This study extends the evidence based on the problem in the sense that

effective communication is critical during the countless interactions that

occur among healthcare providers and patients on a daily basis. Care
providers must know how to communicate effectively and work
collaboratively in teams so that appropriate information is shared in a timely
manner.

During my clinical rotation I have observed that the key issue in

communicating between nurses' and physicians in one hand; and also
communicating between nurses' and the patient's family member in the
other hand is fundamental in the sense that failure of a nurse to
communicate either with a physician or with the patient's family member put
in doubt the function of a healthcare provider.

I have also come to notice during clinical settings that communication

breakdowns most of the time is cause by the following: hierarchy
differences, conflicting roles, ambiguity in responsibilities and power
struggles. All these have led to communication failures which; have
compromised patient’s safety and also deteriorated the quality of care.
Additionally; communication barriers between nurses and physicians I have
encountered amount from the following: absence of structure, policies, and
procedures related to the content, timing, or purpose of verbal reports, lack
of rules for verbal transmission of information, either face-to-face or over the
telephone, differing opinions, even among nurses, as to what information
should be communicated during a verbal report. These lacks of
communication have led to multiple mal practices that have put many
doubts in many families' mind. In the other hand I have also noted that
healthcare provider have succeeded in saving many lives based on the
emphasis of teamwork bounded to communication; where nurses' fulfill their
role as a liaison between the physician and the patient's family member.

To sum up, in my future practice I will make good application of the word
communication as it encompasses many types of exchanges, such as verbal
and written communication, and more subtle communication such as body
language, attitude, and tone. Communication is not just about what a person
says, but how he or she says it. Patient care is compromised when effective
communication is absent. Overall, as a frontline deliverer of patient care, I
have to commit myself to a duo-core responsibility towards patients who are
basically clients and also the physician. In order to do this firstly; I must
demonstrate the technical skills, and secondly, I much have the ability to
communicate and empathize. Taking this class has been a real eye opener. It
has taught me the importance of learning and establishing good
communication skills with physicians and patient's family members in order
to make effective and lasting improvements in communication.