Abstract : Using the English language as a means of communication in medical fields is wide. Therefore, care about writing skills English a program for improvement is essential. Research aim: Assess factors influencing writing skills English language among nursing students at Najran University and proposed guidelines for improvement. Research Design: A quasi-experimental. Setting: The study was carried at the faculty of nursing, Njran. Sample: A convenience sample total number was 150. Result: a highly statistically significant difference between the students in all categories of their direction toward studying English, a highly statistically significant difference between nursing students' opinion in program strategies. Also, the highest percentage was 60.0% of students were agree related item of the methods used in the explanation appropriate, highly statistically significant difference between nursing students writing skills and documentation pre and post implementing proposed guideline in which increase post guideline, there was no statistically significant difference between nursing student's opinion in program and writing skills and documentation pre and post implementing guideline. Conclusion: The study concluded that was a highly statistically significant difference between the students in all categories of in opinion in program strategies. Moreover, no statistically significant difference between nursing student's opinions in program strategies, writing skills and documentation pre and post implementing proposed guideline. Recommendation: continuous instruction about writing skills error should be applied &. The instruction from the program administrator should be distributed to all faculty departments to improve the writing skills of student nurses language. Improvement level of student nurses' language by structured curricula based on program strategies