Li Zifeng, Yang Luhuan, Xi Zuyang, Yi Wen, Fu Yuanzhi, Chang Caiyun, Lei Yunhong
The First College of Clinical Medical Science, Three Gorges University, Yichang Central People's Hospital, Yichang City, Hubei Province, 443003, China.
University Putra Malaysia, Serdang, Selangor, 43400, Malaysia.
BMC Nurs. 2025 Jan 6;24(1):14. doi: 10.1186/s12912-024-02677-3.
This study aimed to assess the relationship between compulsory citizenship behavior and nurses' silence.
A descriptive cross-sectional online study was conducted in October 2023, targeting 402 nurses working in Yichang Central People's Hospital, Hubei Province, China. Data were collected through a structured questionnaire comprising demographic details, the Compulsory Citizenship Behavior Scale, and the Nurses' Silence Scale. Statistical analyses were conducted using SPSS 25.0, including descriptive statistics, t-tests, one-way ANOVA, Pearson correlation, and hierarchical regression analyses.
The study revealed that the overall mean score for nurses' compulsory citizenship behavior was 14.63 (3.99), while the overall mean score for nurses' silence was 32.78 (8.28). Significant differences in compulsory citizenship behavior scores were observed among nurses with varying levels of work experience (P < 0.05). Similarly, significant variations in silence scores were identified according to work experience and employment type (P < 0.05). After adjusting for work experience and employment type, a significant correlation was identified between compulsory citizenship behavior and nurses' silence (P < 0.05).
Nurses exhibited moderate levels of compulsory citizenship behavior and silence. Additionally, a significant positive correlation was revealed between compulsory citizenship behavior and nurses' silence.
Nursing administrators should implement targeted measures to lower compulsory citizenship behavior, thereby fostering a more open and communicative environment within the organization, and encouraging nurses to express their opinions more freely.
本研究旨在评估强制性公民行为与护士沉默之间的关系。
2023年10月进行了一项描述性横断面在线研究，目标是湖北省宜昌市中心人民医院的402名护士。通过一份结构化问卷收集数据，问卷包括人口统计学细节、强制性公民行为量表和护士沉默量表。使用SPSS 25.0进行统计分析，包括描述性统计、t检验、单因素方差分析、Pearson相关性分析和分层回归分析。
研究显示，护士强制性公民行为的总体平均得分为14.63（3.99），而护士沉默的总体平均得分为32.78（8.28）。工作经验不同的护士在强制性公民行为得分上存在显著差异（P < 0.05）。同样，根据工作经验和就业类型，沉默得分也存在显著差异（P < 0.05）。在调整工作经验和就业类型后，发现强制性公民行为与护士沉默之间存在显著相关性（P < 0.05）。
护士表现出中等水平的强制性公民行为和沉默。此外，强制性公民行为与护士沉默之间存在显著正相关。
护理管理人员应采取针对性措施降低强制性公民行为，从而在组织内营造更开放和沟通的环境，并鼓励护士更自由地表达意见。
