Background: Quality healthcare depends on coordinated collaboration among professionals from different disciplines. In nursing teams, interpersonal relationships, mutual trust, communication, and teamwork are essential for ensuring safe and high-quality patient care. Poor communication and unresolved hierarchical dynamics may negatively affect team functioning and patient safety. Purpose: The aim of this study was to explore interpersonal relationships among nurses working in nursing teams and to identify key factors influencing collaboration and communication in everyday clinical practice. Research Design: A qualitative descriptive research design was used. Study Sample: A purposive sample of 21 participants employed in nursing care at the secondary level of healthcare was included in the study. Data Collection and/or Analysis: Data were collected through semi-structured individual interviews. The collected data were analysed using qualitative content analysis. Results: Four themes were identified: (1) perceptions of interpersonal relationships in nursing teams, (2) communication patterns and challenges in nursing teams, (3) the impact of relationships and communication on the quality and safety of nursing care, and (4) opportunities to improve relationships and communication in nursing teams. Positive interpersonal relationships and open communication contributed to stronger team cohesion and higher quality of care. In contrast, poor communication, hierarchical differences, and interpersonal conflicts increased the risk of errors and negatively affected teamwork and patient safety. Conclusions: The findings highlight the importance of supportive interpersonal relationships and effective communication within nursing teams. Targeted interventions are needed to strengthen collaboration in clinical practice, including communication skills training for nurses, stronger managerial support, and the implementation of structured communication protocols tailored to nursing care settings.
HarrisJLRousselLAThomasPL. Initiating and sustaining the clinical nurse leader role: a practical guide. Jones & Bartlett Learning, 2016.
2.
AydogduALF. Interpersonal relationships of the nursing team in the work environment according to nursing students: a qualitative study. Nurse Educ Pract2024; 74: 103861. https://doi.org/10.1016/j.nepr.2023.103861
3.
SantosJLGCopelliFHSBalsanelliAP, et al.Interpersonal communication competence among nursing students. Rev Latino-Am Enferm2019; 27: e3207. https://doi.org/10.1590/1518-8345.3226.3207
4.
SilvaMPMedeirosSMQuentalLLC. Relacionamento interpessoal da equipe de enfermagem: fragilidades e fortalezas. Rev Enferm UFPI2016; 24(5): e7657. https://doi.org/10.12957/reuerj.2016.7657
5.
LeeCTSDoranDM. The role of interpersonal relations in healthcare team communication and patient safety: a proposed model of interpersonal process in teamwork. Can J Nurs Res2017; 49(2): 75–93. https://doi.org/10.1177/0844562117699349
6.
DietlJEDerksenCKellerFM, et al.Psychosocial processes in healthcare workers: how perceptions of interpersonal communication relate to patient safety threats and care quality. Int J Environ Res Publ Health2023; 20(9): 5698. https://doi.org/10.3390/ijerph20095698
7.
CohenRGCookeDTErhunmwunseeL, et al.Cultural diversity, bias, and patient safety: a case-based discussion. Ann Thorac Surg2023; 115(3): 555–561. https://doi.org/10.1016/j.athoracsur.2022.10.026
8.
AghaLEricsonKMGeisslerKH, et al.Team relationships and performance: evidence from healthcare referral networks. Manag Sci2022; 68(5): 3735–3754. https://doi.org/10.1287/mnsc.2021.4091
9.
SutherlandBLPecanacKLaBordeTM, et al.Good working relationships: how healthcare system proximity influences trust. J Interprof Care2022; 36(3): 331–339. https://doi.org/10.1080/13561820.2021.1920897
10.
ZerdenLDSZomorodiM. Fostering psychological safety: building team-based care communication skills. N C Med J2023; 84(3): 199–201.
11.
LingardLEspinSWhyteS, et al.Communication failures in the operating room: an observational classification. Qual Saf Health Care2004; 13(5): 330–334. https://doi.org/10.1136/qhc.13.5.330
12.
MogårdEVRørstadOBBangH. Psychological safety and management team effectiveness. Int J Environ Res Publ Health2023; 20(1): 406. https://doi.org/10.3390/ijerph20010406
13.
O’DonovanRRogersLKhurshidZ, et al.Impact of focal leader behaviours on healthcare team performance: a systematic review. J Nurs Manag2021; 29: 1420–1443. https://doi.org/10.1111/jonm.13403
14.
KaiserJAWestersJB. Nursing teamwork in a health system: a multisite study. J Nurs Manag2018; 26: 555–562. https://doi.org/10.1111/jonm.12582
PetričVKMaressoA. Slovenia. In: RechelBMaressoASaganA, et al. (eds). Organization and financing of public health services in Europe. European Observatory on Health Systems and Policies, 2018.
YinRK. Qualitative research from start to finish. Guilford Press, 2010.
20.
KimHSefcikJSBradwayC. Characteristics of qualitative descriptive studies. Res Nurs Health2017; 40(1): 23–42. https://doi.org/10.1002/nur.21768
21.
VermeirPVandijckDDegrooteS, et al.Communication in healthcare: a narrative review. Int J Clin Pract2015; 69(11): 1257–1267. https://doi.org/10.1111/ijcp.12686
