The overall goal will be to explore the effectiveness of caring communication coaching with the implementation of a discharge tool in the acute care setting and its impact on the nurse-patient relationship. Integrating communication strategies through a caring lens with an educational tool will seek to address the missing components that satisfy patient care experience, satisfaction with care, prevention of complications, reduction of readmission rates, and improved outcomes. This study will evaluate how these interventions can narrow the gap in the literature and enhance the quality of patient care which can ultimately improve health outcomes.

Patient inclusion criteria 1. 18 years or older; inpatient admission to the hospital. 2. Speak, read, write, and understand English. Nurse inclusion criteria

1. Works at Baptist Health South Florida hospital system and provides direct bedside patient care.
2. Have an active Florida Nurses license.
3. Registered Nurse (AA, BSN, MSN).

Exclusion criteria: The exclusion criteria are:

Patient Exclusion criteria

1. Hospice and psych patients.
2. Unable to commit to the interview. Nurse Exclusion criteria

1. Director, managers, charge nurse/relief charge nurse. 2. Nurses floated to the unit 3. Unable to commit to the interview.