The cooperation that makes human society possible is manifested most visibly within the organization and is almost entirely dependent upon the skill with which we communicate (Tortoriello et al, 1978). By understanding concepts related to communication theory, nurses may be better able to analyse areas of communication in their own practice. This article reviews the concepts of communication in terms of definition, function and purpose. The communication process model is examined and the hindrances to effective communication are explored. The shift handover report is analysed and related to group networking theory. Communication theory is then applied to the shift handover process and recommendations for practice are made.