GENRE RECOGNITION TO WRITING CONTROL: DEVELOPING DISCIPLINARY WRITING IN ENGLISH NURSING DOCUMENTATION BY L2 UNDERGRADUATE NURSING STUDENTS

Authors

  • Yoyok Febrijanto STIKES RS Baptis Kediri Author

DOI:

https://doi.org/10.70574/5crgqd55

Keywords:

disciplinary writing; nursing documentation; L2 writing; undergraduate nursing students; genre analysis; academic literacy

Abstract

English nursing documentation requires students to coordinate language proficiency, genre knowledge, and disciplinary communication. Yet relatively limited research has examined how undergraduate L2 writers perform this professional genre in educational settings. This study investigates English nursing documentation produced by L2 undergraduate nursing students as developing disciplinary writing. Using a descriptive mixed-methods text analysis, the study screened 176 portfolio files and analyzed 110 documentation assignments from an undergraduate nursing program of Health Science College of Baptist Hospital, Kediri, East Java, Indonesia. The texts were examined across four dimensions: genre conformity, organization and coherence, language accuracy, and disciplinary terminology. The corpus showed an uneven developmental profile. Genre conformity (M = 2.86) and disciplinary terminology (M = 2.79) were stronger than organization/coherence (M = 1.93) and language accuracy (M = 1.98). Overall, 62 assignments were classified as adequate disciplinary writing, 44 as emerging disciplinary writing, and 4 as weak. Within-text imbalance was common: 60.9% of the assignments showed a gap of at least two points between their strongest and weakest dimensions, and more than half combined adequate genre and terminology performance with weak or emerging performance in coherence and/or language. Writing problems were also cumulative: all texts with zero or one coded problem were classified as adequate, whereas none of the texts with four or five coded problems reached the adequate level. Archive-level variation further suggested that pedagogical context shaped performance, especially in organization/coherence. The findings indicate that English nursing documentation should be understood not merely as a site of language error, but as developing disciplinary writing in which genre recognition often precedes fuller rhetorical and linguistic control. The study supports genre-based, discipline-sensitive, and context-aware writing pedagogy in undergraduate nursing education.

References

Abedu, L. A., Afful, J. B. A., & Insaidoo, H. A. (2024). A CLAUSE COMPLEX ANALYSIS OF PROBLEM STATEMENT SECTIONS IN MPHIL THESES ACROSS THREE DISCIPLINES IN A GHANAIAN UNIVERSITY. Journal of Teaching English for Specific and Academic Purposes, 12(1). https://doi.org/10.22190/JTESAP230717011A

Afika, N., Kaharuddin, Abubakar, M., & Nawir, M. S. (2022). THE EFFECT OF USING CLUSTERING TECHNIQUE ON THE STUDENTS’ WRITING SKILLS IN DESCRIPTIVE TEXT AT SENIOR HIGH SCHOOL 10 MAKASSAR. English Language, Linguistics, and Culture International Journal, 2(1). https://doi.org/10.24252/elstic-ij.v2i1.28446

Ahmadpour, N., Shariati, A., & Moghadam, M. P. (2025). Effect of narrative writing based on Gibbs’ reflective model on the empathy and communication skills of nursing students. BMC Medical Education, 25(1). https://doi.org/10.1186/s12909-024-06593-7

Aldemir Atmaca, K., Hançer Tok, H., & Yildiz, E. (2025). Turkish adaptation of the student survey on writing nursing care plans: a validity and reliability study. BMC Nursing, 24(1). https://doi.org/10.1186/s12912-025-04037-1

Alqaissi, N., & Qtait, M. (2025). Knowledge, Attitudes, Practices, and Barriers Regarding the Integration of Artificial Intelligence in Nursing and Health Sciences Education: A Systematic Review. In SAGE Open Nursing (Vol. 11). https://doi.org/10.1177/23779608251374185

Arvidson, S., Heuss, R., & Urban, A.-M. (2017). Community Service Learning: Fostering First Year Nursing Students’ understanding of Others. Madridge Journal of Nursing, 2(1). https://doi.org/10.18689/mjn-1000104

Back to Basics: Procedure Coding Q & A. (2025). AAP Pediatric Coding Newsletter, 21(3). https://doi.org/10.1542/pcco_book260_document002

Bjerkvik, L. K., & Hilli, Y. (2019). Reflective writing in undergraduate clinical nursing education: A literature review. In Nurse Education in Practice (Vol. 35). https://doi.org/10.1016/j.nepr.2018.11.013

Blakeslee, A. M., Hines, S. H., Primeau, S., McBain, A. L., Versluis, J., & McCaffery, R. L. (2018). Reading and writing in nursing education. Journal of Nursing Education and Practice, 8(6). https://doi.org/10.5430/jnep.v8n6p56

Buljung, B., Vuletich, S., & Dunn, L. (2023). Aligning information literacy terminology to STEM disciplinary language used in the scientific method. Education for Information, 39(3). https://doi.org/10.3233/EFI-230036

Burton, J., Story, V. M., Zolkiewski, J., & Nisha, N. (2024). Digital service innovation challenges faced during servitization: a multi-level perspective. In Journal of Service Management (Vol. 35, Number 2). https://doi.org/10.1108/JOSM-12-2022-0398

Busis, N. A., Montgomery, R., & Cohen, B. H. (2025). Documentation, Coding, and Billing for Neurologic Services and Procedures. Seminars in Neurology, 45(4). https://doi.org/10.1055/a-2576-4291

Campbell, L. (2017). Simulation Genres and Student Uptake: The Patient Health Record in Clinical Nursing Simulations. Written Communication, 34(3). https://doi.org/10.1177/0741088317716413

Canova-Barrios, C. J., Mansilla, M. A., & Vouillat, S. E. (2023). Knowledge, skills, and perceptions of research teaching in Doctor of Public Health students. Salud, Ciencia y Tecnologia - Serie de Conferencias, 2. https://doi.org/10.56294/sctconf2023431

Capra, G. F. (2025). Time to Retire “Pedology”? Reflecting on Disciplinary Terminology in Soil Science. In European Journal of Soil Science (Vol. 76, Number 6). https://doi.org/10.1111/ejss.70240

Chan, V. C. (2025). Integrating generative artificial intelligence in a writing intensive course for undergraduate nursing students. Journal of Professional Nursing, 57. https://doi.org/10.1016/j.profnurs.2025.01.003

Daly, S. (2017). Development and Implementation of Person-Centred Nursing Documentation. International Journal of Integrated Care, 17(5). https://doi.org/10.5334/ijic.3860

DeLeon, S., Mitchell, A., Pinkston, K., Pope, M., McNeil, M., Lewis, K., Posada, M., & Naifeh, M. (2020). Improving Patient Flow by Decreasing Time to Discharge. Pediatrics, 146(1_MeetingAbstract). https://doi.org/10.1542/peds.146.1ma3.248

Desai, N. R., French, K. D., & Kovitz, K. L. (2020). Basic and Advanced Pleural Procedures: Coding and Professional Fees Update for Pulmonologists. In Chest (Vol. 158, Number 6). https://doi.org/10.1016/j.chest.2020.08.2070

Fennimore, L. E., Pursley, E. C., Joyner, R. E., Manning, H. R., Pike, N. M., & Meisinger, E. B. (2025). The Technical Adequacy of Coding Procedures for Retell Measures in Elementary School Students with Dyslexia. Reading and Writing Quarterly, 41(1). https://doi.org/10.1080/10573569.2024.2304772

Flora, Mahpul, & Sukirlan, M. (2021). The contribution of negotiation of meaning to language accuracy in an efl setting through a focused task. Studies in English Language and Education, 8(1). https://doi.org/10.24815/siele.v8i1.17667

Flora, Raja, P., & Mahpul. (2020). Discovery learning strategy: Integrating think-pair-share and teacher’s corrective feedback to enhance students’ writing language accuracy. International Journal of Education and Practice, 8(4). https://doi.org/10.18488/journal.61.2020.84.733.745

Gabaj, M., Kuvač Kraljević, J., & Westerveld, M. F. (2025). Linguistic organisation and coherence in personal narratives of 10-year-old children with developmental language disorder. First Language, 45(2). https://doi.org/10.1177/01427237241298163

Gao, X., Su, Y., Han, C., Han, J., & Chen, Y. (2025). Quantized Control for Input-to-State Stabilization of Discrete-Time Markov Jump Systems with Coding and Decoding Procedures. IAENG International Journal of Applied Mathematics, 55(1).

Gardner, L., & Rolfe, G. (2013). Essaying the essay: Nursing scholarship and the hegemony of the laboratory. Nurse Education Today, 33(1). https://doi.org/10.1016/j.nedt.2011.10.009

Gutiérrez Tirado, A. K., Macíaz Ayón, V., & Pineda Castillo, K. A. (2024). Perspectiva estudiantil de posgrado sobre videos para el aprendizaje de la redacción científica. Praxis Investigativa ReDIE: Revista Electrónica de La Red Durango de Investigadores Educativos, ISSN-e 2007-5111, Vol. 16, N. 31, 2024, Págs. 13-22, 16(31).

Heron, M., Dippold, D., Aksit, N., Aksit, T., Doubleday, J., & McKeown, K. (2024). Tutors’ beliefs about language and roles: practice as language policy in EMI contexts. Teaching in Higher Education, 29(1). https://doi.org/10.1080/13562517.2021.1973410

Higashitsuji, A., & Otsuka, T. (2025). Evaluating a zero-shot GenAI assistant for clinical record writing in nursing education. Journal of Nursing Education and Practice, 15(12). https://doi.org/10.63564/jnep.v15n12p29

Johnson, J., M. Rulo, K., & McCorry, L. (2025). Addressing Writing Deficiencies in Graduate Nursing Education: Strategies for Success. Medical Research Archives, 13(2). https://doi.org/10.18103/mra.v13i2.6338

Juniat, V., Athwal, S., & Khandwala, M. (2019). Clinical coding and data quality in oculoplastic procedures. Eye (Basingstoke), 33(11). https://doi.org/10.1038/s41433-019-0475-2

Karlsholm, G., Strand, L. B., André, B., & Grønning, K. (2024). Learning evidence-based practice by writing the bachelor’s thesis – A prospective cohort study in undergraduate nursing education. Nurse Education Today, 139. https://doi.org/10.1016/j.nedt.2024.106239

Kaufhold, K., & McGrath, L. (2019). Revisiting the role of ‘discipline’ in writing for publication in two social sciences. Journal of English for Academic Purposes, 40. https://doi.org/10.1016/j.jeap.2019.06.006

Khorrami, F., Alishan Karami, N., Hayavi-Haghighi, M. H., Chahooei, M. K., & Alipour, J. (2025). Coding accuracy and completeness of documentation of medical procedures for injuries, poisonings, and certain other consequences of external causes in ICHI and ICD-9-CM at Shahid Mohammadi Hospital in Bandar Abbas, Iran. Journal of Health Administration, 27(4). https://doi.org/10.61882/jha.27.4.1

Khumalo, N. P., & Reddy, S. (2021). Cross-disciplinary synergy: First-year students’ experiences of learning academic writing through integrated writing support at a University of Technology. The Journal for Transdisciplinary Research in Southern Africa, 17(1). https://doi.org/10.4102/td.v17i1.1038

Kim, J. Y., & Kim, E. J. (2019). A Convergence Study on the Effects of Writing Reflection Journal with Teaching Feedback on Learning Motivation, Learning Attitude, and Academic Self-Efficacy of Nursing Students. Journal of The Korean Chemical Society, 10(12).

Ko, U. H., Hartley, K., & Hayak, M. (2025). EXPLORING AI IN EDUCATION: PRESERVICE TEACHER PERSPECTIVES, USAGE, AND CONSIDERATIONS. Journal of Information Technology Education: Research, 24. https://doi.org/10.28945/5592

Kok, J., & Chabeli, M. M. (2002). Reflective journal writing: how it promotes reflective thinking in clinical nursing education: a students’ perspective. Curationis, 25(3). https://doi.org/10.4102/curationis.v25i3.784

Lee, S., & Youn, M. (2024). Examining the Influence of Instructional Organization and Coherence on College Students’ Achievement. Korean Educational Research Association, 62(2). https://doi.org/10.30916/kera.62.2.229

Lismayanti, L., Malik, A. A., Padilah, N. S., Firdaus, F. A., & Setiawan, H. (2025). Warm Compress on Lowering Body Temperature Among Hyperthermia Patients: A Literature Review. International Journal of Nursing and Health Studies, 4(3).

Lobczowski, N. G. (2022). Capturing the Formation and Regulation of Emotions in Collaborative Learning: The FRECL Coding Procedure. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.846811

Mattsson, J. (2016). Improving Academic Writing in Nursing Education. International Journal of Higher Education, 5(4). https://doi.org/10.5430/ijhe.v5n4p96

McCloskey, R., Morris, P., Keeping-Burke, L., McGill, A., Goudreau, A., Knight, H., Buckley, S., Mazerolle, D., & Jones, C. (2025). Pedagogical Approaches and Teaching Strategies Used in Nursing Education to Teach Academic Writing: A Scoping Review. Quality Advancement in Nursing Education, 11(2). https://doi.org/10.17483/d4g46t54

Mellinghoff, S. C., Bruns, C., Al-Monajjed, R., Cornely, F. B., Grosheva, M., Hampl, J. A., Jakob, C., Koehler, F. C., Lechmann, M., Maged, B., Otto-Lambertz, C., Rongisch, R., Rutz, J., Salmanton-Garcia, J., Schlachtenberger, G., Stemler, J., Vehreschild, J., Wülfing, S., Cornely, O. A., & Liss, B. J. (2022). Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries. BMC Medical Research Methodology, 22(1). https://doi.org/10.1186/s12874-022-01702-w

Mitchell, K. M., Blanchard, L., & Roberts, T. (2020). Seeking transformation: How students in nursing view their academic writing context – A qualitative systematic review. International Journal of Nursing Education Scholarship, 17(1). https://doi.org/10.1515/ijnes-2020-0074

Mitchell, K. M., McMillan, D. E., Lobchuk, M. M., & Nickel, N. C. (2021). Writing activities and the hidden curriculum in nursing education. Nursing Inquiry, 28(3). https://doi.org/10.1111/nin.12407

Morris, P., McCloskey, R., McGill, A., Keeping-Burke, L., Goudreau, A., Knight, H., Buckley, S., Mazerolle, D., & Jones, C. (2025). Teaching professional writing in prelicensure health professional education programs: a scoping review. JBI Evidence Synthesis, 23(10). https://doi.org/10.11124/JBIES-24-00255

Nelson, G., Quinn, S., Grant, S., Trevino, S. D., Day, E., Schweer-Collins, M., Carter, H., Boedeker, P., & Tanner-Smith, E. (2025). Ten practices for successful study coding in research syntheses: Developing coding manuals and coding forms. Research Synthesis Methods. https://doi.org/10.1017/rsm.2025.10019

Oei, B. B., Mustofa, A., & Anam, S. (2024). THE ROLE OF EXTRAMURAL ENGLISH EXPOSURE AS REVEALED IN THE LANGUAGE ACCURACY OF SECONDARY SCHOOL EFL WRITERS. Issues in Language Studies, 13(1). https://doi.org/10.33736/ils.6098.2024

Okoye, K., Hosseini, S., Arrona-Palacios, A., & Escamilla, J. (2021). Impact of educational coaching programs and mentoring services on users’ perception and preferences: A qualitative and quantitative approach. IEEE Access, 9. https://doi.org/10.1109/ACCESS.2021.3069130

Oktay, Y. B., & Shamsi, A. F. (2024). What English Articles Say about Nursing Postgraduate Thesis Writing: A Systematic Literature Review. Arab World English Journal, 15(4). https://doi.org/10.24093/awej/vol15no4.6

Omidian, T., Shahriari, H., & Siyanova-Chanturia, A. (2018). A cross-disciplinary investigation of multi-word expressions in the moves of research article abstracts. Journal of English for Academic Purposes, 36. https://doi.org/10.1016/j.jeap.2018.08.002

Orfanò, B. M., & Wingate, U. (2024). TEACHING ACADEMIC WRITING TO NURSING STUDENTS: DEVELOPING CRITICALITY THROUGH A GENRE-BASED APPROACH. ESP Today, 12(1). https://doi.org/10.18485/esptoday.2024.12.1.6

P., O., I., L.-H., Y.S., P., & J.A., G. (2021). Medical Spanish Musculoskeletal and Dermatologic Educational Module. MedEdPORTAL : The Journal of Teaching and Learning Resources, 17.

Parker, J. L., Becker, K., & Carroca, C. (2023). ChatGPT for Automated Writing Evaluation in Scholarly Writing Instruction. Journal of Nursing Education, 62(12). https://doi.org/10.3928/01484834-20231006-02

Peters, T. (2025). The sociology of the image in Latin America: History and methodologies of analysis based on Silvia Rivera Cusicanqui, Beatriz Sarlo and Nelly Richard. Desde El Sur, 17(2). https://doi.org/10.21142/DES-1702-2025-0034

Pratama, R. M. D., & Hastuti, D. P. (2024). The use of artificial intelligence to improve EFL students’ writing skill. English Learning Innovation, 5(1). https://doi.org/10.22219/englie.v5i1.30212

Putri, N. L. W. A., Ramendra, D. P., & Juniarta, P. A. K. (2025). Coherence and Cohesion in Narrative Text Written by EFL Students. Journal of Educational Study, 5(2). https://doi.org/10.36663/joes.v5i2.969

Roets, L., & Maritz, J. (2017). Facilitating the development of higher-order thinking skills (HOTS) of novice nursing postgraduates in Africa. Nurse Education Today, 49. https://doi.org/10.1016/j.nedt.2016.11.005

Saifullah Amjad, H., & Abdulaziz Alfalig, H. (2026). GenAI, Prompt Literacy, and Early Academic Writing Skills in Saudi EFL Students: A Quasi-Experimental Study. Arab World English Journal, (3). https://doi.org/10.24093/awej/ai3.15

Salmi, I. (2021). The Lived Experience of Nurses Working in Cardiology Services with Online Continuing Professional Programs in Advancing their Specialized Clinical Practice: Phenomenology Study Methodology. Clinical Cardiology and Cardiovascular Interventions, 4(2). https://doi.org/10.31579/2641-0419/102

Salvador, J. T., Alqahtani, F. M., Sauce, B. R. J., Alvarez, M. O. C., Rosario, A. B., Reyes, L. D., Mohamed, E. R., Awadh, L. A., Sanchez, K. K. B., Alzaid, M., Agman, D. D., & Schonewille, M. A. P. (2022). Development of Student Survey on Writing Nursing Care Plan: An exploratory sequential mixed-methods study. Journal of Nursing Management, 30(5). https://doi.org/10.1111/jonm.12996

Shen, M. Y., & Feng, Z. X. (2024). Continue nursing education: an action research study on the implementation of a nursing training program using the Holton Learning Transfer System Inventory. BMC Medical Education, 24(1). https://doi.org/10.1186/s12909-024-05552-6

Siregar, R. A., Sukyadi, D., & Yusuf, F. N. (2024). A Critical Content Analysis of Writing Materials Covered in Indonesian High School English Textbooks. Studies in English Language and Education, 11(1). https://doi.org/10.24815/siele.v11i1.30169

Tilakaratna, N. L., Brooke, M., Monbec, L., Lau, S. T., Wu, V. X., & Chan, Y. S. (2020). Insights Into an Interdisciplinary Project on Critical Reflection in Nursing. https://doi.org/10.4018/978-1-7998-2212-7.ch016

Tilakaratna, N. L., Brooke, M., Monbec, L., Lau, S. T., Wu, V. X., & Chan, Y. S. (2021). Insights into an interdisciplinary project on critical reflection in nursing: Using SFL and LCT to enhance SoTL research and practice. In Research Anthology on Nursing Education and Overcoming Challenges in the Workplace. https://doi.org/10.4018/978-1-7998-9161-1.ch001

Toronto, C. E., & Remington, R. (2020). A Step-by-Step Guide to Conducting an Integrative Review. In A Step-by-Step Guide to Conducting an Integrative Review. https://doi.org/10.1007/978-3-030-37504-1

Trang, K., Pierce, L., Wick, E. C., & Hirose, K. (2022). Using Electronic Health Record Meta-Data to Identify Variation in Trainee Progress Note Writing Patterns: Opportunity to Enhance Systems-Based Care. Journal of Surgical Education, 79(6). https://doi.org/10.1016/j.jsurg.2022.08.011

Tseng, L. P., Huang, L. P., & Chen, W. R. (2025). Exploring artificial intelligence literacy and the use of ChatGPT and copilot in instruction on nursing academic report writing. Nurse Education Today, 147. https://doi.org/10.1016/j.nedt.2025.106570

Tsuruwaka, M., & Asahara, K. (2018). Narrative writing as a strategy for nursing ethics education in Japan. International Journal of Medical Education, 9. https://doi.org/10.5116/ijme.5b39.d5d2

Van Olmen, J., Van Nooten, J., Philips, H., Sollie, A., & Daelemans, W. (2022). Predicting COVID-19 Symptoms From Free Text in Medical Records Using Artificial Intelligence: Feasibility Study. JMIR Medical Informatics, 10(4). https://doi.org/10.2196/37771

Wang, L., Gao, X., Zhang, F., Sun, F., & Wan, G. (2024). Self-regulated learning strategies adopted by successful Chinese nursing students in the process of learning Nursing English. PLoS ONE, 19(8). https://doi.org/10.1371/journal.pone.0308353

Wittek, A. L., Solbrekke, T. D., & Helstad, K. (2017). “You Learn How to Write from Doing the Writing, But You Also Learn the Subject and the Ways of Reasoning.” Outlines. Critical Practice Studies, 18(1). https://doi.org/10.7146/ocps.v18i1.26263

Wolf, R. R., & Wolf, A. B. (2023). Using AI to Evaluate a Competency-Based Online Writing Course in Nursing. Online Learning Journal, 27(3). https://doi.org/10.24059/olj.v27i3.3974

Wong, F. M. F. (2025). Care Plan Writing in Nursing Education: Challenges, Competence, and Clinical Preparedness. Nursing Reports, 15(4). https://doi.org/10.3390/nursrep15040134

Xiong, Y., Spence, R. T., Hirsch, G., Walsh, M. J., & Neumann, K. (2024). Inter-rater reliability of ACS-NSQIP colorectal procedure coding in Canada. American Journal of Surgery, 235. https://doi.org/10.1016/j.amjsurg.2024.115787

Yu, X., Ding, X., Guo, Y., Wang, F., & Yang, Z. (2023). Application of situational simulation combined with reflective log in surgical practice teaching of nursing undergraduates. Chinese Journal of Nursing Education, 20(10). https://doi.org/10.3761/j.issn.1672-9234.2023.10.003

Zhan, T. ting, Wang, L. li, Yan Wang, & Sun, C. jie. (2023). Master of nursing specialist experiences of an internship through the use of written reflections: A qualitative research study. Heliyon, 9(2). https://doi.org/10.1016/j.heliyon.2023.e13299

Zora, Z., & Zulkifli, Z. (2025). Students’ Perceptions of the Journalists’ Questions Strategy in Enhancing EFL Writing Achievement. Jurnal Ilmiah Guru Madrasah, 4(1). https://doi.org/10.69548/jigm.v4i1.55.

Downloads

Published

2026-06-30

How to Cite

GENRE RECOGNITION TO WRITING CONTROL: DEVELOPING DISCIPLINARY WRITING IN ENGLISH NURSING DOCUMENTATION BY L2 UNDERGRADUATE NURSING STUDENTS. (2026). Pedagogic Research-Applied Literacy Journal , 3(3), 177-195. https://doi.org/10.70574/5crgqd55

Most read articles by the same author(s)

Similar Articles

1-10 of 92

You may also start an advanced similarity search for this article.