{"title":"护士组织沉默的经验：一个定性的综合。","authors":"Jingyi Zou, Xiaoxia Zhu, Xue Fu, Xiaojia Zong, Jing Tang, Chunwei Chi, Jinxia Jiang","doi":"10.1186/s12912-024-02636-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>A growing body of research shows that the organizational silence among nurses not only affects their job satisfaction and performance but also exacerbates their intention to leave their jobs, posing a threat to the long-term stability of the nursing team. Therefore, the aim of this study was to synthesize existing qualitative research to explore the real experiences of nurses' organizational silence behavior and gain insight into the motivations and feelings behind it.</p><p><strong>Design: </strong>A qualitative review.</p><p><strong>Data sources: </strong>A comprehensive search of the following international databases was performed: PubMed, Embase, CINAHL, Psyinfo, Web of Science, Cochrane Library, Medline, and Ovid, as well as Chinese databases such as the China Biomedical Database (CBM), Wanfang Database (CECDB), Chinese National Knowledge Infrastructure (CNKI) and VIP Database.</p><p><strong>Review methods: </strong>All articles concerning the experiences of organizational silence among nurses were included after thoroughly searching 12 databases. The meta-synthesis method was employed to integrate and assess the included qualitative research literature, utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to report the review. Two researchers selected and evaluated the relevant literature, which was then analyzed using meta-integration.</p><p><strong>Results: </strong>From a total of 12 articles included in the final analysis, 48 primary findings were extracted, forming 3 main themes and following 8 sub-themes: Individual character, Seniority and experience, Defensive silence, Disregardful silence, Acquiescent silence, Prosocial silence, Causing negative effects, and Causing positive effects were the eight sub-themes under these three main themes.</p><p><strong>Conclusion: </strong>Nurses' organizational silence manifests in different ways, and the motivations and experiences behind each form are different. Therefore, when managers observe nurses' silent behaviors in the organization, they should identify and assess the motivation and degree of silence and then specifically intervene to reduce the silent behaviors to the greatest possible extent.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"24 1","pages":"31"},"PeriodicalIF":3.1000,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715701/pdf/","citationCount":"0","resultStr":"{\"title\":\"The experiences of organizational silence among nurses: a qualitative meta-synthesis.\",\"authors\":\"Jingyi Zou, Xiaoxia Zhu, Xue Fu, Xiaojia Zong, Jing Tang, Chunwei Chi, Jinxia Jiang\",\"doi\":\"10.1186/s12912-024-02636-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>A growing body of research shows that the organizational silence among nurses not only affects their job satisfaction and performance but also exacerbates their intention to leave their jobs, posing a threat to the long-term stability of the nursing team. Therefore, the aim of this study was to synthesize existing qualitative research to explore the real experiences of nurses' organizational silence behavior and gain insight into the motivations and feelings behind it.</p><p><strong>Design: </strong>A qualitative review.</p><p><strong>Data sources: </strong>A comprehensive search of the following international databases was performed: PubMed, Embase, CINAHL, Psyinfo, Web of Science, Cochrane Library, Medline, and Ovid, as well as Chinese databases such as the China Biomedical Database (CBM), Wanfang Database (CECDB), Chinese National Knowledge Infrastructure (CNKI) and VIP Database.</p><p><strong>Review methods: </strong>All articles concerning the experiences of organizational silence among nurses were included after thoroughly searching 12 databases. The meta-synthesis method was employed to integrate and assess the included qualitative research literature, utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to report the review. Two researchers selected and evaluated the relevant literature, which was then analyzed using meta-integration.</p><p><strong>Results: </strong>From a total of 12 articles included in the final analysis, 48 primary findings were extracted, forming 3 main themes and following 8 sub-themes: Individual character, Seniority and experience, Defensive silence, Disregardful silence, Acquiescent silence, Prosocial silence, Causing negative effects, and Causing positive effects were the eight sub-themes under these three main themes.</p><p><strong>Conclusion: </strong>Nurses' organizational silence manifests in different ways, and the motivations and experiences behind each form are different. Therefore, when managers observe nurses' silent behaviors in the organization, they should identify and assess the motivation and degree of silence and then specifically intervene to reduce the silent behaviors to the greatest possible extent.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>\",\"PeriodicalId\":48580,\"journal\":{\"name\":\"BMC Nursing\",\"volume\":\"24 1\",\"pages\":\"31\"},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2025-01-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715701/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12912-024-02636-y\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12912-024-02636-y","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的：越来越多的研究表明，护士的组织沉默不仅会影响护士的工作满意度和工作绩效，还会加剧护士的离职意向，对护理团队的长期稳定构成威胁。因此，本研究的目的是综合已有的定性研究，探索护士组织沉默行为的真实经历，了解其背后的动机和感受。设计：定性回顾。数据来源：全面检索PubMed、Embase、CINAHL、Psyinfo、Web of Science、Cochrane Library、Medline、Ovid等国际数据库，以及中国生物医学数据库（CBM）、万方数据库（CECDB）、中国知网（CNKI）、维普数据库等中文数据库。回顾方法：对12个数据库进行全面检索，纳入所有有关护士组织沉默经历的文章。采用meta综合方法对纳入的定性研究文献进行整合和评估，采用系统评价和meta分析首选报告项目（PRISMA）报告综述。两位研究者选择并评估了相关文献，然后使用元整合法对其进行分析。结果：从最终分析的12篇文章中提取48个主要发现，形成3个主题和8个副主题：个性、资历和经历、防御性沉默、无视性沉默、默认性沉默、亲社会沉默、造成负面影响和造成积极影响是这3个主题下的8个副主题。结论：护士组织沉默有不同的表现形式，每一种形式背后的动机和经历都不同。因此，管理者在观察组织中护士的沉默行为时，应该识别和评估沉默的动机和程度，然后有针对性地进行干预，最大限度地减少沉默行为。临床试验号：不适用。
The experiences of organizational silence among nurses: a qualitative meta-synthesis.
Objective: A growing body of research shows that the organizational silence among nurses not only affects their job satisfaction and performance but also exacerbates their intention to leave their jobs, posing a threat to the long-term stability of the nursing team. Therefore, the aim of this study was to synthesize existing qualitative research to explore the real experiences of nurses' organizational silence behavior and gain insight into the motivations and feelings behind it.
Design: A qualitative review.
Data sources: A comprehensive search of the following international databases was performed: PubMed, Embase, CINAHL, Psyinfo, Web of Science, Cochrane Library, Medline, and Ovid, as well as Chinese databases such as the China Biomedical Database (CBM), Wanfang Database (CECDB), Chinese National Knowledge Infrastructure (CNKI) and VIP Database.
Review methods: All articles concerning the experiences of organizational silence among nurses were included after thoroughly searching 12 databases. The meta-synthesis method was employed to integrate and assess the included qualitative research literature, utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to report the review. Two researchers selected and evaluated the relevant literature, which was then analyzed using meta-integration.
Results: From a total of 12 articles included in the final analysis, 48 primary findings were extracted, forming 3 main themes and following 8 sub-themes: Individual character, Seniority and experience, Defensive silence, Disregardful silence, Acquiescent silence, Prosocial silence, Causing negative effects, and Causing positive effects were the eight sub-themes under these three main themes.
Conclusion: Nurses' organizational silence manifests in different ways, and the motivations and experiences behind each form are different. Therefore, when managers observe nurses' silent behaviors in the organization, they should identify and assess the motivation and degree of silence and then specifically intervene to reduce the silent behaviors to the greatest possible extent.
期刊介绍：
BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.
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