Effects of demographic, occupational, and practice environment variables on organizational silence among nurse managers

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NSTL
Wiley

外文摘要：Abstract Aim: To define nurse managers’ organizational silence behaviors and examine the demographic， occupational， and practice environment factors that may influence their silence。 Background: Organizational silence is affected by organizational structures， policies and procedures， team structures， and practice environments。 Whether nurse managers’ behaviors affect the organizational silence and practice environment in particular has not been thoroughly studied。 Methods: This cross‐sectional study was conducted using an online survey of 169 nurse managers working in a group of private hospitals in Turkey。 Data were collected using the Nurse Manager Practice Environment Scale， the Organizational Silence Behavior Scale， and a questionnaire with 16 sociodemographic and job‐related questions， and descriptive statistics， correlations， and regression analyses were used to analyze the data。 Results: Nurse managers exhibited acquiescent silence and silence for the protection of the organization。 There was a negative correlation between scores on the two scales。 Regression analysis showed that nurse managers’ organizational silence was affected by the two subscales of nurse managers’ practice environment and the ability to express opinions openly。 Conclusion: Positive work environment and being able to express opinions comfortably decrease the level of organizational silence of nurse managers。 Implications for nursing and health policy: In order to reduce organizational silence behaviors， along with open‐door policies and a corporate culture where ideas can be expressed freely， health institutions should implement measures to ensure a positive work environment that empowers administrative leaders to create a culture of patient safety and culture of generativity。 Regulating the roles and responsibilities of nurse managers at the institutional level and implementing appropriate nursing laws and regulations at the national level will facilitate changes to improve their management practices。

外文关键词：

healthy work environmentleader silencenurse managersnurse practice environmentorganizational silencesilence behaviors

作者：

Ne?e Bako?lu、?ehriban Serbest、Saliha Ko? Aslan、Begüm Yal??n、Nilgün G?ktepe、Emine Türkmen、Sonay Canbolat

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作者单位：

Ac?badem Altunizade Hospital,Ac?badem Healthcare Group

Nursing Department,Ac?badem Univerity Health Science Faculty

Ac?badem Healthcare Group

Koc University,School of Nursing

Ko? University Semahat Arsel Nursing Education, Practice & Research Center

Ac?badem, Dr. ?inasi Can Hospital

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出版年：

2022

DOI：

10.1111/inr.12712

International nursing review

SCI

ISSN：0020-8132

年,卷(期)：2022.69(2)

被引量3
参考文献量23