This nursing assignment examines the impact of poor communication in nursing practice, using Julie's case as a focal point. It employs the PICO (Problem, Intervention, Comparison, Outcome) format to analyze the delay in treatment and its adverse effects on Julie's physical and psychological recovery. The assignment includes an annotated bibliography that critically evaluates research articles on communication barriers, inter-professional collaboration, and communication interventions. A change management proposal is presented, emphasizing the need for effective nursing communication to enhance patient safety and experience. The proposal outlines goals, reasons for practice development, and planning considerations, including transformational leadership and changes in workplace culture to improve communication and patient-centered care. The report highlights the crucial role of nurses in the communication process and the importance of their competency in delivering quality nursing care.