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Relational Communication Competence in Nursing Leadership and Management: A Concept Analysis
Joseph Almazan1, Darya Zvonareva2, Eddieson Pasay-An3
1Department of Medicine, School of Medicine, Nazarbayev University, Kerey and Zhanibek Khans St 5/1, Astana 010000, Kazakhstan, nu.edu.kz.
Journal of Nursing Management
|July 30, 2026
Summary
Relational communication competence (RCC) in nursing leadership requires sensitivity, clear information exchange, and collaboration. Developing these unified attributes enhances patient care and team dynamics, improving nursing management.
Area of Science:
- Nursing Leadership and Management
- Healthcare Communication
- Organizational Psychology
Background:
- A unified definition of relational communication competence (RCC) is lacking in nursing leadership, hindering competency frameworks and workforce development.
- Existing literature fails to integrate leadership, communication competence, and person-centered care effectively.
- This gap impacts nursing leadership across various clinical and organizational settings, including older-adult care.
Purpose of the Study:
- To conduct a concept analysis to clarify the definition and attributes of relational communication competence (RCC).
- To establish a unified conceptual framework for RCC in nursing leadership and management.
- To inform the development of nursing leadership competencies and workforce strategies.
Main Methods:
- Concept analysis utilizing Walker and Avant's framework.
- Systematic literature search across major databases (PubMed, Scopus, Web of Science, APA PsycNet) yielding 19 studies.
- Independent data extraction and iterative comparison by two reviewers to identify defining attributes, antecedents, and consequences.
Main Results:
- Three defining attributes of RCC were identified: relational sensitivity, effective information exchange, and collaborative engagement.
- These attributes must co-occur to constitute RCC, a combination not consistently specified in nursing leadership literature.
- Antecedents included communication knowledge and supportive organizational climates; consequences included stronger therapeutic relationships and improved team collaboration.
Conclusions:
- Relational communication competence (RCC) is defined as healthcare communication that is contextually responsive, clear, and participatory.
- An integrated framework aligning relational leadership, communication competence, and person-centered care is proposed.
- Nurse managers need training that develops RCC as a unified capability, integrating its core attributes.
Related Concept Videos
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Interpersonal communication focuses on the exchange of messages between two people.
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01:28Communication
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