The document discusses developing listening comprehension skills in English for students in the Second Specialty Nursing program at the National University Pedro Ruiz Gallo in Lambayeque, Peru. It notes that listening is an important but often neglected skill. The study aims to measure listening comprehension development and determine how to improve pedagogical practices. The dependent variable is development of listening comprehension and the independent variable is listening activities in class. Methods will include a pilot test and activities to develop listening strategies and comprehension.