This reflective assignment will focus on a complex communication scenario involving a patient who has refused to engage in all aspects of his care. The importance of effective communication and teamwork in providing patient-centred care will be addressed and how these can influence an individual's engagement once a therapeutic relationship has been established. It is a requirement of the NMC that all nurses must use excellent communication and interpersonal skills and therapeutic principles to support patient-centred care and engage in professional caring relationships (Nursing and Midwifery Council (NMC) 2010). In this particular scenario, the nursing staff were faced with an individual who was difficult to engage, which led to problems determining whether his lack of engagement was having a detrimental effect on his health. The service user had a dubious diagnosis of borderline personality disorder and spent most of his time in his bedroom refusing to interact with staff and peers on the ward. He refused to participate in ward rounds and did not want to see the other members of the multidisciplinary team. This made it difficult for nurses to monitor his mental state while respecting his wish to be left alone. While observation can provide crucial information for nurses during decision making (Heron 2001), it is also necessary to intervene and seek to build a therapeutic relationship with the individual to understand and address their social, spiritual and psychological needs. To address this and increase service user engagement with the nursing team, staff followed the psychological framework of the humanistic model to promote relationship-centred care. Humanistic psychology embodies...... half of the document ...... communicated effectively to other members of the multidisciplinary team. It is important that critical information is communicated effectively as it is an essential component of risk management. Likewise, effective and thorough handovers are essential to nursing practice in terms of continuity and quality of patient care. An example of poor communication or missing information contributes to a number of patient safety incidents (British Medical Association 2004). Nursing staff on the ward gave both verbal and written handovers at the end of the shift to the new team, to ensure that vital information relating to the patient's wellbeing was passed on as research suggests it results in a typed sheet with a verbal handover in minimal data loss which will therefore likely reduce patient safety incidents and improve patient-centred care (Pothier et al. 2013).