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A study examined the attitudes of nurses in three hospitals toward non-native-English-speaking physicians. The subjects, 156 medical-surgical nurses, listened to three anonymous audiotaped physicians from different ethnic backgrounds: American, Japanese, and Persian. The physicians were recorded in two contexts: in a formal context, reading a short patient history and giving a verbal order directed toward a nurse; and giving an impromptu response to a question regarding their future plans. Nurses rated each physician for each context, using a semantic differential scale. Results indicate a significant positive relationship between physician pronunciation and nurse perceptions of his medical competence, with the native-English-speaking physician receiving the highest rating. The physician with the strongest accent, the native Japanese-speaker, received the lowest ratings. There was also a significant positive relationship between context of speech and ratings; all physicians received a higher rating on speech in the informal context. It is concluded that if a physician's pronunciation or speech style causes nurses to evaluate him negatively, there is need for pronunciation and accent reduction instruction both in the English-as-a-Second-Language classroom and in continuing language instruction for non-native-speaking hospital personnel in teaching hospitals, and for cross-cultural training for nurses. Contains over 100 references and the survey instrument. (MSE)  Reproductions supplied by EDRS are the best that can be made from the original document.

The Effect of a Physician's Pronunciation on Nurses' Perceptions of the Physician's Medical Competency