Communication skills.

The front-line nurse is responsible for providing direct patient care, patient satisfaction, care coordination, policy, safety, and communication during a 12-hour shift. Every nurse has the opportunity to make a positive impact on patient outcomes through day-to-day advocacy for patients, nurses, and the nursing profession. Communication is a means of advocacy that provides the avenue to which a positive impact can be made. There are multiple barriers to effective communication in the day-to-day communication of the front-line nurse. Interprofessional communication and shared governance models offer ways to improve communication within nursing and within a systems approach.