Fostering Team Cohesion on Multicultural Nursing Units: GoodTalk Workshop Builds Bridges.
Abstract
Objective
To assess the impact of a simulation-based communication workshop (GoodTalk) on teamwork, psychological safety, and communication among a culturally diverse nursing unit team.
Background
As the US nursing workforce grows more diverse, nurse leaders must address challenges related to integration, communication, and team cohesion. Ineffective communication can negatively impact engagement, retention, and patient outcomes. Relationship-focused communication skills can enhance teamwork and feelings of belonging.
Methods
A quasi-experimental design was implemented on a 25-bed acute rehabilitation unit in a 1036-bed academic medical center. All clinical staff participated in a tailored GoodTalk workshop. Pre and post-surveys, behavioral ratings, and qualitative feedback assessed outcomes related to teamwork, psychological safety, and communication.
Results
Of 51 participants, 44 (86%) consented to research; 94% reported racial and cultural diversity, and 82% spoke English as a second language. Participants reported significant gains in confidence post-workshop in providing feedback (+0.85, P<0.001), relationships with colleagues (+0.63, P<0.001), and perceived value of diverse perspectives (+0.61, P<0.001).
Conclusions
Simulation-based communication training enhanced team culture, cohesion, and inclusivity. Nurse leaders can use this workshop blueprint for teams seeking to build cohesion, psychological safety, and strengthen engagement while advancing patient-centered care.