Alhojairi Hanadi Mohammed, Elseesy Naglaa Abdelaziz Mahmoud, Mahran Sabah Mahmoud, Banakhar Maram Ahmed, Alsharif Fatmah
King Faisal Specialist Hospital and Research Centre, Madinah, Saudi Arabia.
Faculty of Nursing, Public Health Department, King Abdulaziz University, Jeddah, Saudi Arabia.
Int J Nurs Sci. 2024 Oct 16;11(5):553-562. doi: 10.1016/j.ijnss.2024.10.006. eCollection 2024 Nov.
The motives that lead to nurses' workplace silence behaviour are essential to understand, as the failure to voice their concerns and maintain silence may cause various adverse outcomes, including burnout, turnover, job dissatisfaction, low productivity, and mental and moral distress. This study aimed to identify the level and influencing motives of the workplace silence behaviour among nurses at the National Guard Hospital in Madinah.
A descriptive cross-sectional survey was conducted in January and February 2023. The participants completed a questionnaire with two parts: the sociodemographic data form and the Workplace Silence Behavior Nursing Motives Scale. Data analysis was performed by descriptive statistics and the chi-square test.
The overall level for all workplace silence behavior motives is moderate (3.29 ± 0.69), with Avoidance Motives dimension receiving the highest scores (3.62 ± 0.75) and Organization-Oriented Motives dimension receiving the lowest (3.15 ± 0.86). Chi-square test showed that Saudi nationality = 0.015, = 0.019 and monthly income = 0.045 = 0.013) are factors in high-moderate levels of silence behaviour.
The overall level of workplace silence behaviour motives was found to be moderate, nurses have higher monthly salaries and non-Saudi nationals tend to have higher levels of workplace silence behaviour motives. The study results provide a reference for nursing managers to pay attention to nurses' workplace silence behavior and take corresponding intervention measures.
了解导致护士工作场所沉默行为的动机至关重要，因为未能表达担忧并保持沉默可能会导致各种不良后果，包括职业倦怠、离职、工作不满、低生产率以及心理和道德困扰。本研究旨在确定麦地那国民警卫队医院护士工作场所沉默行为的程度及其影响动机。
于2023年1月和2月进行了一项描述性横断面调查。参与者完成了一份包含两部分的问卷：社会人口统计学数据表和工作场所沉默行为护理动机量表。数据分析采用描述性统计和卡方检验。
所有工作场所沉默行为动机的总体水平为中等（3.29±0.69），其中回避动机维度得分最高（3.62±0.75），组织导向动机维度得分最低（3.15±0.86）。卡方检验表明，沙特国籍（=0.015，=0.019）和月收入（=0.045 =0.013）是导致中高水平沉默行为的因素。
研究发现工作场所沉默行为动机的总体水平为中等，护士月收入较高，非沙特籍护士的工作场所沉默行为动机水平往往较高。研究结果为护理管理者关注护士工作场所沉默行为并采取相应干预措施提供了参考。
