Background: In the healthcare system, nurses are required to give patients the best care possible in compliance with established standards and to adhere to their professional codes of ethical conduct. Since independence, India's educational and nursing services have grown significantly. Patient care and comfort are a hospital's primary goals. Effective use of resources is only one aspect of nursing efficiency; other aspects include competent standard care in accordance with the nursing profession's code of ethics, good interpersonal relationships and communication, appropriate use of technology, and a sufficient nurse-patient ratio.

Aims & Objectives: To assess the role of nursing management in providing better patient care.

Methodology: A Cross sectional study was conducted among 140 nurses from various hospitals of Gujarat. A structured questionnaire was developed for quantitative data collection from the nursing Staff/In charge/Manager. The questionnaire included: Demographic details, Communication Gap, Record Management, Resources Distribution, Workload Management and Training & Development. Respondents were selected on the basis of convenience sampling.

Results:Out of total,  among 51.8%  cases lack of medical knowledge in patients, followed by in 20.6% cases lack of interest in their health leads to communication gap. Total 44% nurses had incomplete or missing patient information, 32.6% cases had difficulty in time consuming data entry and 13.5% cases had technical issues with EHR system.Among the study participants, 48.9% nursing staff believed that current workload was manageable by them.

Conclusion: Language and communication gaps are significant challenges in patient care, primarily due to patients' lack of medical knowledge and disinterest. Internal communication practices in hospitals are still largely informal, with occasional difficulties between nursing staff and consultants. Workload and overtime issues are common, though most nursing staff manage their responsibilities well with occasional instances of being overloaded. Resource management practices often rely on traditional request-based systems without predictive planning