Evidence map›Paper›PMID 42531065›Full record

ReviewJournal of nursing management2026

Relational Communication Competence in Nursing Leadership and Management: A Concept Analysis.

Joseph Almazan, Darya Zvonareva, Eddieson Pasay-An, Cris Adolfo, Cyrelle Agunod, Srinivasa Rao Bolla

Abstract readReview
In one paragraph

Review in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Joseph AlmazanDepartment of Medicine, School of Medicine, Nazarbayev University, Kerey and Zhanibek Khans St 5/1, Astana 010000, Kazakhstan, nu.edu.kz.ORCID https://orcid.org/0000-0001-5148-6889
Darya ZvonarevaTeaching and Learning Support Office, NU Library, Nazarbayev University, 53 Kabanbay Batyr Avenue, Astana, Kazakhstan, nu.edu.kz.ORCID https://orcid.org/0000-0003-3528-814X
Eddieson Pasay-AnCollege of Nursing, King Khalid University, Abha, Saudi Arabia, kku.edu.sa.ORCID https://orcid.org/0000-0003-1257-3175
Cris AdolfoNursing Department, St. André Health Care, Biddeford, Maine, USA.ORCID https://orcid.org/0000-0003-4776-1512
Cyrelle AgunodNursing Department, North Private College of Nursing, Arar, Saudi Arabia.ORCID https://orcid.org/0000-0002-0094-2685
Srinivasa Rao BollaDepartment of Biomedical Sciences, School of Medicine, Nazarbayev University, Kerey and Zhanibek Khans St 5/1, Astana, Kazakhstan, 010000, nu.edu.kz.ORCID https://orcid.org/0000-0002-2644-5169

Funding

Nazarbayev University
6 · The paper itself

Abstract

aimTo clarify the concept of relational communication competence (RCC) within nursing leadership and management through concept analysis.

backgroundNo unified conceptual definition currently bridges leadership, communication competence, and person-centered care in nursing, a gap that constrains both competency frameworks and workforce development. While the issue is illustrated through the context of older-adult care, the analysis extends more broadly to nursing leadership and management across diverse clinical and organizational settings.

methodsWe conducted a concept analysis guided by Walker and Avant's framework. A structured search across PubMed, Scopus, Web of Science, and APA PsycNet yielded 19 eligible studies. Two reviewers independently extracted conceptual definitions, communication behaviors, and theoretical constructs from each study into a structured concept matrix, then compared entries iteratively until recurring patterns consolidated into defining attributes, antecedents, consequences, and empirical referents, with no new attributes emerging from the final studies reviewed.

resultsThe analysis identified three defining attributes: relational sensitivity, effective information exchange, and collaborative engagement. All three attributes must co-occur: No single attribute alone constitutes RCC, and this combination has not been consistently specified in nursing leadership scholarship. Antecedents included communication knowledge, cultural awareness, structured dialog opportunities, and supportive organizational climates. Consequences included stronger therapeutic relationships, greater patient engagement, improved team collaboration, and reduced clinical uncertainty. Empirical referents included empathic listening, transparent clinical explanation, verified shared understanding, and facilitated dialog.

conclusionRCC is defined as the capacity for healthcare communication that is responsive to contextual and emotional cues, informationally clear, and participatory across patients, families, and professionals. The analysis offers an integrated framework for bringing relational leadership, communication competence, and person-centered care into closer conceptual alignment in nursing practice. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers require programs that develop all three attributes together, embedding RCC as a unified leadership capability rather than treating awareness, information exchange, and participation as separate concerns.

Indexed as

CommunicationConcept FormationLeadershipNurse AdministratorsHumansconcept analysisnursing leadershipnursing managementolder adultsperson-centered communicationrelational communication competence

Identifiers

PMID42531065
PMCPMC13422642

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.