American English Pronunciation and the Internationally Educated Nurse

Document Type



Integral to patients’ positive perceptions of their hospital experience is the effectiveness of communication. Nurse communication, as measured on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, has been cited as the single most powerful influencer of a patient’s overall experience. These performance ratings drive value-based purchasing and hospital reimbursement formulas that, in turn, significantly impact hospital-operating budgets. The economic constraints, coupled with difficulties in maintaining adequate-staffing, create an ongoing challenge.


Communication in nursing; English language – Accents and accentuation; English language – Dialects; Nurse and patient; Transcultural nursing; United States


Education | Interpersonal and Small Group Communication | Nursing


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