The Impact of Nurse-Patient Communication on Patient Outcomes and Satisfaction in Acute Care Settings

Abstract

Background: Effective nurse-patient communication is fundamental to quality healthcare delivery. Despite its recognized importance, variations in communication practices continue to affect patient outcomes across healthcare settings. Objective: This study aimed to examine the relationship between nurse-patient communication quality and patient outcomes, including patient satisfaction, medication adherence, length of hospital stay, and readmission rates in acute care settings. Methods: A cross-sectional descriptive study was conducted with 450 patients and 120 registered nurses across three acute care hospitals. Data were collected using validated instruments including the Communication Assessment Tool (CAT), Patient Satisfaction Questionnaire (PSQ-18), and hospital administrative records. Results: Significant positive correlations were found between communication quality scores and patient satisfaction (r = 0.72, p < 0.001). Units with higher communication ratings demonstrated 23% shorter average length of stay and 31% lower 30-day readmission rates. Patient-reported understanding of discharge instructions was significantly higher when nurses employed teach-back methods (M = 4.6 vs. M = 3.2, p < 0.001). Conclusion: Quality nurse-patient communication significantly impacts multiple patient outcome measures. Implementing structured communication training and standardized protocols can enhance patient safety and satisfaction while reducing healthcare costs.