http://www.lasvegassun.com/news/2009/mar/10/foreign-nurses-can-fall-communication-gap/
So I see that many Internationally educated nurses (IEN) are having a hard time communicating with their patients despite the fact the past their English test.
I also see that according to CMS, nurse patient communication is lower then national standards.
http://www.hospitalcompare.hhs.gov/Hospital/Search/compareHospitals.asp
Do you think there could be a link between IEN and patient satisfaction?