Standards for competence for registered nurses the nursing and midwifery council nmc is the nursing and midwifery regulator for england wales scotland and northern ireland we exist to protect the public we achieve this by o maintaining a register of nurses midwives and nursing associates o setting standards for education . The dyadic interpersonal communication model highlights the importance of clarity and awareness for the many factors that can affect verbal and nonverbal communication other theories a number of other theories in communication and specifically in nursing communication have been used in health care. The ability to establish effective communication in nursing is imperative to providing the best care and patient outcomes possible developing these skills starts in the classroom where students can study techniques in more depth coursework covering professional interpersonal communication including both verbal and written is ideal. Nursing as a health care science focuses on serving the needs of human as a biopsychosocial and spiritual being its practice requires not only scientific knowledge but also interpersonal intellectual and technical abilities and skills this means a composition of knowledge clinical work and interpersonal communication . The next section will offer professional insight that i have gained in my nursing practice related to how multiple variables may impact communication systems still exist and contribute to the inadequacy of mainstream nursing and other concepts of communication 2007 your competitive edge the art of communication in professional