Aim: To describe the organizational structure and resources for strategic mediacommunication of nursing professional associations and trade unions in Portugal.Design and Methods: Quantitative study, with a cross-sectional, exploratory/ descriptive design. From October to November 2017, a questionnaire was sent to 21 nursing professional associations and trade unions in Portugal. Eleven (52.4%) organizations replied: nine professional associations and two trade unions.Results: The participating organizations rely on basic structures regarding strategic communication: 54.5% of them have less than 500 members; 63.6% of them have no communication budget; 54.5% of them have no formal communication structure, and only 27.3% of them hold events for the purpose of media coverage. Consequently, most of these organizations have occasional interactions with journalists, create messages about nursing problems, and directed mostly to nurses, perpetuating a circular communication.Conclusion: Nursing professional organizations have limited resources and lack of formal communication structures. The restricted interaction with the media and the "echoing" voice that propagates within the profession may hinder citizens' full understanding of its contribution. Nursing organizations must develop a nation-wide strategy that promotes transversal collaboration and resources optimization, with the purpose of increasing their media visibility and strengthening their Public Health mission. K E Y W O R D S media visibility, nursing professional associations, nursing trade unions, public communication, strategic communication 1 | BACKGROUND Nurses are the largest occupational group in the health sector and play a key role in promoting the well-being and quality of life of the populations they care for. They integrate multidisciplinary teams which work in a variety of settings (hospitals, outpatient departments, conflict scenarios, etc) and provide more than 80% of primary health care in some countries. 1 They promote public health and health literacy by ensuring vaccination and education for selfmanagement in areas such as diabetes, obesity, and cardiovascular Nurs Forum. 2019;54:291-297. wileyonlinelibrary.com/journal/nuf are co-authors.problems. 2 In addition to direct patient care, nurses are also responsible for quality improvement programs, management development, teaching, and audit activities, and are actively involved with health policy.Despite nurses' major contribution to the economic and social development of a country, they are usually missing from the media coverage of the health sector and, consequently, kept away from public discussion. [3][4][5][6] Mason et al 4 analyzed 537 articles from 13American health publications and concluded that nurses were identified as sources of only 2% of quotes in the articles, were mentioned in 13% of stories, and were identified in 4% of images in the articles. The authors concluded that 20 years after the initial study, which found the profession was almost invisible, there were no significan...