Abstract The aim of this paper is to examine how nurses in family clinics use language, and clients’ perceived English proficiency in particular, when categorizing their non-Finnish-speaking clients in their talk. Through membership categorization analysis (Schegloff, Emanuel A. 2007. A tutorial on membership categorization. Journal of Pragmatics 39(3). 462–482), this study shows that perceived proficiency in English, along with migration status and reliance on the native English speaker norm, seemed to be the most decisive elements in how the nurses categorized their migrant clients. The findings demonstrate the power of categorization as an instrument in institutional decision-making and highlight the role language plays in these categorizations. In particular, the study shows how influential perceived English language proficiency and the native speaker norm are in how nurses categorize their migrant clients. The findings suggest that being able to interact with clients in English is becoming a more and more important skill in working life in Finland, also in the health care sector. It would be important to understand how influential perceived language proficiency is in the way nurses conceptualize their clients, and to what extent this relates to the standard language ideology (Milroy, James. 2001. Language ideologies and the consequences of standardization. Journal of Sociolinguistics 5. 530–555).

中文翻译：

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芬兰家庭诊所的 ELF 和移民分类

摘要 本文的目的是检查家庭诊所的护士在对非芬兰语客户进行分类时如何使用语言，尤其是客户对英语熟练程度的感知。通过会员分类分析（Schegloff, Emanuel A. 2007. A tutorial on members categorization。Journal of Pragmatics 39(3). 462–482)，本研究表明对英语的熟练程度，以及移民状态和对母语英语的依赖演讲者规范似乎是护士对移民客户进行分类的最决定性因素。研究结果证明了分类作为制度决策工具的力量，并突出了语言在这些分类中的作用。特别是，该研究显示了感知英语语言能力和母语者规范在护士如何对其移民客户进行分类方面的影响。调查结果表明，能够用英语与客户互动正在成为芬兰工作生活中越来越重要的技能，在医疗保健领域也是如此。了解感知语言熟练程度对护士概念化客户的方式有多大影响，以及这在多大程度上与标准语言意识形态相关（米尔罗伊，詹姆斯。2001 年。语言意识形态和标准化的后果。社会语言学杂志 5 . 530–555）。在医疗保健领域也是如此。了解感知语言熟练程度对护士概念化客户的方式有多大影响，以及这在多大程度上与标准语言意识形态相关（米尔罗伊，詹姆斯。2001 年。语言意识形态和标准化的后果。社会语言学杂志 5 . 530–555）。在医疗保健领域也是如此。了解感知语言熟练程度对护士概念化客户的方式有多大影响，以及这在多大程度上与标准语言意识形态相关（米尔罗伊，詹姆斯。2001 年。语言意识形态和标准化的后果。社会语言学杂志 5 . 530–555）。