Influence of Communication in Riyadh Nursing Work Proposal

This project proposal, submitted by a student from Majmaah University's College of Applied Medical Sciences, investigates the influence of communication between nursing managers and nursing staff on the development of nursing work in the Riyadh region. The research addresses the problem of communication gaps, particularly those arising from language barriers between Arabic-speaking managers and English-speaking nursing staff, impacting patient care and job satisfaction. The proposal outlines research questions examining the impact of effective communication, the use of QUALPAC and CSAS scales, the relationship between communication and job satisfaction, and the role of technology in bridging the communication gap. The methodology includes descriptive statistical analysis and regression tests to analyze data, with independent variables being communication and dependent variables being health outcomes, quality of care, and job satisfaction. The proposal anticipates results showing the adverse effects of poor communication, including medical errors and decreased patient satisfaction, and recommends the implementation of a two-way communication system and internal communication channels to improve communication and patient care. The project also emphasizes the importance of technology, such as multi-modal communication platforms and cloud-based data storage, to facilitate communication among nursing professionals, managers, and patients. The proposal also includes tables and figures to illustrate key elements of the research. This document is available on Desklib, a platform providing AI-based study tools.

1
The Influence of Communication Between Nursing
Manager and Nursing Staff for the Development of
nursing Work in Riyadh Region
Students Name:
Salman Sultan Al-Osaimi
Students Number:
391104111
Majmaah University
College of Applied Medical Sciences
Department of Nursing

PROPOSAL 2
Problem Statement
Communication is an important key element among healthcare professionals for
delivering effective care. Any gap within the communication among healthcare professionals
or nursing professionals would result in an adverse effect. The adverse effect can vary from
medical errors to poor health outcomes of the patients. Therefore, effective communication
not only improves quality care; however, it also improves the working relationship and job
satisfaction among healthcare professionals or nursing professionals. The problem arises in
communication among nursing professionals and nursing managers because of the cross-
culture. The nursing professionals in most of the health care settings or hospitals are from
different background of nations. Most of the nursing professionals are English speakers, and
often it becomes complicated for the Arabic speaking nursing managers to communicate
effectively. The lack of communication has resulted in a negative effect on the functioning of
nursing professionals or nurse staffs in delivering effective care. Due to the English speaking
nursing professionals and the Arabic speaking managers, the communication that includes
verbal along with non-verbal communication are having a great influence in the healthcare
settings or healthcare organisation or any hospital. The quality of delivering care to the
patients and their family members are affected due to communication gap within the
healthcare organisation or hospitals (Bouras, 2015). Unable to build a relationship with the
patients due to the communication gap between nursing professionals and nursing managers
is another major problem. Another problem identified is cross-cultural factors influencing the
healthcare professionals that include both nursing staffs and nursing managers. The multiple
cultural in hospitals from multiple regions has impacted on the communication among the
healthcare professionals in the hospital. Therefore, the major problem is the language barrier
among healthcare professionals in the hospitals or healthcare setting.

PROPOSAL 3
Research Question
Research questions are framed to achieve and understand the set of research
objectives. These research questions are as follows:
 What is the impact of effective communication among the nursing staffs and nursing
managers?
 How Quality patients Care Scale (QUALPAC) impact the communication on quality
of care?
 How Communications Skills Attitude Scale (CSAS) measures the communication in
the hospital?
 What is the relationship between effective communication and job satisfaction?
 What is the effective technology in reducing the communication gap between nursing
staffs and nursing managers?
 What is the recommended solution for effective communication among the Arabic
speaking nursing managers and English speaking nursing staffs?
Data analysis
The responses from the intervention and control group will be compared by
descriptive statistical analysis, using the SPSS 21.0 version software. A P-value of less than
0.05 will be considered significant. There are independent variable and dependent variables
considered in the hypothesis. The independent variables are the one that can be changed or
alter in any experiment. These variables do not depend on any other variables or
circumstance. On the contrary, the dependent variable is the situation or condition that the
researcher would measure in the research. In this research, the communication is considered
as the independent variable, and the health outcomes, including quality care, medication error
and job satisfaction are the dependent variable. Therefore, the effectiveness in the
communication would directly impact or influence the health outcome of the patient,

PROPOSAL 4
delivering the higher quality of care to the patient and their family members and job
satisfaction among the employees. The employees considered are nursing staffs or nursing
professionals and nursing managers. Both the variables would be analysed with the help of
regression test. The regression indicates the direct impact of the independent variable in the
dependent variable. It would help in explaining effective communication has a direct relation
on improvement on patient health outcome, increases job satisfaction among the nursing
professionals and enhance the quality of care (Newell & Jordan, 2015). For finding the
background of the nursing professionals or nursing staffs, the data would be analysed with
the help of descriptive study. The descriptive study would analyse the data of the nursing
staffs. Descriptive research would define the characteristics of the population that is already
being studied by other researchers. The descriptive study would help in analysing the
effectiveness of communication in the nursing professionals for delivering effective quality
of care to the patients and community.
Possible Result
The possible result of the research would show the impact of language as the barrier
towards effective communication. Poor communication has also resulted in developing a poor
relationship between patients and healthcare provider that would impact on the health
outcome. Arabic speaking nursing manager finds it difficult to communicate with the English
speaking nurse. Poor communication among healthcare staffs and nursing managers would
also result in medical errors, and that would reduce the quality of care towards the patients
and their family members. The result of the research would have also shown that the majority
of nursing managers speaks in the Arabic and majority of the nursing staffs speaks English in
the hospitals of the Riyadh region. The result has also shown a lack of technology in
enhancing communication among healthcare professionals in the hospital. The data would be
collected again after two months for analysing the impact of recommendations or

PROPOSAL 5
implementation of technology in the hospitals. The result that is being expected is that due to
the communication gap between the nursing staffs and nursing managers, the nursing
professionals often face difficulties for communicating the critical cases of the patients and
results in a decrease in job satisfaction. The job satisfaction is another element that has been
impacted hugely due to the communication gap within the hospital. The communication gap
has also impacted on medical errors. The errors such as wrong medication due to lack of
communication among the healthcare professionals often leads to such errors that may have a
direct impact on the health outcome of the patients. The quality of care in hospitals has also
been compromised due to the communication gap. The result has shown a decrease in the
qualitative care towards the patients due to language barrier. Majority of the nursing
professionals are English speaking and nursing managers, along with the patients, are Arabic
speaking. Therefore, this has resulted in a huge communication gap and resulted in a decrease
in the quality of care to patients and the community.
Implementing technology for improving communication
It has been clearly understood the importance of effective communication from the
above discussion. The communication system in the hospital can be both formal along with
informal structures (Adu-Oppong, & Agyin-Birikorang, 2014). A communication system can
be done with the use of technology or any such communication that may shape the
performance of the staff, such as any clinical communication. According to Daly et al.
(2014), the communication gap between nursing professionals and nursing managers has
influenced the adverse effect. Therefore, the first technology that needs to be implemented is
a two-way communication system. In traditional settings or hospital, there was a use of pager
that has resulted in unidirectional. Unidirectional often leads to decreasing the quality of care
towards the patients and their family members. For illustration, if nursing staffs have sent any
message to their manager about the criticality of the patient’s health, then there’s no option of

PROPOSAL 6
knowing whether the managers have received the message or not. Thus, making two-way
communication system would be efficient in delivering effective care to the patients. A
complete communication system must incorporate to keep track of the message along with
the receiver, sender, and response. Such technology would help nursing professional to know
about the assistance or help from their manager during critical scenario or events. The two-
way communication would allow the nursing manager to respond and solution with minimal
effort. Therefore, such implementation would let the nursing staff receive much quicker
assurance that the help is on the way. Another factor that needs to be implementing in the
technology is making the connection easier among nursing professionals, managers, and
patients. When choosing communication technology, there must be convenience and
flexibility for easier and possible adoption and implementation. Such a multi-model solution
can be voice or text from smartphone, laptop, or desktop and also includes emails and fax.
The platform must be designed for easily adopted by the nursing professionals and nursing
managers. The technology should have collaborated with clinical communication.
Technology can collaborate with the help of collaboration tools. For illustration, nursing
managers can use the shift management tools for allocating in each shift with an equivalent
mix of skills set of staffs for delivering the care to the patients. Nursing Managers can use
such pre-set collaboration tools for assembling any team for particular codes or events. A
cloud-based platform is the best approach for storing and accessing any information or data
of the patients and any clinical outcomes or research.
According to Morsi (2016), the usage of internal communication channel is an
effective way to improve the communication within the nursing professionals and nursing
managers. Any latest information regarding the duties and responsibilities of the nursing
professionals can be shared with the help of an internal communication channel. This channel
would enable a dashboard for both the nursing professionals and nursing managers to

PROPOSAL 7
integrate communication within the channel. The internal communication would ensure the
operations and functionality of the nursing professionals is running smoothly. The continual
effective communication results in providing the best care towards the patients and the entire
community. The important messages or any urgent critical cases can be communicated
seamlessly through the advanced channel. Therefore, it would let nursing managers or other
senior healthcare managers keep track of the activities as well as the performance of the
nursing professionals in delivering quality care. This communication channel has provided
benefits for every employee, either managers or nursing staffs by allowing them to
communicate directly with the senior healthcare leaders regarding their concerns or
suggestions. Such interaction or communication would result in a higher level of job
satisfaction with the employees of the hospital. On the other side, this communication has
benefited human resource management for gathering information from the staffs of the
hospital and analysing them. These analyses of data would result in providing the parameters
for improvement within the hospital or any healthcare settings. The feedback collected would
help in improving the procedures and communication strategies among nursing professionals
and nursing managers. Furthermore, implementing the internal communication channel
would result in providing the effective quality of patient care (Davis Boykins, 2014). The
most important features of the internal communication channel are allowing the employee to
create an important or urgent critical message of a patient and then broadcast to their
managers or any concerned individual within the healthcare settings or hospital. In this way,
it would also reduce time and provide a safe working environment for the staffs or employees
and the patients. In addition to the internal communication channel, if the patient feedback or
experience integrating with the channel would enhance the outcomes. It would improve the
quality, which would ultimately bring satisfaction to the healthcare professionals as well as
patients and the entire community seeking healthcare services.

PROPOSAL 8
Nursing professionals work in multiple shifts, timing and delivers in the diverse
departments of the hospital or healthcare settings. Keeping track of each nursing
professionals would be difficult. Therefore, nursing managers often fail to administer nursing
professionals that can have adverse effects on the health outcome of the patients. Apart from
the health outcome, it could also lead to job dissatisfaction among the nursing professionals
due to unable to cope up with managers or unable to understand the responsibilities. As
healthcare professionals or hospital is chaotic in nature and distraction due to multiple
factors, nursing managers often fail in effective communication with the nursing
professionals. Keeping the nursing professionals informed about their responsibilities, duties
and any latest information is a crucial factor. Information such as policy, new regulation, and
any disease outbreak would make them prepare for facing it. Internal communication
channels may include emails, team meetings, intranet, video, blogs, employee newsletter, and
notice boards (Kiah et al., 2014). With the help of multiple platforms, the nursing managers
can have effective communication with the nursing professionals working in the hospital or
healthcare settings.
Communication is effective with the help of technology; however; technology use
improperly would not have any effect on the communication. Technology must communicate
with every nursing staffs for effective communication. If the communication is in the chat
process, then every chat logs must be recorded for the future referencing process. The
communication also includes written communication, such as a clinical description of the
patient. A well-structured letter can be implemented for writing the clinical description,
which would result in human errors by nursing professionals (Martin et al., 2015). The use of
electronic patient record is another approach to record the information of the patient and
treatment. Medical error or human error often results in adverse effects such as negligence of
providing the medications. Therefore, effective implementation of the technology would not

PROPOSAL 9
only enhance communication; however, it also reduces human error or medical errors. The
internal communication tool is an effective technology that needs to be implementing in the
hospital for conveying effective communication within the nursing professionals and nursing
managers. Electronic medical record (EMR) is another effective tool that would reduce
medical error in the hospital. Both technologies would result in effective communication
among healthcare professionals and also provide a solution to the problem that was raised in
the research.
Communicate between Arabic speaking nursing managers and English speaking nurse
Due to the increase in English speaking nursing professionals in the hospitals, the
nursing managers who speak Arabic find it difficult to communicate effectively. Therefore,
cross-cultural communication strategy is the best approach to implement in the hospital for
reducing the communication gap in healthcare professionals due to language barriers (van
Rosse et al., 2016). Healthcare settings or hospital involves many individuals comprise of
different diverse individuals. This individual involves employees as well as patients within
the hospital. The communication is not effective because of the language barrier. The first
approach is the usage of plain language, and it is equivalently important to know the primary
language. However, most of the staffs in the hospital of Riyadh are from multiple countries.
Therefore, setting the English language as a plain language would be beneficial in bridging
the communication gap in the hospital. It can be supported with the help of language training.
As the hospital has a large force of nursing professionals who speaks English, it is important
to provide training to other staff in training with the basic English language for effective
communication. Although at one attempt, the other Arabic speaking employees or nursing
managers would not become fluent, at least they would have a better understanding of basic
communication. The senior leaders or senior management of the hospital should discuss
cultural difference among the healthcare professionals. According to Almutairi (2015),

PROPOSAL 10
miscommunication among healthcare professionals due to cultural difference can have an
adverse effect. It would lead to job dissatisfaction that would result in delivering low
performance towards the healthcare services, further it would affect the health outcomes of
patients.
The nursing managers should translate every relevant document in English. Setting
the written document in the primary language would help nursing professionals to understand
the requirement without wasting an efficient time quickly. Nursing professionals have
worked in multiple shifts timing, and it may become near to impossible to train every
individual to train with the Arabic language. Therefore, instead of training nursing
professional, the training should be provided to the nursing managers and other healthcare
professionals to deliver effective communication. For example, nursing managers can make
the roster for nursing professionals in English instead of Arabic. Therefore, the basic learning
of the English language by the Arabic speaking managers would result in benefits for the
delivering of the healthcare services.
Language interpreter plays an important role in reducing the communication gap.
However, the interpreters are focused more on reducing the language barrier among patients
and healthcare professionals. Healthcare professionals can also implement it. The hiring of
such individual can also increase the efficiency of the communication among healthcare
professionals and thus reducing errors caused due to the language barrier. The interpreter can
be hired from the agency that has specialised in healthcare or medical interpreting. If in any
critical situation, the usage of telephone interpreter service also works efficiently in
delivering effective communication.
The hiring of bilingual managers or employees in the healthcare settings or hospital is
a very crucial and important factor. Patients often stay in the critical scenario or pain and any

PROPOSAL 11
consequences due to the language barrier can cause effective complications towards the
health of the patients. Bilingual managers would save time in communication as well as
remove the errors that arose communication gap. Implementing universal healthcare symbols
would also bridge the communication gap among the employees of the hospital. Such a
universal symbol can be maps or usage of any codes for the particular events or treatment. In
addition to symbols, the visual ways of communications would also be effective such as
usage of picture or diagram, infographic for explaining any critical or complicated concepts.
Educating the nursing managers about the cultural differences would create awareness in the
mind of the managers (Strickler et al., 2016). Communication which is needed would keep
the nursing professionals to focus on their performance and would not result in any
distraction.
The implementation of technology, such as an internal communication tool, has
already had multiple benefits. It would reduce the communication gap between nursing
managers and nursing professionals. Implementing of such tool would increase the
communication among the nursing professionals in a faster and safer mode. Nursing
managers can use this tool in delivering any new instruction or managing the responsibilities
of the staffs.
From the above discussion, the most relevant way to bridge communication among
nursing professionals and nursing managers would be effective training for the language. The
training would allow Arabic speaking managers to learn English. The nursing staffs can also
take the training in learning the Arabic language. However, it would become difficult in
providing the training for a large number of employees working in multiple shifts to give
access to the training. The basic Arabic language can be provided with keeping the schedule
of training in such a way that would benefit every nursing staffs to avail the best opportunity.
If the training does not result in the effectiveness in communication, then it is important in

PROPOSAL 12
hiring the bilingual staffs or managers for reducing the language barrier in the hospital and
healthcare settings. Bilingual staffs would not only reduce the communication gap within the
employees. However, they would be also able to understand the pain area of patients from
different speaking nations. Therefore, hiring bilingual employees or nursing managers would
bring the benefits in both aspects that are towards the nursing professionals along with the
patients and the community.
Recommendation
The senior managers or senior leaders of the hospital should give preference to those
nursing professionals who know the basic Arabic language to communicate within the
hospital. This process of preference should incorporate before hiring them in the hospital. If
the numbers of Arabic speaking nurses are low in numbers, then the hospital needs to hire
English speaking nursing professionals. The management of the hospital should provide
training to the English speaking nursing professionals to speak the basic Arabic language.
Since the hospital is situated in the Riyadh region, the patients, as well as the managers and
other staff of the hospital, would be Arabic speaking individuals. Therefore, nursing
professionals must learn at least to speak in the basic Arabic language. Learning of Arabic
language would enhance the communication among the nursing staffs and the nursing
managers. Apart from the benefits within the hospital, the nursing staffs can build a
relationship with the patients and their family members (Vermeir et al., 2015). It would
enhance the health outcomes of the patients. The effective usage of the internal
communication tool would also impact on the nursing staffs and nursing managers for
effective communication. Therefore, the internal communication in the hospital or any
healthcare settings should be effective and must operate smoothly. The communication must
also involve clarity of responsibilities among healthcare professionals that includes all the
managers as well as the nursing staffs. The communication can be effective with the help of