护士沉默行为现状的多中心调查研究
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摘要
目的调查护士沉默行为现状并分析其影响因素。方法采用沉默行为量表对湖南省醴陵市6所医院1 012名护士进行调查。结果临床护士沉默行为得分为(34. 50±9. 91)分,得分较高的3个条目均来自"默许性沉默维度",得分较低的三3个条目均来自"漠视性沉默维度"。结论临床护士的沉默行为处于中等水平。护理管理者应该注重自身领导风格,多给护士发言的机会并适当采纳意见,打造开放和谐的科室氛围,医院也应多创造护士学习和活动的机会,提高护士的参与感,从而降低护士的沉默行为。
Objective To comprehend the level and determinants of silence behaviors among nurses. Methods Totally,1012 nurses from in 6 hospitals in Liling city of Hunan Province were surveyed using a self-designed general information questionnaire and the Silent Behavior Scale. Results Clinical nurses scored (34. 50 ± 9. 91) points in silence behaviors; the three items with the highest scores all came from the " acquiescent silence dimension" and the three items with the loweest scores all came from the " indifferent silence dimension". Conclusion Silence behaviors in clinical nurses was at medium level. Nursing managers should pay attention to their own lea-dership styles,give nurses more opportunities to speak up and actively take nurses' opinions to create an open and harmonious atmosphere. Hospital managers should also create more opportunities for nurses' learning and activities,and improve nurses' sense of participation,so as to reduce nurses' silence behaviors.
Objective To comprehend the level and determinants of silence behaviors among nurses. Methods Totally,1012 nurses from in 6 hospitals in Liling city of Hunan Province were surveyed using a self-designed general information questionnaire and the Silent Behavior Scale. Results Clinical nurses scored (34. 50 ± 9. 91) points in silence behaviors; the three items with the highest scores all came from the " acquiescent silence dimension" and the three items with the loweest scores all came from the " indifferent silence dimension". Conclusion Silence behaviors in clinical nurses was at medium level. Nursing managers should pay attention to their own lea-dership styles,give nurses more opportunities to speak up and actively take nurses' opinions to create an open and harmonious atmosphere. Hospital managers should also create more opportunities for nurses' learning and activities,and improve nurses' sense of participation,so as to reduce nurses' silence behaviors.
引文
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[15]张茜,张桂青,翟永莉,等.护理人员职业认同与生存质量的相关分析[J].护理学杂志,2009,24(2):63-64.
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[18]姜亚平.病房护士长在护理团队建设中的作用[J].中国实用护理杂志,2009,25(2):62-63.
[2]王福华.精神科护士负性情绪与沉默行为的相关分析[J].中国民康医学,2016,28(22):1-4.
[3]王巧红,杨辉.护士组织沉默现状及其与工作绩效的关系[J].护理研究,2016,30(5):1861-1863.
[4]李孝应,魏顺,顾建平,等.组织内社会资本、心理安全感与员工沉默行为关系研究[J].商业时代,2014,33(36):93-95.
[5]钟彤,陈沁,梁敏余,等.护士沉默行为与工作疏离感、组织氛围的关系研究[J].中国护理管理,2016,16(4):472-476.
[6]王冬华,李妙,周志伟,等.三甲医院护士沉默行为现状及其影响因素调查[J].护理学杂志,2018,33(5):59-62.
[7]Harmanci Seren A K,Topcu I,Eskin Bacaksiz F,et al.Organisational silence among nurses and physicians in public hospitals[J].J Clin Nurs,2018,27(7-8):1440-1451.
[8]Morrow K J,Gustavson A M,Jones J.Speaking up behaviours (safety voices) of healthcare workers:a metasynthesis of qualitative research studies.[J].Int J Nurs Stud,2016,64(10):42-51.
[9]Gkorezis P,Panagiotou M,Theodorou M.Workplace ostracism and employee silence in nursing:the mediating role of organizational identification[J].J Adv Nurs,2016,72(10):2381-2388.
[10]Polat S,Kutlu L,Ay F,et al.The relationship between work-family conflict,organizational silence and social support in nurses at a university hospital[J].J Psychiatric Nurs2,2018,9(3):195-204.
[11]?aylak E,Altuntas S.Organizational silence among nurses:the impact on organizational cynicism and intention to leave work[J].J Nurs Res,2017,25(2):90-98.
[12]Kilinc E,Ulusoy H.Investigation of organizational citizenship behavior,organizational silence and employee performance at physicians and nurses,and the relationship among them[J].Business Management Dynamics,2014,3(11):25-34.
[13]Eriguc G,Ozer O,Turac I S,et al.The causes and effects of the organizational silence:on which issues the nurses remain silent?[J].International Journal of Ma-nagement E-conomics and Business,2014,10(22):131-153.
[14]秦秀宝,丁淑贞.护士职业获益感研究进展[J].护理学杂志,2017,32(15):102-105.
[15]张茜,张桂青,翟永莉,等.护理人员职业认同与生存质量的相关分析[J].护理学杂志,2009,24(2):63-64.
[16]崔胜男.基于组织氛围的员工沉默行为研究[D].成都:西南石油大学,2012.
[17]赵士宏,张明欢,王悦娜,等.医院组织创新气氛与护士对优质护理评价的相关性研究[J].护理学杂志,2014,29(5):41-43.
[18]姜亚平.病房护士长在护理团队建设中的作用[J].中国实用护理杂志,2009,25(2):62-63.