biostudies-literatureUnknown25(1)Soriano GP<h4>Background</h4>Language proficiency is crucial in healthcare, and non-native English-speaking nurses may experience significant anxiety when communicating in English, which can potentially impact their performance and patient outcomes.<h4>Aim</h4>This study aims to develop and validate a survey to measure second language anxiety among nurses who use English in medical settings.<h4>Method</h4>Methodological (tool development) research design was utilized and tested on a sample of 455 non-native English-speaking nurses in the Philippines across various healthcare settings. The MSLAS-N is a 24-item Likert scale survey that targets five key constructs: communication anxiety with colleagues, confidence in medical terminology, patient interactions, fear of negative evaluation, and perceived BMC nursing42https://www.ebi.ac.uk/biostudies/studies/S-EPMC12801929biostudies-literatureDevelopment and validation of the Medical Second Language Anxiety Scale for Nurses (MSLAS-N).PMC12801929Lim GGarcia LLBondoc EDSoriano GPKim PCutamora JTorres GCSfalseDevelopment and validation of the Medical Second Language Anxiety Scale for Nurses (MSLAS-N).<h4>Background</h4>Language proficiency is crucial in healthcare, and non-native English-speaking nurses may experience significant anxiety when communicating in English, which can potentially impact their performance and patient outcomes.<h4>Aim</h4>This study aims to develop and validate a survey to measure second language anxiety among nurses who use English in medical settings.<h4>Method</h4>Methodological (tool development) research design was utilized and tested on a sample of 455 non-native English-speaking nurses in the Philippines across various healthcare settings. The MSLAS-N is a 24-item Likert scale survey that targets five key constructs: communication anxiety with colleagues, confidence in medical terminology, patient interactions, fear of negative evaluation, and perceived 2025-01-01T00:00:00Z2025 Dec2026-06-06T17:08:39.404Z2026-06-02T03:12:22.423ZS-EPMC128019294138212910.1186/s12912-025-04186-3