Question

Hello sir i am Indian I want to learn speak in English because I am nursing student.

Answer 1

Join a 10 days English course or surf internet for an english tutor

Answer 2

1) You have to be total loyal with yourselves as you are the only person could improve the vocabulary.

2) You have to be confident about yourselves and do not mind what others comment about your grammar or vocabulary. 

3) Instead of talking in pieces, you should try to talk in an elaborate way.

4) Try referencing spoken english books and other references books. Refer them when you get time and believe me, they could be of great help. 

5) Try talking to people who knows english in a spiffing way. It'd totally increases your vocab. 

6) Watch Hollywood movies as much as you can. You'll be able to try understanding the way of talking a conversation.