Gateless communication: A concept analysis

Publication Date


UMMS Affiliation

Graduate School of Nursing

Document Type



Health Communication | Health Services Administration | Mental and Social Health | Nursing | Psychiatry and Psychology | Public Health Education and Promotion | Telemedicine


The movement toward the use of electronic technologies in everyday life has also impacted healthcare. Patient portals allow patients to send messages to their healthcare team from the comfort of their own homes and even on mobile devices. With responses typically sent within 24 business hours, some patients are looking for more timely feedback to their health questions. This is true in behavioral health, where real-time communication between psychologist-patient is valued. It is not uncommon for psychiatric providers including psychiatrists and nurse practitioners to provide personal cell phone numbers or secure-texting services to their patients. The real-time texting that occurs between patients and providers is emerging as a new way in which information is shared. A literature review in PubMed and CINAHL revealed a plethora of research conducted on information exchanged via the patient portal; however, there appears to be a gap in the information known about direct patient-provider communication that utilizes other types of technology. This concept analysis looks at this type of communication and proposes that a new concept be developed to perform future research studies. "Gateless communication" will be explored using a previous paper eight-step method for conceptualizing this new concept.


health promotion, professional issues, psychiatric/mental health

DOI of Published Version



Godzik CM. Gateless communication: A concept analysis. Nurs Forum. 2019 Oct;54(4):636-641. doi: 10.1111/nuf.12388. Epub 2019 Sep 12. PMID: 31515829. Link to article on publisher's site

Journal/Book/Conference Title

Nursing forum

Related Resources

Link to Article in PubMed

PubMed ID