Development of learners based on the idea of higher education. In the future, aimed at international students should aim to have the ability to use different language than the language at least 1 Thai (exquisite sin saan, 2553 (2010)), which is contrary to the Thai Hospital where one of the professional groups that lack the skills, and the ability to use English. The research on performance of nursing graduates from nursing faculty about the performance of nursing graduates in English in intermediate and less 30 percent-50 percent and the performance has been assessed as low, if compared with other faculty, graduates.It also found that the average score of the English performance in the lowest level compared with other aspects of the performance of those nursing graduates (tracking performance of nursing and graduate academic year 2547 (2004), Surat Thani phalaksa jewel, and faculty, 2550 (2007)) In addition, nat & Ratana ritthi and faculty, student research is 2557 (2014) interview sample groups. Students grade 3 Science Medicine, dental medicine, nursing, engineering, Prince of songkla University, Hat Yai campus and all. The number of 50 people found that 90% of the students who have low English scores, comments that the fear and anxiety is a big problem because students fear that the people will not be able to understand what their own fear that speaking to say wrong fear will use the wrong syntax. Make the students do not dare to speak English. English speaking skills are skills that Thai students have the most problems in spite of your speaking skills, it is important for students in the country is very Thai. (Tribolet, 2012; Sarkis, 2012) studies of clay and Board of sa (2547 (2004)) suggests possible causes and obstacles in developing the skills of Thai students speaking is the number of participants in each class there too. The lack of teachers who have the expertise or the time it takes to learn English is limited and most of the time was used to teach skills other than deems necessary, such as reading, thus making training and learning the skills to speak of participants did not succeed. Participants cannot communicate.จากหลักสูตรของคณะพยาบาลศาสตร์ มหาวิทยาลัยขอนแก่นปีพศ. 2549 พบว่านักศึกษาเรียนภาษาอังกฤษทั้งหมด 4 วิชา ดังนี้ 1) ภาษาอังกฤษเพื่อการสื่อสาร (English for Communication) 2)ภาษาอังกฤษทางวิชาการ1 (English for Academic Purpose I (EAP I)) 3)ภาษาอังกฤษทางวิชาการ 2 (English for Academic Purpose II (EAP II)) และ 4) ภาษาอังกฤษทางวิชาการ 2 English for Academic Purpose II (EAP II) ซึ่งจากการสังเกตจากผู้นำสัมมนาเอง พบว่านักศึกษาส่วนใหญ่ไม่สามารถ ฟัง และสื่อสารภาษาอังกฤษกับชาวต่างชาติหรือนักศึกษาต่างชาติได้
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