- 期刊
Application of the lemma forms (client/patient) in the Nursing English course through a sociolinguistic perspective
從社會語言學角度看病患（patient/client）的稱謂－使用規則與在英文課的應用
摘要
The use of the term client instead of patient indicates a social change. The content of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) basically deals with various perspectives of "client needs" and therefore contains numerous uses of the word client in its various lemma forms (client, clients, client's, clients'). However, in the EFL (English as a Foreign Language) context, patient is still the more commonly used term, and miscommunications have occurred due to such usage differences. The aim of the study is to find out, through a sociolinguistic perspective, how exactly the two lemma forms (client/patient) are used in the nursing community. The authors applied a corpus linguistic methodology in combination with the AntConc 2.9 software program to two NCLEX review series (2008, 2017) to investigate the use of the two terms and their lemmas in the following regards: 1. The frequency of the lemmas of client; 2. The distribution of the client versus patient lemmas among different subject areas of the NCLEX review series; 3. A macro-sociolinguistic explanation for the dominance of client over patient; and 4. A micro-sociolinguistic explanation of that dominance. Other than implications for teaching and learning in the language classroom, it was concluded that patient and client both have their situation-specific context or linguistic domain of use.
並列摘要
客戶（client）一詞取代患者（patient）是社會變革的一個現象。全英語版的註冊護士執照考試（NCLEX-RN）的內容因為以各種角度探討“客戶需求”，因此在其各科別內容中都包含了客戶一詞（client）的多種用法（client, clients, client's, clients'）。然而，在EFL（英語作為外語）的情境中，患者（patient）仍然是常用的稱謂，這個用法上的差異難免造成英語課程中在寫作或護理情境對話過程中如何選擇適當稱謂的困難。因此本研究的目的是透過社會語言學的角度探討護理界如何使用這兩種稱謂（客戶／患者）。作者將語料庫語言學方法結合AntConc 2.9軟體應用於探討兩個NCLEX全英語版的註冊護士執照考試解析題本（2008, 2017），並從以下幾個方面進行調查研究：1.客戶（client）的出現頻率；2.客戶（client）與患者（patient）在NCLEX系列（2008, 2017）的不同專業領域中的分佈；3.客戶（client）使用頻率遠超越患者（patient）的宏觀社會語言學解釋；4.從社會語言學微觀角度解釋這種稱謂分布的原因。除了對英語教學護理情境如何稱謂患者提出建議之外，結論還提出護理情境中必須使用client或patient特定的上下文及相關的語言使用習慣作為教學研究人員之參考。