Latent profile analysis and influencing factors of voice behavior among head nurses
10.3760/cma.j.cn115682-20241207-06727
- VernacularTitle:护士长建言行为的潜在剖面分析及影响因素研究
- Author:
Liyan ZHANG
1
;
Shuangying HUANG
;
Xiaoqin MA
;
Xiaohuan ZHAO
;
Zhihao HAN
;
Xianming WENG
Author Information
1. 浙江中医药大学附属第一医院心肺康复科，杭州 311122
- Publication Type:Journal Article
- Keywords:
Head nurse;
Voice behavior;
Latent profile analysis;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2025;31(24):3299-3306
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the latent profiles of voice behavior among head nurses and to explore the influencing factors associated with different voice behavior categories.Methods:A convenience sampling method was used to recruit 527 head nurses from 104 medical institutions across 17 provinces in East, South, Central, North, Northwest, Southwest, and Northeast China between November 2023 and January 2024. Data were collected using a General Information Questionnaire, Voice Behavior Scale, Organizational Justice Scale, General Self-Efficacy Scale, and a Brief Personality Inventory. Latent profile analysis was conducted to identify subgroups of voice behavior, and multinomial Logistic regression was performed to explore influencing factors.Results:The score of head nurses' voice behavior was (45.84±6.88). Three latent profiles were identified: low-capacity fluctuating type, medium-capacity stable type, and high-capacity promoting type. Logistic regression analysis showed that openness personality trait, organizational justice, self-efficacy, and hospital grade were significant predictors of voice behavior profiles (all P<0.05) . Conclusions:The overall level of voice behavior among head nurses is above average, with evident heterogeneity. Nursing administrators should actively encourage voice behavior, provide timely feedback, and foster a fair organizational environment to promote a positive and constructive voice culture.
