<![CDATA[English clinical communication is an increasingly critical competency for nurses in the era of healthcare globalisation, yet many nursing students experience psychological barriers when communicating in a foreign language in clinical situations. Foreign language anxiety (FLA) and self-efficacy are regarded as two principal psychological factors affecting communication competence. This study examined FLA and self-efficacy as predictors of English clinical communication competence among nursing students at Institut Ilmu Kesehatan Pelamonia. A quantitative predictive correlational cross-sectional design was used. A total of 75 nursing students were selected through proportional random sampling. Data were collected using an adapted FLCAS, the General Self-Efficacy Scale, and a clinical communication competence scale, then analysed with Pearson correlation and multiple linear regression. FLA was negatively related (r = -0.51) and self-efficacy was positively related (r = 0.57) to clinical communication competence. The regression model was significant (F(2,72) = 24.6; p < 0.001), explaining 41% of the variance (R2 = 0.41); both FLA (b = -0.32) and self-efficacy (b = 0.43) were significant predictors. FLA and self-efficacy are significant predictors of English clinical communication competence. Nursing education should reduce anxiety while building students self-efficacy.]]>
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