide the ESP course designer when selecting specific material in terms of

    maturity level. It may also serve to construct lessons in the Syllabus Design stage, in

    terms of how much information will be taught and for how long a duration.

    6) What is the background of the students registering for the B.Sc. Nursing course?

    a. Employed

    The above enquiry was a means of inferring the amount of time (limited) available to

    the BSc Nursing students and the expanded context in which the language will be used.

    In addition to this, the interviewer group found out that students registering for the BSc

    were all employed as nurses. All three facts will play a significant role in the

    formulation of the ESP course in terms of both Content and Time. The ESP course

    designer may eliminate previously planned content with this new information, and

    structure lessons keeping in mind the prior hands-on nursing experience each of the

    students have had.

    7) Where will the English language be used?

    a. Lecture Halls

    i. With lecturers

    ii. With Peers

    iii. For presentations

    iv. Other : Assignments

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    b. Hospitals

    v. With Doctors

    vi. With Nurses

    vii. With Patients

    c. Other places/environments/situations : Seminars / Workshops

    d. What will be the English Language Proficiency of the individuals that the students

    will interact with?

    Native Speaker

    Non native speaker

    This question seeks to determine the contexts where the language will be used. The

    physical settings where the language will be used are lecture halls and hospitals, where

    the situations in which the language will be used will be numerous. The human context

    indicates using language with individuals from lecturers to patients, meaning the

    breadth of the target language will be significant. Meanwhile the linguistic setting

    shows the use of target language for presentations, on assignments, at seminars and

    workshops, inter- or intra-university. Additionally, the linguistic context of the language

    used (Hutchison & Waters, 1987 Who will the learner use the language with?) can

    also be derived from the information above we realize that the language will include

    both kinds of speakers, so the course designer has an idea of what type and level of

    language the ESP course should include.

    8) What is the Basic English qualification required to register for B.Sc. Nursing?

    There is no requirement for a Basic English qualification as an English grading test

    is conducted by the university.

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    9) Has there been a placement test conducted to assess the level of the students

    proficiency in the English language prior to this Needs Analysis? If so, how will

    they be graded?

    Yes, a grading test for English test is conducted to assess the level of the students

    proficiency in the English language. The Nursing Department is unaware of the

    details of the grading since it is conducted by the Language Studies Department.

    The Department of Nursing interviewees referred here to the grading test carried out by

    the Language Department for the courses LSE 1305 and LSE 2305. What must be kept

    in mind here is that whether grading has been conducted or not, an ESP-specific

    assessment must be conducted ahead of the newly formulated course. However, current

    grading is carried out by the Language Department. The above questions in fact pose a

    challenge as to the course designer as the answers prove inconclusive.

    10) What are the subject areas / content areas included in the B.Sc. Nursing course?

    (The content areas, obtained from the Programme Guide for Students 2011/2012 can

    be found in the Appendix Group Questionnaire)

    The answer to this question will serve the ESP Course Designer in two ways:

    1. The target needs are that English is required from the inception of the

    course. Keeping the subject areas in mind, the course designer can

    now allocate subject-specific language to the course framework.

    2. Among the BSc content areas are Primary Health Care I (Level 5) and

    Primary Health Care II (Level 6), as well as Concepts in Nursing

    Practice (Level 5) and Management in Nursing Practice (Level 6).

    Hutchison and Waters tell us that the level of content areas are

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    determined by the target needs analysis there are stark subjects in

    level 5 which have follow-ups in the next level. The course designers

    task is to categorize how much of the target language for each of these

    developing subjects, is included, and whether the language content

    will develop alongside too.

    11) What language skills do you think the B.Sc. Nursing students need to use more

    during the B.Sc. Nursing course?

    a. Reading

    b. Writing

    According to Hutchison and Waters, the ESP course designer must identify how the

    language will be used, in terms of medium, channel and types of text/discourse. This

    section of the Needs Analysis shows that the media will be restricted to reading and

    writing, while the channel will be written texts, and the types of texts used could range

    from academic BSc Nursing textbooks to Diagnosis Cards. Thus the ESP course has

    been narrowed-down specifically according to medium, channel and types of text used.

    12)

    a. Should the ESP course begin:

    i. Before commencement of the B.Sc. Nursing course

    ii. Concurrent to the B.Sc. Nursing course

    b. What would be an appropriate frequency of ESP day schools?

    ESP day schools would be preferred to have as often as possible.

    c. What would be an appropriate duration for the ESP course?

    During the 1st Semester.

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    d. Would weekdays or weekends be more appropriate for the ESP day

    schools in relation to the B.Sc. Nursing day schools?

    Weekends would be more appropriate.

    Question 12 fulfils Dudley-Evans and St Johns criteria of including What do you

    need/want from the course? and Hutchison and Waters When will the language be

    used? In short, the Target Need of course administration is frequent ESP day schools

    on weekends concentrated during the first semester or prior to the first semester. This is

    yet another indication of the need for the students following the BSc Nursing to be

    prepared with English from the very start of the programme; they earlier they are

    prepared, the better. Thus we identify a specificity that must be catered to in the ESP

    programme.

    13) What are the resources available for the ESP course?

    a. Location - This depends on the resources available at the Regional

    Centres

    b. Technical Facilities - This depends on the resources available at the

    Regional Centres

    c. Course Material - The Nursing Department does not provide Course

    Material for the English Language course. That course material is

    handled by the Language Studies Department.

    The purpose of this segment of the analysis is to take the Dudley-Evans and St John

    criterion one step further by analysing what assets the Nursing Department itself can

    provide, if necessary, to the ESP Course. If location, technical facilities and course

    material (E.g. Guide to Concepts in Nursing Practice) are known, then the ESP course

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    designer can comprehend whether aspects of the course are feasible or not. However,

    the answers here are inconclusive once again, leaving specificity in the lurch.

    14) What is the preferred evaluation procedure?

    a. Continuous Assessment

    b. Final Examination

    c. Other: Presentations.

    Dudley-Evans and St John (1998) say, As ESP practitioners, we are most likely to be

    concerned with formative evaluation...the findings help to shape the course during its

    lifetime. In order to determine whether a formative or summative assessment was

    required, the above question was posed. What the ESP course designer understands

    from the response given is that both continued assessment and a final examination will

    serve to (ultimately) shape the course, while judging whether the learners acquired the

    prescribed proficiency. The fact that presentations could be included is an addition to

    the medium of how the language will be used (i.e. Speaking). Mrs. Vithanarachchi

    explained that Presentations are already conducted by the BSc Students for the subjects

    Concepts in Nursing Practice, Teaching and Learning, and in the Final Research

    Project. She mentioned that the students will need to learn to reduce fear of speaking

    before an audience and to improve presentation skills.

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    Individual Questionnaire

    1) Which of the following content areas do you think the new ESP course could

    include?

    i) Patient admissions

    ii) Medical specimens

    iii) Pre- / Post-Operative Patient Assessment

    iv) Telephone Skills

    The first question is aimed at sharpening the content areas that could be focussed on, in

    the preliminary stages of ESP course design. These areas were derived from Cambridge

    English for Nursing (by Virginia Allum and Patricia McGarr, 2010). The course

    designer can now use the above four topic areas as a basis for determining what other

    topics could be included as content, using information from Group Question 10 as a

    guide as well.

    2) i) Do the students cover Satirs categories or anything similar in the BSc course?

    Yes

    ii) Do you think it could be included in the ESP course?

    Yes. English is vital to Nursing and Communication in order to build a nurse-patient

    relationship.

    The purpose of this question is once again to find out specifically whether the content

    area of Communication is conducive to the ESP course. The question is structured

    along the Programme Guideline specified in the Faculty of Health Sciences Guide:

    Enables, among other aspects, the appropriate use of communication skills in the nurse-

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    client relationship, as well as with other members of the health team. The response to

    the question above serves to further taper the ESP content areas.

    3. In the entire programme, do the students engage in role play at any point?

    No. They used to, for communication. Now there is no longer any time.

    The reason the above question was included was to decipher whether the role play

    method could be used in the ESP course. Subsequent to administering the questionnaire,

    however, it is evident that Speaking is a skill that is needed by the students (see Group

    Question 14) Role play, if included by the course designer, could be one method of

    enhancing the Speaking skills of students: a specific solution for a specific need.

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    PASTE NEEDS TABLE HERE

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    PASTE NEEDS TABLE CONTINUATION HERE

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    (d) Recommendations

    Although there were responses provided to the greater majority of questions in the

    Survey Questionnaire, there were certain questions to which the answers were

    inconclusive. If the Needs Analysis is inadequate, then remedial measures must be

    taken to ensure adequacy and conclusiveness of Needs, at least for the time being.

    Recommendations in this respect are briefly explained individually, below.

    1. Conduct a Learning Needs Analysis - The Target Needs Analysis carried out

    is one-dimensional as it only pinpoints the target groups needs. It is ultimately

    the learners who will undertake the ESP course, and their needs may differ

    vastly from the target group: a Learning Needs Analysis is vital. Hutchison and

    Waters say learners may be well motivated in the subject lesson (here, BSc

    Nursing subjects) or in their work (here, as nurses), but totally turned off by

    encountering the same material in the ESP classroom. According to the Target

    Needs Survey, needs of content areas are centred on BSc Level 5 and 6 subjects,

    Hands-on experience and topics such as patient admissions this may totally

    discourage learners. Naiman et al. (1978) as cited by Penny Ur (1991) say The

    learner has a need to achieve and this achievement is linked directly to

    motivation. If learners are not motivated, then the course is fractured; yet

    another reason why a Learner Needs analysis (e.g. Why are the learners taking

    the course? How do they learn?) is essential.

    2. Conduct a Present Situation Analysis The ESP course designer has to find

    out English Language Information about the learners using a Present Situation

    analysis. Dudley-Evans and St John note that learners current skills and

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    language use must be assessed, in order that learners lacks (or the gap between

    the Present Situation and the Learning Needs) can be gauged.

    3. Expand the target group for the Target Needs Analysis

    a) Two staff from the Department of Nursing is not a tangible number to represent

    the needs of the entire Department. The Target Needs Analysis questionnaire

    should be administered to the greater majority of, if not all, the Department

    Staff.

    b) As the course is progressing to include a partnership with Hemas Hospitals for

    Levels 3 and 4, and because English will be required from Level 3 in the future,

    it would be beneficial to include one or two staff members from Hemas Hospital

    when administering the Target Needs questionnaire.

    c) As several questions were redirected to the Language Department, at least one

    staff member representing the Language Department should be administered

    with the questionnaire

    d) Resources available at regional centres were inconclusive when Location and

    Technical Facilities were analysed as part of the survey. Thus at least one

    representative from each regional centre (Kandy / Jaffna / Batticaloa /

    Anuradhapura) must be administered with the Target Needs Survey.

    4. Change the structure of questions on the Target Needs Analysis if the

    target group specified above (Recommendation 3) is present at the same time, a

    whole-group discussion can be held in order to discuss and determine target

    needs in a holistic manner, instead of using a majority of time-saving MCQs.

    5. Analyse Course Material ESP Materials are developed for a specific

    situation, and since the Target Needs analysis has shown the core subject areas

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    of the BSc programme, it is essential that BSc course material is analysed in

    order to match needs (such as functions/notions in Nursing) to available

    solutions. Also, the Nursing Department staff said no material is provided by the

    Department for any ongoing English course this could prove detrimental. The

    materials analysis could be done at the end of ESP course design.

    6. Conduct Interim and Cumulative Needs Analyses Needs Analysis is a

    continuous process, not merely a one-off questionnaire, as needs change and

    learner groups change according to situation or context. Conducting Interim and

    Cumulative Analyses of Target Needs, Learning Needs and Present Situation

    can show differences when compared to Preliminary Needs Analyses these

    existing differences in needs will only be made aware to the ESP course

    designer through Needs Analysis. Additionally, the BSc (Nursing) degree

    believes that nurses must respond appropriately to the continually changing

    health care environment a continually changing health care environment

    requires continuous analysis for the success of the ESP course.

    7. Seek more information on the Ministry of Health Diploma in Nursing

    since this Diploma is at present an entry requirement to the BSc Nursing, the

    ESP course designer possesses inadequate information on the course and the

    subsequent effects of the Diploma on the ESP course. More information on the

    Ministrys Diploma course is essential, particularly to identify if English is used

    as a medium of instruction.

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    8. (e)Limitations of the Survey

    Although the Survey Questionnaire was formulated to be as comprehensive as

    possible, there were certain limitations identified. Below, these limitations are

    outlined individually, and their subsequent effect on the needs data, briefly

    explained.

    1. Inadequate Needs analysed Needs must essentially be identified and

    prioritised for the successful planning of an English for Specific Purposes

    course. The above Survey Questionnaire delves only into the Target Situation

    Needs; there is no provision for exploring Learning Needs or Present situation

    needs. If needs are inadequate, then planning for ESP will be unsuccessful,

    resulting in the eventual failure of the course.

    2. Two staff members as representatives Since the above Survey is essentially

    a Target Situation Analysis, the entire Target Group (i.e. the entire staff of the

    Department of Nursing) should have been interviewed. Two staff members,

    though sources of information, cannot represent the needs or opinions of an

    entire department. This proves detrimental to the reliability of the Target needs

    data.

    3. MCQ type questions When Multiple Choice Questions are used, the

    individual responding to them has been provided with only a limited amount of

    choices. In this Survey, MCQs were used in order to save time and obtain

    straightforward answers; however, for a holistic Target Needs Analysis to be

    carried out, and options must therefore be at least open to discussion. There may

    have been more in terms of valuable information, but as the interviewees were

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    only provided with these questions: any additional information may have been

    left out. Quantity of needs data was affected.

    4. Batch wholly present for one interviewee but not for the other As one

    interviewee (Mr. De Silva) was available before the other, the entire group

    administered the survey questionnaire to him. Thereafter each set of individual

    questions was administered one by one. At this point, only the members of the

    group who had completed individual questioning stayed behind to interview the

    second interviewee (Mrs. Vithanarachchi). As a group, we may have been able

    to elicit more reliable / concrete information if both interviewees were present at

    the same time (e.g. data left out by one interviewee may have been filled in by

    the other concurrently). Here, quality of needs data was affected.

    5. Regular referral to LSE 1305 and LSE 2305 - It was noticed that both

    interviewees repeatedly referred to the two courses currently carried out as part

    of the B.Sc. Nursing. We are uncertain as to whether these two courses are

    formulated according to the ESP approach or not. The reliability of the needs

    data is at risk if any misunderstandings occurred between current courses (LSE

    1305 and LSE 2305) and future ESP Course (as yet not fully planned).

    6. No knowledge of prior English courses With reference to (4) above, the

    interviewer group was unaware of the existence of LSE 1305 and LSE 2305, the

    nature of the two courses (i.e. ESP or not), the pre-requisite criteria for them, the

    courses content or duration.

    7. Regular redirection to Language Department For responses to questions 8,

    9 and 13, the interviewees noted that the Language Department would know

    better. This indicates a dearth of quality and quantity of needs data. The quality

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    of the data is restricted because in the absence of a specific data, the response

    becomes inconclusive. Quantity of data is affected because only staff from the

    Department of Nursing has been interviewed, and this has proven inadequate.

    8. Medium of Instruction of Diploma (Ministry of Health) uncertain the

    Survey (Group or Individual Questionnaire) does not provide for the

    determining of the language medium for the above Diploma, which is currently

    a fundamental pre-requisite ahead of enrolling for the B.Sc. Nursing. Acquiring

    this information would only serve to further specify the needs for the course. If

    the Diploma is conducted in Sinhala or Tamil, then the ESP course would have a

    general idea of the gap in English prior to the start of the course and the

    proficiency level required at the end of the course.

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    (f) Concluding Remarks

    Firstly, it is evident from the results of the survey and the limitations faced that a

    single Target Needs Analysis proves inadequate towards the successful planning of the

    ESP course. Dudley-Evans and St John (1998) say information obtained from

    clientswill only be as good as (a) the questions asked and (b) the analysis of the

    answers. We have found limitations in the quality, quantity and reliability of questions

    asked and answers analysed. Secondly, through the conduct of the Target Needs

    Analysis, we have realized that a Learning Needs Analysis and a Present Situation

    Analysis are essential in order to fill gaps and further specify needs which are vital to

    the ESP course. Thirdly, it is apparent that evaluating needs is not a one-time matter

    needs (in all forms) must be assessed continuously for best practice in ESP course

    design.

    Although Dudley-Evans and St John (1998) state that findings from a needs

    analysis are not absolute but relative, and there is no single, unique set of needs, if any

    of the aspects mentioned in the previous paragraph went unaccounted for, the ESP

    courses would not improve specific requirements in the BSc Nursing students language

    proficiency. The door of the successful ESP course would swing unsteadily and

    ultimately, fail. As time is limited during an ESP course, we need to ensure needs are as

    holistically specific as possible. Therefore the successful ESP course designer, through

    this report, must learn:

    A Target Needs Analysis alone proves inadequate

    Learning Needs Analysis and Present Situation Analysis are essential

    Needs Analysis is a continuous process, not merely a one-off survey

    and must consequently take steps to resolve these aspects.

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    References

    Raheem, R. (2010). Lecture on English for Specific Purposes ( October 9th,

    2010)

    Hutchinson, T. & Waters, A. (1987) English for Specific Purposes: A learning-

    centred approach. Cambridge: Cambridge University Press

    Dudley-Evans, T. & St John, M. J. (1998) Developments in English for Specific

    Purposes: A Multi-Disciplinary Approach. Cambridge: Cambridge University

    Press

    Allum, V. & McGarr, P. (2010) Cambridge English for Nursing: Pre-

    Intermediate. Cambridge: Cambridge University Press

    Bradley, J.C. & Edinberg, M.A. (1990) Communication in the Nursing Context.

    Connecticut: Appleton and Lange

    Author Unknown (2011) Bachelor of Science (Nursing) Degree: Programme

    Guide for Students 2011/2012. Retrieved March 15th 2011 from

    www.ou.ac.lk/science/health/images/stories/Nursing/Programmme_Guide_for_S

    tudents_2010-2011.doc-web.doc

    Naiman, N., Froelich, M., Stern, H. H. and Todesco, A. (1978). The Good

    Language Learner. In Ur, P. (1991) A Course in Language Teaching.

    Cambridge: Cambridge University Press

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    Annexures

    Annexure A - LSU 3206 Group Questionnaire

    Annexure B LSU 3206 Individual Questionnaire