Quality of Nurse–Physician Communication in Two Saudi Arabian Hospitals: Nurses’ Perceptions and Educational Implications
DOI:
https://doi.org/10.64397/nepj.v02i01.2026.a37Keywords:
communication, interprofessional relations, nurses, nursing education, patient safetyAbstract
Introduction: High-quality nurse–physician communication is fundamental to patient safety, collaborative clinical practice, and effective healthcare delivery, and reflects competencies developed through professional education and clinical experience.
Aim: This study assessed and compared nurses' perceptions of the quality of nurse–physician communication in two Saudi Arabian hospitals and examined factors associated with communication quality.
Methods: A cross-sectional study was conducted among 756 nurses from Almoosa Specialist Hospital (ASH; n = 508) and Almoosa Rehabilitation Hospital (ARH; n = 248) using convenience sampling. Data were collected between March 9 and March 31, 2026, using the validated 18-item Nurse–Physician Communication Scale (NPCS), which measures four domains: openness, relevance and satisfaction, mutual understanding, and frustration with interaction. Analyses included descriptive statistics, chi-square tests, and Pearson correlation coefficients.
Results: Nurses perceived communication quality as moderate overall. Openness and relevance/satisfaction were strongest, whereas mutual understanding and frustration with interaction presented greatest challenges. ASH nurses reported significantly higher quality than ARH nurses in openness (p = .038), relevance/satisfaction (p < .001), and frustration with interaction (p = .031), but not mutual understanding (p = .472). Higher educational attainment and specific experience intervals were significantly associated with better communication quality. Clinical nurses demonstrated higher mutual understanding than those in supervisory roles.
Conclusion: While nurses generally perceived communication positively, gaps remain in achieving mutual understanding and reducing interaction frustration. Communication quality reflects competencies that can be strengthened through targeted education, professional development, and setting-specific organizational strategies.
References
1. Sharkiya SH. Quality communication can improve patient-centred health outcomes among older patients: A rapid review. BMC Health Serv Res. 2023;23(1):1–12. https://doi.org/10.1186/s12913-023-09869-8
2. Daheshi N, Alkubati SA, Villagracia H, Pasay-An E, Alharbi G, Alshammari F, et al. Nurses' perception regarding the quality of communication between nurses and physicians in emergency departments in Saudi Arabia: A cross sectional study. Healthcare. 2023;11(5):645. https://doi.org/10.3390/healthcare11050645
3. Alharbi MS, Albughuli MB, Aljohani SS, Alraddadi YA, Alalawi NB, Alawfi HM, et al. Nurses' well-being and its relationship with quality of nursing work life at Alsalam and Al Haram Hospitals, Saudi Arabia. Front Public Health. 2025;13:1678358. https://doi.org/10.3389/fpubh.2025.1678358
4. Gregoriou P, Charalambous A, Rousou E, Papastavrou E, Merkouris A. Attitudes of physicians and nurses toward interprofessional collaboration: A systematic literature review. Mater Sociomed. 2025;37(1):64–73. https://doi.org/10.5455/msm.2025.37.64-73
5. Alahmedi SH, Alodhialah AM. Impact of the HIRAID emergency nursing framework on nurse and patient outcomes: A cross-sectional study in Saudi Arabia. BMC Nurs. 2025;24(1):1208. https://doi.org/10.1186/s12912-025-03866-4
6. Alasiri AA, Mohammed V. Healthcare transformation in Saudi Arabia: An overview since the launch of Vision 2030. Health Serv Insights. 2022;15:11786329221121214. https://doi.org/10.1177/11786329221121214
7. Albalawi A, Kidd L, Cowey E. Factors contributing to the patient safety culture in Saudi Arabia: A systematic review. BMJ Open. 2020;10(10):e037875. https://doi.org/10.1136/bmjopen-2020-037875
8. Almoosa Health Group. Almoosa Specialist Hospital [Internet]. 2024 [cited 2026 Jul 27]. Available from: https://almoosahealthgroup.org/specialized-hospital/
9. Almoosa Health Group. Almoosa Rehabilitation Hospital [Internet]. 2024 [cited 2026 Jul 27]. Available from: https://almoosahealthgroup.org/almoosa-hospital-for-rehabilitation-and-long-term-care/
10. Schmidt IK, Svarstad BL. Nurse–physician communication and quality of drug use in Swedish nursing homes. Soc Sci Med. 2002;54(12):1767–77. https://doi.org/10.1016/s0277-9536(01)00146-0
11. Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 10th ed. Philadelphia: Wolters Kluwer; 2017.
12. Bishara AJ, Hittner JB. Testing the significance of a correlation with nonnormal data: Comparison of Pearson, Spearman, transformation, and resampling approaches. Psychol Methods. 2012;17(3):399–417. https://doi.org/10.1037/a0028087
13. Puth MT, Neuhäuser M, Ruxton GD. Robustness and applicability of mark-recapture estimators to sparse data: A simulation study of ordinary least squares, Cox, and conditional likelihood models. Ecol Evol. 2024;14(2):e10832. https://doi.org/10.1002/ece3.10832
14. Gosset WS. The probable error of a mean. Biometrika. 1908;6(1):1–25.
15. Forbes TH, Evans S. From anticipation to confidence: A descriptive qualitative study of new graduate nurse communication with physicians. J Nurs Manag. 2022;30(6):2039–45. https://doi.org/10.1111/jonm.13656
16. Leonard J, Whiteman K, Stephens K, Henry C, Swanson-Biearmann B. Improving communication and collaboration skills in graduate nurses: An evidence-based approach. OJIN. 2022; 27 (2). https://doi.org/10.3912/OJIN.Vol27No02Man03
17. Müller M, Jürgens J, Redaèlli M, Klingberg K, Hautz WE, Stock S. Impact of the communication and patient hand-off tool SBAR on patient safety: A systematic review. BMJ Open. 2018;8(8):e022202. https://doi.org/10.1136/bmjopen-2018-022202
18. World Health Organization. Framework for Action on Interprofessional Education and Collaborative Practice. Geneva: WHO; 2010. Report No.: WHO/HRH/HPN/10.3.
19. Foronda C, MacWilliams B, McArthur E. Interprofessional communication in healthcare: An integrative review. Nurse Educ Pract. 2016;19:36–40. https://doi.org/10.1016/j.nepr.2016.04.005
20. Baldwin J, Krumm B. Leveraging consistent communication tools and organizational values to promote accountability among health care providers. AORN J. 2024. https://doi.org/10.1002/aorn.14204
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Copyright (c) 2026 Neilda Faith Ambray Baldoviso, MSN, RN, Nesrine Trabelsi, MHM, RM, Aysheh Abu-alburak, RN, Nour Elbatal, BSN, MHCQM, LSSBB, CPHQ, Hera Tashjian, RN, PhD, NE-BC (Author)
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