How to Improve Communication Between Nurses and Nursing Assistants

Planned Change Assignment
Introduction: Provide a brief overview of the project addressing who, what, when, why, where, and how and the rationale for choosing the project. What evidence was there that change was needed? In addition: Summarize your findings from your literature review (expectation is that you located at least 3 journal articles on your topic which helped to form your approach to this project…list the 3 articles along with a summary of each article). 25 points
A registered nurse has many roles and responsibilities; therefore, certified nurse assistants are meant to assist nurses in carrying out their duties. Hence, the collaboration of nurses and certified nurse assistants, or CNAs, is critical in patient care and serves as the foundation of healthcare services (Campbell, 2020; Campbell et al., 2021a, 2021b). However, their relationship has not been harmonious due to a variety of factors, including ineffective communication, which leads to poor quality of patient care services (Madden et al., 2017). Thus, this change project aims to improve nurses' and CNAs' communication to reduce misunderstandings, maintain a healthy communication flow, demonstrate respect, and foster comradeship. According to Farrell et al. (2022), an organization requires effective communication, and organizations can work to improve their communication.
Campbell, A., Layne, D., & Scott, E. (2021, February). Relational Quality of Registered Nurses and Nursing Assistants: Influence on Patient Safety Culture. In Healthcare (Vol. 9, No. 2, p. 189). Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/healthcare9020189.
The study emphasizes the importance of relational quality to patient safety. Relational quality will only be achieved when nurses and CNAs will work together. Thus, it is also important to provide them with training to help them develop their relationship quality.

Campbell, A. R., Kennerly, S., Swanson, M., Forbes, T., Anderson, T., & Scott, E. S. (2021). Relational Quality Between the RN and Nursing Assistant: Essential for Teamwork and Communication. JONA: The Journal of Nursing Administration, 51(9), 461- 467. https://doi.org/10.1097/NNA.0000000000001046.
The study stresses the importance of teamwork between nurses and CNAs. The study also identifies the collaboration of nurses and CNAs as the foundation of health care models. Moreover, the study identifies role confusion as one factor that affects teamwork and communication between nurses and CNAs.
Madden, C., Clayton, M., Canary, H. E., Towsley, G., Cloyes, K., & Lund, D. (2017). Rules of performance in the nursing home: A grounded theory of nurse–CNA communication. Geriatric nursing, 38(5), 378- 384.https://doi.org/10.1016/j.gerinurse.2016.12.013.
Ineffective communication has proven to have negative outcomes. Therefore, it is important to maintain healthy communication with other health care providers and family members. The study suggests performance rules that will help the CNAs to improve their communication skills. The study also reveals that teamwork between CNAs and nurses is important to provide better patient care.
Step 1 Establishing a Sense of Urgency: List 3 things that you can do to...