“…This present study reports that both the communication competences and nursing performance of ICU staff nurses were at a fairly confident level compared with previous studies (Adams et al, ; Aslakson et al, ; Bry et al, ). Confident communication and nursing performance can be influenced by a number of factors such as cultural variables, beliefs concerning the importance of communication, and the socio‐economic background and work environment such as nurse‐to‐patient ratio, work shift, and advanced technologies and equipment in health care settings (Kounenou et al, ; Pun, Matthiessen, Murray, & Slade, ). Thus, future studies should consider multidimensional aspects and factors that influence the communication competences and clinical performance of critical care nurses.…”