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A nurse becomes a leader by creating a way around this and begins a study.  They educate the rest of the staff on the importance of this issue, collect data, and implement a change to improve quality patient care Quality improvement in healthcare is dependent upon nurses taking leadership positions and communicating important issues to staff members in increase patient care and safety.

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Andersson, Frank, Willman, Sandman, and Hansebo (2015), talk about the importance of the patient safety reporting system not blaming the individual but encourages the reporting of all near misses and adverse events in the hopes to promote learning in the healthcare setting.

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A study by Garon (2012) about nurses perceptions of workplace communication found the importance of nurse managers creating a culture that allows nurses to speak and be heard leading to increased quality patient care and safety.

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All registered nurses whether it is the nurse manager or the staff nurse take part in leadership roles. When delegating and managing care, it is extremely important to communicate effectively to the rest of your team.  Doing so will ensure that things do not get missed and the patient receives the correct care on time.

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Natafgi, Xi, Baloh, Vellinga, Vaughn, and Ward (2017) found that adequate communication is needed to exchange information during report because two thirds of adverse events are relate to miscommunication.

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Horizontal Violence Change of Shift Report

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In a study by Clements, Curtis, Horvat, and Shaban (2015), they found that when a nurse leader role was implemented in a trauma situation, nurses felt that there was an overall improvement in communication

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Yi, Y. (2016). Effects of team-building on communication and teamwork among nursing students. International Nursing Review, 63(1), 33-40. doi:10.1111/inr.12224

Yoo, M., & Park, H. (2015). Effects of case-based learning on communication skills, problem-solving ability, and learning motivation in nursing students. Nursing & Health Sciences, 17(2), 166-172. doi:10.1111/nhs.12151

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Natafgi, N., Xi, Z., Baloh, J., Vellinga, K., Vaughn, T., & Ward, M. M. (2017). Critical access hospital use of TeamSTEPPS to implement shift-change handoff communication. Journal of Nursing Care Quality, 32(1), 77-86. doi:10.1097/NCQ.0000000000000203

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(6), 1344-1355. doi:10.1111/jan.12296

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Lancaster, G., Kolakowsky-Hayner, S., Kovacich, J., & Greer-Williams, N. (2015). Interdisciplinary communication and collaboration among physicians, nurses, and unlicensed assistive personnel. Journal of Nursing Scholarship, 47(3), 275-284. doi:10.1111/jnu.12130

McKibben, L. (2017). Conflict management: Importance and implications. British Journal of Nursing, 26(2), 100-103.

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Clements, A., Curtis, K., Horvat, L., & Shaban, R. Z. (2015). The effect of a nurse team leader on communication and leadership in major trauma resuscitations. International Emergency Nursing, 23(1), 3-7. doi:10.1016/j.ienj.2014.04.004

Garon, M. (2012). Speaking up, being heard: Registered nurses' perceptions of workplace communication. Journal of Nursing Management, 20(3), 361-371. doi:10.1111/j.1365-2834.2011.01296.x

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Adkins, H. (2016). Effective communication during pediatric examinations. Radiologic Technology, 88(1), 95-98.

Andersson, Å., Frank, C., Willman, A., Sandman, P., & Hansebo, G. (2015). Adverse events in nursing: A retrospective study of reports of patient and relative experiences. International Nursing Review, 62(3), 377-385. doi:10.1111/inr.12192