This document discusses effective communication skills in nursing practices. It begins by defining communication and its importance in nursing. The document then outlines the communication process, including the sender, message, channels of communication, receiver, and feedback. It also discusses types of communication including verbal, nonverbal, and written. Barriers to communication and skills to improve communication are presented, such as listening skills, managing stress, and assertiveness. The document concludes by examining the effect of communication skills at different levels including nurse to nurse, nurse to superiors, nurse to subordinates, and nurse to clients.