A charge nurse explains a new procedure to a staff nurse. However, the staff nurse is upset about working understaffed. The charge nurse recognizes that which barrier to communication is influencing this dialogue?

Choice A reason: Cultural sensitivity is important, but it is not the sole indicator of patient satisfaction.

Choice B reason: Cost-effectiveness is a factor in healthcare management but does not directly reflect patient satisfaction.

Choice C reason: The economic value of service is more related to the financial aspect of healthcare rather than patient satisfaction.

Choice D reason: Patient outcomes and their perceptions of care are direct measures of patient satisfaction, as they reflect the quality and effectiveness of the nursing care received.

Choice A reason: This choice is incorrect because effective followership involves questioning and providing feedback to leaders, which can lead to improved decision-making and innovation.

Choice B reason: This is the correct choice. In the context of nursing, leaders often take on the role of followers as well. They collaborate with other leaders and sometimes follow directives from higher management or adhere to policies, showing that leadership is not a one-way process but a dynamic interchange.

Choice C reason: This choice is incorrect. While followers do need structure, it does not necessarily have to be linear. Effective followership encourages independent critical thinking and active engagement, which can lead to job satisfaction and better patient outcomes.

Choice D reason: This choice is partially correct. While leaders should provide guidance to new staff, it is also important for leaders to encourage autonomy and critical thinking, allowing new staff to develop their skills and confidence.