Learning to read patient notes in the workplace: How reading aloud and reading alongside can help students for whom English is an additional language

Abstract

Much of the recent research in English for nursing has focused on the specialised spoken discourses rather than the written documentation that nursing students need for patient care. However, patient documentation can be challenging to learn, particularly for some students for whom English is an additional language. This study investigated how novice English as an additional language students learned to read patient documentation during their work placements, and the role that their workplace supervisors played in helping them learn. An ethnographic approach and discourse analysis of workplace interactions with three supervisors and 16 students in three Australian hospitals showed that most nursing students observed required explicit guidance from their supervisors to read the documentation and to understand the linguistic and rhetorical functions of those notes. The findings suggest that developing reading skills in the workplace should involve explicit guidance in learning to read the requisite documentation. It is recommended that English for Specific Purposes courses for nursing students pay attention to written as well as spoken discourses and that language specialists work with nursing educators to provide professional development for workplace supervisors and to ensure that guidelines and expectations for reading documentation are clear for supervisors and students.