How to Communicate with Confidence as a New Nurse

Communication is one of the hardest parts of being a new nurse.
You know the science. You know the skills.
But speaking up? Asking questions? Calling the provider? Advocating for a patient?

That can feel terrifying — even more than starting an IV.

Confidence in communication doesn’t come from perfection.
It comes from clarity, calm presence, and practice.


1️⃣ Why Communication Feels Hard When You’re New

As a new nurse, you’re balancing:

  • Fear of sounding inexperienced
  • Pressure to know everything
  • Uncertainty about what’s important to report
  • Not wanting to bother busy providers

You are NOT alone — this is one of the most common challenges for new nurses.


2️⃣ Communicate with Purpose, Not Perfection

Before you speak, ask yourself:

  • What is the ONE thing they need to know?
  • Does this affect safety?
  • Is this time-sensitive?

3️⃣ Communicating with Providers

Structure creates confidence.

  • Lead with the problem
  • Share 1–2 key findings
  • State your concern
  • Ask clearly for what you need

4️⃣ Communicating with Patients & Families

Patients remember how you made them feel.

  • “You’re safe. I’m here.”
  • “Let’s take this one step at a time.”
  • “Tell me what worries you most.”

5️⃣ Communicating with Your Preceptor

  • “Can I talk through my plan?”
  • “What should I prioritize?”
  • “Is there something I can improve?”

Safe nurses ask questions.


6️⃣ Building Confidence Over Time

  • Practice phrases aloud
  • Observe strong communicators
  • Ask for small feedback
  • Celebrate speaking up

Sisterly Advice™ from the Hive

You can be scared and still speak with strength.

Your words matter. Your presence matters. You belong here.