Communication Barrier between Nurse and Patient at The Hospital: A Systematic Review


  • Andriyanto Andriyanto Masters Program in Communication Sciences, Universitas Diponegoro


Background: Communication is a multi-dimensional, multi-factorial phenomenon and a dy­na­mic, complex process, closely related to the environment in a hospital or related places. Nurses in the hospital need to enhance their skill in communication to improve patient satisfac­t­ion. This study conducted a systematic review to describe the communication bar­rier bet­ween nurse and patient at the hospital.

Subjects and Method: This was a systematic review conducted by searching databases from EBSCO e-journals, Elsevier Science Direct, CINAHL Complete, and Google Scholar, published from 2012 to 2017. The literature was analyzed using the critical appraisal tool.

Results: Communication barriers included job dissatisfaction due to workload, uncontroll­ed patient family presence, distrust of nurse competency, gender incompatibility, nurse lack of attention, delay and carelessness in providing information, lack of nurse responsibility, difference in language, over workload, patient family disorder, nurse re­luc­tan­ce to com­mu­nicate, patient physical discomfort, physical and psychological com­plaint, language di­fficul­ty, limited nurse communication skill, insufficient time, busy envi­ron­ment, and noise. Com­munication barriers between nurse and patient affected the quality of health service.

Conclusion: Communication barriers between nurse and patient affect the quality of health service.

Keywords: communication barriers, nurses-patients, hospital

Correspondence: Andriyanto. Masters Program in Communication Sciences, Universitas Diponegoro. Jl. Prof. H. Soedarto, Tembalang, Semarang 50275, Central Java. Email:

Journal of Health Policy and Management (2019), 4(2): 105-110


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How to Cite

Andriyanto, A. (2019). Communication Barrier between Nurse and Patient at The Hospital: A Systematic Review. Journal of Health Policy and Management, 4(2), 105–110. Retrieved from