TY - JOUR
T1 - Association between nurse and hospital characteristics and organisational silence behaviours in nurses
T2 - A cross-sectional study
AU - Labrague, Leodoro J.
AU - De los Santos, Janet Alexis
N1 - Publisher Copyright:
© 2020 John Wiley & Sons Ltd
PY - 2020/11
Y1 - 2020/11
N2 - Aim: To examine the level of organisational silence among hospital nurses, and to identify the association between nurse and hospital characteristics and organisational silence behaviours in nurses. Background: Organisational silence is considered a major threat to patient safety. To date, most studies on this topic are confined to the academic and financial or banking sectors, and very few, to the nursing sector. Methods: This descriptive, cross-sectional study involved 624 licensed registered nurses from ten hospitals in the Central Philippines. Data were collected using the Organizational Silence Behaviour Scale. Reporting of this study conforms to Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guideline for cross-sectional studies. Results: The composite score of the Organizational Silence Behaviour Scale was 3.39 [standard deviation (SD) = 1.18], with prosocial ranked as the top subscale (M = 4.03, SD = 1.45). Number of years in the nursing profession (β = −0.028; p ≤.001), facility size (β = 0.451; p ≤.001) and facility location (β = −0.481; p =.001) strongly predicted organisational silence. Conclusion: Overall, nurses maintained prosocial silence to protect co-workers and the organisation. A few nurse and hospital characteristics were seen to predict and contribute to nurse silence behaviours. Implications for Nursing Management: Organisational measures directed towards empowering nurses to speak up on issues relative to patient care and nursing standards are vital. Such measures include promoting psychological safety within the workplace, establishing a reporting protocol system and implementing empirically tested interventions to enhance speaking-up behaviours among nurses.
AB - Aim: To examine the level of organisational silence among hospital nurses, and to identify the association between nurse and hospital characteristics and organisational silence behaviours in nurses. Background: Organisational silence is considered a major threat to patient safety. To date, most studies on this topic are confined to the academic and financial or banking sectors, and very few, to the nursing sector. Methods: This descriptive, cross-sectional study involved 624 licensed registered nurses from ten hospitals in the Central Philippines. Data were collected using the Organizational Silence Behaviour Scale. Reporting of this study conforms to Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guideline for cross-sectional studies. Results: The composite score of the Organizational Silence Behaviour Scale was 3.39 [standard deviation (SD) = 1.18], with prosocial ranked as the top subscale (M = 4.03, SD = 1.45). Number of years in the nursing profession (β = −0.028; p ≤.001), facility size (β = 0.451; p ≤.001) and facility location (β = −0.481; p =.001) strongly predicted organisational silence. Conclusion: Overall, nurses maintained prosocial silence to protect co-workers and the organisation. A few nurse and hospital characteristics were seen to predict and contribute to nurse silence behaviours. Implications for Nursing Management: Organisational measures directed towards empowering nurses to speak up on issues relative to patient care and nursing standards are vital. Such measures include promoting psychological safety within the workplace, establishing a reporting protocol system and implementing empirically tested interventions to enhance speaking-up behaviours among nurses.
KW - communication
KW - health care
KW - nursing
KW - organisational silence
KW - speaking up
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U2 - 10.1111/jonm.13101
DO - 10.1111/jonm.13101
M3 - Article
C2 - 32668491
AN - SCOPUS:85089178647
SN - 0966-0429
VL - 28
SP - 2196
EP - 2204
JO - Journal of Nursing Management
JF - Journal of Nursing Management
IS - 8
ER -