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Ineffective communication in a nursing department can arise from multiple interrelated factors that affect both the delivery of care and the work environment. One significant factor is hierarchical barriers. In many nursing departments, strict hierarchies exist between staff nurses, nurse managers, and other healthcare professionals. These hierarchies can discourage open communication, as junior staff may feel intimidated or fear reprisal if they express concerns or provide feedback. Consequently, important patient information may not be shared in a timely or _____ ________ ___ __________ ________ ________ ________ _________ __________ _____ ____.
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