Effective health professional communication is important in building a trusting relationship between the pediatric patient and to their families. According to Munoz and Luckman (2005), in order to develop trust nurses or doctor must be willing to listen, talk and provide accurate and truthful information, in addition by being available or to open to questions the caregiver or the child may have. Costello (2010) narrates that PICU is a unique, unfamiliar, and frightening environment, and children have limited information and a high degree of uncertainty about what they are experiencing. Having a communication concerning non-related issues conveys warmth and forms a trusting bond. Addressing their fears and anxieties by talking and being with their simply creates a relationship. Costello et al,. (2010) gave an example, some children perceived that the reason they were in PICU were caused by germs and the staff will respond based upon how well they express their pain. Effective communication is vital in order children to communicate their needs and feelings about comfort and pain (p. 290), thus, understanding the nature of pain of the child promotes trust between the health worker and sick child. On the other hand, according to Pena and Juan (2011) that when faced with a child who does not speak, touching and physical contact by the nurses or physician are means of communication that are present in the…