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However, organizational complexity and lack of standardization may hinder this effectiveness. The transmission of information from top to bottom is a critical element in ensuring effective, timely communication across hierarchical levels. The aim of this study was to analyse the process of top-down communication from Heads of Nursing and Allied Health Professionals to Healthcare Workers in hospital care units, with the specific purpose of identifying challenges and strategies to inform the design of a structured quality improvement project on internal communication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative descriptive study using a content analysis approach was conducted between June and July 2024 in a large university hospital in Northern Italy. Nineteen Heads of Nursing and Allied Health Professionals with at least two years of experience were recruited using purposive sampling. Semi-structured interviews were audio-recorded after participants provided written consent, transcribed verbatim, and analysed using content analysis by two independent researchers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis highlighted five main categories: (1) use of software applications for the transmission of information, (2) time management for the transmission of information, (3) use of feedback as a verification strategy, (4) contextualization of information in the care unit, and (5) the uncertainty on the effectiveness of official communication channels. The primary channels of communication are formal tools such as email and meetings, while instant messaging apps are used to disseminate urgent alerts. The effective management of time in the transmission of information is regarded as a crucial aspect. Feedback is used as a strategy to verify effective reception and understanding of information. Nevertheless, uncertainty persists about the effectiveness of official channels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>To enhance internal communication, it is vital to strike a balance between technological efficiency and the well-being of Heads of Nursing and Allied Health Professionals, while guaranteeing the quality of care, adopting structured feedback practices, and contextualising information. An integrated approach that combines informal technologies and traditional methods is essential to address operational challenges and improve information management in the healthcare sector.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial number<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12912-026-04490-6","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T11:56:49Z","timestamp":1772193409000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Forwarding information and communication within collaboratives: exploring the perceptions of Heads of Nursing and Allied Health Professionals"],"prefix":"10.1186","volume":"25","author":[{"given":"Filippo","family":"Vella","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurizio Moreno","family":"Fattori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Marini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Ferrari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Canzan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"issue":"23","key":"4490_CR1","doi-asserted-by":"publisher","first-page":"143","DOI":"10.5783\/revrrpp.v12i23.766","volume":"12","author":"A Castro-Mart\u00ednez","year":"2022","unstructured":"Castro-Mart\u00ednez A, Diaz-Morilla P, Torres-Mart\u00edn JL. 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The study involved healthcare professionals and did not include patients, clinical interventions, or experimental treatments. According to the institutional policies of the University of Verona, studies focused on organizational processes and professional experiences and not involving patients or the collection of sensitive personal data are exempt from formal ethics committee approval; therefore, ethical approval was waived. All participants received detailed information about the aims and procedures of the study and provided written informed consent prior to participation. Specific consent was obtained for audio recording of the interviews. Anonymity and confidentiality were ensured by removing all identifiers from the transcripts and replacing them with participant codes. Participants were informed of their right to withdraw from the study at any time without providing a reason and without any consequences.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable. The manuscript does not contain any individual person\u2019s data in any form.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"307"}}