title: Communication and the healthy work environment: nurse managers' perceptions.
abstract: OBJECTIVE
  A qualitative design was used to decipher the viewpoints of nurse managers about communication trends associated with their leadership roles and unit subcultures.
  
  
  BACKGROUND
  Disruptive behaviors such as poor communication and inadequate teamwork have been associated with patient harm and deficient workplace cultures. However, few studies have focused on nurse managers' perceptions of communication and a healthy workplace.
  
  
  METHODS
  A descriptive qualitative study was conducted using 12 in-depth interviews of 6 nurse managers to better understand communication patterns of managers. Analysis identified 5 themes and 13 subthemes.
  
  
  RESULTS
  Workplace processes were identified that either promoted or hindered managers' abilities to set a positive tone and to stay connected to their staff, ensuring effective communication while meeting multiple unit and institutional challenges.
  
  
  CONCLUSIONS
  Findings can be used to strengthen communication practices, obviate communication disconnects, and ensure a healthy workplace.
authors.affiliation: Department of Nursing, Bloomsburg University, Pennsylvania 17815, USA. shartung@bloomu.edu
authors.forename: Sheila Q
authors.initials: SQ
authors.lastname: Hartung
authors.forename: Mindi
authors.initials: M
authors.lastname: Miller
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D006801:Humans; D007400:Interprofessional Relations; D009718:Nurse Administrators / Q000523:psychology*; D015401:Nursing Administration Research; D015404:Nursing Methodology Research; D015279:Organizational Culture; D036301:Qualitative Research; D017132:Workplace / Q000458:organization & administration