Path analysis of the current situation and influencing factors of organizational silence behavior among emergency department nurses
10.3760/cma.j.cn115682-20220801-03743
- VernacularTitle:急诊科护士组织沉默行为现状及影响因素的路径分析
- Author:
Pengcheng WANG
1
;
Di WANG
;
Xueli JI
;
Li ZHANG
;
Yangchun ZHANG
;
Na MA
Author Information
1. 南京医科大学第一附属医院（江苏省人民医院）急诊室，南京 210029
- Keywords:
Nurses;
Emergency Department;
Organizational silence;
Work environment;
Psychological capital;
Mediating effect;
Path analysis
- From:
Chinese Journal of Modern Nursing
2023;29(18):2457-2462
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status quo of organizational silence behavior of nurses in Emergency Department, and analyze the influence of working environment and psychological capital on organizational silence.Methods:This study was a cross-sectional study. Using the convenient sampling method, a total of 232 emergency department nurses from 5 ClassⅢ Grade A hospitals in Jiangsu Province were selected as the research objects from April to June 2022. The research objects were surveyed using the general information survey questionnaire, Nurse Organization Silence Assessment Questionnaire, Nurse Work Environment Scale and Nurse Psychological Capital Scale. Pearson correlation was used to analyze the correlations among organizational silence, work environment and psychological capital. The mediation model was modeled using AMOS 24.0 software, and the Bootstrap method was used to verify the mediating effect of psychological capital between work environment and organizational silence. A total of 232 questionnaires were sent out in this study, and 210 were effectively received with effective recovery of 90.5% (210/232) .Results:The organizational silence score of 210 emergency department nurses was (54.70±15.02), The working environment score was (80.72±11.07), and the psychological capital score was (71.59±11.57). Organizational silence was negatively correlated with work environment and psychological capital scores ( r=-0.309, -0.670, respectively; P<0.05) ; Working environment was positively correlated with psychological capital score ( r=0.266, P<0.05). The mediating effect analysis showed that psychological capital had a partial mediating effect between working environment and organizational silence (β=-0.311, P<0.05). The direct effect size of working environment on organizational silence was -0.241 ( P<0.05) . Conclusions:The organizational silence of nurses in emergency department is at a medium high level, and the working environment can indirectly affect the organizational silence through psychological capital. Nursing managers can improve organizational silence by creating a healthy working environment, cultivating nurses' psychological capital and creating more opportunities to communication.
