Background: Nurse to patient communication refers to the exchange or sharing of any information regarding to patients by means of verbal (speech), or nonverbal form. Poor nurse-patient communication may result in patient complication, an increased length of stay, wastage of the resource use, dissatisfaction with care, lack of confidence or uncertainty and frustration for both the nurse and the patient. So, Determining of the magnitude of nurse-patient communication and associated factors is necessary for designing interventions. However, it is the least investigated area in the field of nursing research and factors were not addressed in Ethiopia