The document discusses a study on how nurses use English in their daily work. The study observed nurses in Canada and tracked what percentage of their time was spent on different language tasks. It found that nurses spend most of their time with patients, explaining conditions and treatments, giving instructions, and asking questions to gather information. The top three language tasks observed were asking for information, explaining, and giving instructions. The document advocates using these findings to inform the design of English courses for nurses, to focus on the grammar, vocabulary, and skills needed for their most common communication tasks.