Mediating role of organizational silence between change fatigue and job crafting among clinical nurses
10.20001/j.issn.2095-2619.20260411
- VernacularTitle:组织沉默在临床护士变革疲劳和工作形塑间的中介作用
- Author:
Geli JIANG
1
;
Yuanyuan SONG
;
Jing WANG
;
Miao MA
Author Information
1. Northwest Women′s and Children′s Hospital, Xi′an, Shaanxi 710000, China
- Publication Type:Journal Article
- Keywords:
Clinical nurses;
Job crafting;
Change fatigue;
Organizational silence;
Mediating effect
- From:
China Occupational Medicine
2026;53(2):186-191
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the status of job crafting, change fatigue, and organizational silence among clinical nurses, and to examine the mediating role of organizational silence in the relationship between change fatigue and job crafting. Methods A total of 500 clinical nurses from a tertiary grade A hospital in Shaanxi Province were selected as study participants using the convenience sampling method. The level of job crafting, change fatigue, and organizational silence was assessed using the Job Crafting Scale, Change Fatigue Scale, and Organizational Silence Scale, and the mediating effect of organizational silence between change fatigue and job crafting was examined by the Bootstrap method among clinical nurses. Results The mean scores of job crafting, change fatigue, and organizational silence among clinical nurses were (59.0±11.7), (22.9±5.6), and (81.3±8.5), respectively. Multiple linear regression analysis showed that higher education level, longer working years, and more severe change fatigue were associated with higher job crafting scores among clinical nurses (all P<0.05). A higher level of organizational silence was related to lower job crafting scores (P<0.01). Mediation analysis showed that organizational silence was negatively associated with both change fatigue and job crafting among clinical nurses (all P<0.01), while change fatigue was positively associated with job crafting (P<0.01). Organizational silence partially mediated the relationship between change fatigue and job crafting. The direct effect of change fatigue on job crafting was 0.26, and the indirect effect of organizational silence was 0.70, accounting for 72.8% of the total effect. Conclusion Organizational silence mediates the relationship between change fatigue and job crafting. Reducing organizational silence may help enhance the level of job crafting among nurses.
