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André, B., Frigstad, S. A., Nøst, T. H., & Sjøvold, E. (2016). Exploring nursing staffs

communication in stressful and non-stressful situations. Journal of Nursing

Management, 24, 175-182. doi:10.1111/jonm.12319

Marx, M. (2014). Examining the structural challenges to communication as experienced by nurse

managers in two US hospital settings. Journal of Nursing Management, 22, 964-973. doi:10.1111/jonm.12091

O'Hagan, S., Manias, E., Elder, C., Pill, J., Woodward-Kron, R., McNamara, T., & McColl, G. (2014). What counts as effective communication in nursing? Evidence from nurse educators' and clinicians' feedback on nurse interactions with simulated patients. Journal of Advanced Nursing, 70, 1344-1355. doi:10.1111/jan.122

Wilson, J. L. (2016). An exploration of bullying behaviours in nursing: A review of the

literature. British Journal of Nursing, 25, 303-306. doi: 10.12968/bjon.2016.25.6.303

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Communication is applied in most complex ways to provide efficient and excellent care for patients and families. The nursing staff, management and leaders all have to collaborate with one another in reaching this goal. The problems within the workplace are contributed by stressors and can range from hierarchal specialties to incompetent therapeutic communication skills. It is important that nurses are to speak up in times when they are emotionally attacked because of bullying or demeaning actions from other coworkers or even from patients. Leaders should continuously be open to concerns and questions from their staff, create an atmosphere that they can share ideas and thoughts without hesitancy, and to be able to use teamwork in all departments to defeat ineffective communication.

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Healthy working environment with practical goals and policies communicated as well as the support from nurse leaders can be beneficial for their staff nurses in promoting nurse retention, job satisfaction, and improved patient care (André, Frigstad, Nøst, & Sjøvold, 2016).

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What can be done to improve communication as nurses and leaders?

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What can be done to improve communication as nurses and leaders?

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Address the why behind the what

Practice active listening

Provide feedback

Say what you mean

Using proper eye contact

No tolerance to horizontal violence

Translator services available

Cultural sensitivity to resources

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What are the effects communication barriers?

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What are the effects communication barriers?

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Medical errors

Decreased patient quality care

Nursing powerlessness

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Bullying, hostility, and demeaning acts within the nursing community is true to this day. Wilson indicated (2016), this type of behavior induces distress and emotionally abused causes increase in turnover among the new nurses. Leaders should not tolerate this behavior and must address the issue and bring to a halt.

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Lateral Violence Nursing Education Video created for Rowan University's Nursing Care Delivery Systems Spring 2012 Semester Class. Shot w/ Nikon D7000, HDDSLR Video. Please watch in 720HD.

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In studying of how nurses interact amongst the nurse managers in their unit, there seems to have less exposure about the issue of structural secrecy  that contribute to ineffective communication (Marx, 2014). Thus, it is important to bridge the gap between job positions to engage better communication.

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2. Communication barriers within staff and patients

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Some factors that contribute to ineffective communication:

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Some factors that contribute to ineffective communication:

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1. No feedback amongst nursing staff
Leaders should be able to evaluate their staff’s communication and respond with some feedback to let their staff aware of what else can be done to improve (O’Hagan et al., 2014).

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Example of language barrier and inappropriate communication between nurses and patients

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Getting On Season 1: Episode #1 Clip "Language Barrier" (HBO)

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Communication is a collaborative effort within all interdisciplinary teams to achieve positive patient outcomes.

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Communication is a collaborative effort within all interdisciplinary teams to achieve positive patient outcomes.

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Leaders must have exceptional communication skills