Sun Jia-Xi, Liu Fu-Yan, Hao Wen-Nv
School of Nursing, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Department of Emergency, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Medicine (Baltimore). 2025 Mar 14;104(11):e41755. doi: 10.1097/MD.0000000000041755.
Organizational citizenship behavior can improve work efficiency and employee participation. This study systematically evaluated the level of organizational citizenship behavior of clinical nurses and meta-analysis the factors that affect it in terms of personal characteristics. The conclusions provide valuable recommendations for nursing managers to focus on cultivating organizational citizenship behavior.
Adhering to the preferred reporting items for Systematic Reviews and Meta-analyses guidelines, we searched PubMed, Cochrane Library, Web of Science, Embase, ScienceDirect, Wiley Online Library, Scopus, China National Knowledge Infrastructure, SinoMed, Wanfang and VIP 11 databases from the inception of the databases until November 2023. Subsequently, 2 researchers independently screened the literature, extracted data, and evaluated the risk of bias in the included studies. Meta-analysis was performed using Stata 15.0 and RevMan 5.4 software.
Twenty cross-sectional studies were included. The sample comprised 8657 nurses. The results of the meta-analysis showed that marital status, employment types, participation in mental health-related training, professional titles, and years of work experience affected nurses' organizational citizenship behavior were the influencing factors of nurses' organizational citizenship behavior (P < .05).
The findings suggest that the level of organizational citizenship behavior among nurses is relatively high, but it still needs to be maintained. This result suggests that nursing managers should pay more attention to cultivating nurses' organizational citizenship behavior to improve organizational efficiency and further improve the quality of high-quality nursing services.
组织公民行为可提高工作效率和员工参与度。本研究系统评估了临床护士的组织公民行为水平，并从个人特征方面对影响其的因素进行了荟萃分析。研究结论为护理管理者关注培养组织公民行为提供了有价值的建议。
遵循系统评价和荟萃分析的首选报告项目指南，我们检索了PubMed、Cochrane图书馆、科学网、Embase、ScienceDirect、Wiley在线图书馆、Scopus、中国知网、中国生物医学文献数据库、万方和维普11个数据库，检索时间从各数据库建库至2023年11月。随后，2名研究人员独立筛选文献、提取数据并评估纳入研究的偏倚风险。使用Stata 15.0和RevMan 5.4软件进行荟萃分析。
纳入20项横断面研究。样本包括8657名护士。荟萃分析结果显示，婚姻状况、就业类型、参加心理健康相关培训情况、职称和工作年限是影响护士组织公民行为的因素（P < .05）。
研究结果表明，护士的组织公民行为水平相对较高，但仍需保持。这一结果表明，护理管理者应更加关注培养护士的组织公民行为，以提高组织效率，进一步提升优质护理服务质量。
