Observational studyBMJ open quality2025
Impact of temporary nursing staff on communication patterns: an observation study during daily nurse huddles.
Observational study in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Nurse staffing models that rely on employment of temporary nurses: A realist review.International journal of nursing studies advances · 2026Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEffective communication within healthcare teams is essential for efficient work coordination and patient safety. Communication in teams can take two forms: implicit and explicit, both of which play important roles in enhancing teamwork and output. However, within an unstable team constellation, maintaining effective communication can be challenging. There is limited empirical research on how temporary nursing staff impact team communication. The aim of this study is to evaluate the differences in communication patterns of permanent and temporary nursing staff.
methodsIn this observational study, we observed communication patterns among nurses during their daily afternoon huddles. During the live observations, we used INTERACT coding software for assessing communication patterns of permanent and temporary nursing staff. Whereby we distinguish between temporary and per diem nurses. We used lag sequential analysis to explore implicit and explicit communication patterns of temporary, per diem and permanent nursing staff. We hypothesised that temporary nursing staff primarily rely on explicit communication, whereas permanent nurses tend to rely more on implicit communication.
resultsAcross 50 huddles with a total of 309 participating nurses, the mean huddle duration was 8.50 min and included 3074 communication transitions. We found that for per diem nurses, implicit communication was followed by explicit communication. This pattern was not observed for permanent and temporary nurses. Furthermore, for permanent and temporary nurses, preceding implicit communication was followed by implicit communication.
conclusionOur study reveals that per diem nurses, with their lower employment levels and less consistent presence, tend to shift from implicit to explicit communication. This contrasts with temporary and permanent nurses, who maintain implicit communication patterns, likely due to more developed team mental models and greater mutual trust. These findings suggest that experience and consistency in the work environment are important factors shaping communication styles among nursing staff.
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