由于世界已成为一个全球化的村庄，台湾的护士面临着来自世界各地的日益多样化的患者。越来越多的国外患者意味着护士应该面对来自不同文化背景和使用不同语言的国际患者。由于英语是使用最广泛的国际语言，因此它已成为一种流行的通用语言，用于台湾护士和国际患者之间的交流。但是，关于它们之间是否可以很好地进行沟通的研究很少。如果不了解他们是否可以使用英语进行适当的交流，几乎不可能知道国际患者是否获得了适当的治疗。因此，本研究旨在调查台湾护士的英语交际能力。共有21名台湾护士参加了这项研究。主要发现表明，对于工作场所英语用法，护士将口语和语法评为最重要的语言技能领域。录像的发现还表明，护士在理解与国际患者的英语口语方面存在挑战和策略，例如倾向于使用手势来帮助与国际患者沟通，倾向于在英语口语中混入单词（代码切换），并且倾向于避免闲谈或与国际患者保持长时间的英语对话。

Due to the fact that the world has become a global village, nurses in Taiwan are faced with increasingly diverse patients from different parts of the world. The growing number of patients from aboard means that the nurses should face international patients who are from different cultural backgrounds and speaking different languages. Since English is the most widely used international language, it has become a popular lingua franca used for the communication between Taiwanese nurses and international patients. However, little research has been done with whether they can communicate well with each other. Without the understanding of whether they can use English to communicate with each other appropriately, it is almost impossible to know if the international patients obtain appropriate treatments. Therefore, this study aims to investigate the English communicative competence held by nurses in Taiwan. A total of 21 Taiwanese nurses participated in this study. The major findings showed that the nurses rated the most important language skill areas for their workplace English usage are speaking and grammar. The findings of video recording also showed that nurses have challenges and strategies in understanding spoken English with international patients such as tend to use gestures to aid communication with international patients, tend to mix words when speaking in English (Code switching), and tend to avoid small talks or maintain long conversation with international patients in English.

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