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nurses who work in hospitals with a high percentage patient whose native language is Spanish might have to study Spanish for the very specific purpose of communication between nurses and patients.Students are encouraged to take active roles in their own learning and question what they have been taught. This is likened to negotiated syllabus about which Hyland (2009) writes, "A negotiated syllabus means that the content of a particular course is a matter of discussion between teacher and students, according to the wishes and needs of the learners

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