Nurses As Strategic Links In Crisis Response: A Narrative Review Of Internal Communication In Acute Care

Abstract

The temporary medical system environment depends on its ability to manage public health emergencies because its internal crisis communication system needs both strong structural elements and flexible operational capabilities. Hospitals possess hidden communication systems that operate through their risk communication procedures according to this narrative review which investigates these hidden aspects. Nurses who combine their clinical bedside work with administrative responsibilities act as essential links which support the crisis management system. The study examines various research fields to find out how internal communication patterns within high-pressure work environments promote or hinder organizations from building resilience. The article uses two research methods to study longitudinal data while applying the Crisis and Emergency Risk Communication (CERC) framework to demonstrate how nurses use their dual responsibilities to process detailed medical information and distribute danger-related information.

The synthesis identifies three main obstacles which prevent ICC from functioning properly: first, organizational structures create barriers which block employees from sharing information with higher-ups and second, digital systems experience operational challenges because of their built-in technological problems and third, workers lose their ability to think clearly when they experience alarm fatigue. The study establishes that organizational resilience exists as a fundamental resource which develops through equal communication practices, mutual information sharing, and the establishment of safe social environments. The review demonstrates that healthcare systems need to establish nursing as a dedicated profession which will develop their skills to handle present-day health emergencies. The process of learning from mistakes enables organizations to build their competencies toward balancing urgent needs with long-term organizational objectives.