Wen Shasha, Ji Wenting, Gao Di, Lu Xianying, Zhao Ting, Gao Jing, Xu Ran
School of Nursing, Chengdu University of Traditional Chinese Medicine, No. 1166, Liutai Avenue, Wenjiang District, Chengdu, Sichuan Province, 611137, China.
Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China.
BMC Nurs. 2025 May 16;24(1):552. doi: 10.1186/s12912-025-03138-1.
Systematic integration of nursing staff perspectives constitutes a critical determinant of organizational efficacy. However, more and more studies showed that organizational silence occurred among nurses frequently. We aimed to analyze the pooled level of organizational silence in nursing field so as to provide the evidence for the nursing management.
The data were collected following predefined inclusion criteria. Two researchers independently screened studies, extracted data and assessed the quality of included studies. Stata 15.1 was used to examine the data.
There were 34 studies in total, involving 13,394 nurses from China, Turkey, and Korea. Nurses had a moderate level of organizational silence in our study, with an average mean score of 2.69 (95% CI: 2.57-2.81). Significant heterogeneity in the prevalence estimates of the included studies was detected (I = 99.00%, P < 0.001). Regression analysis did not reveal the source of heterogeneity. Subgroup analysis revealed that only the oncology department was a source of heterogeneity.
Our findings revealed a moderate level of organizational silence among nursing professionals, offering critical insights into their unmet communicative needs within healthcare institutions. This empirical evidence underscores the necessity to develop targeted intervention strategies aimed at counteracting the detrimental impacts of organizational silence on both clinical safety outcomes and long-term institutional sustainability.
系统整合护理人员的观点是组织效能的关键决定因素。然而，越来越多的研究表明，护士群体中经常出现组织沉默现象。我们旨在分析护理领域组织沉默的总体水平，为护理管理提供依据。
按照预先设定的纳入标准收集数据。两名研究人员独立筛选研究、提取数据并评估纳入研究的质量。使用Stata 15.1软件对数据进行分析。
共纳入34项研究，涉及来自中国、土耳其和韩国的13394名护士。在我们的研究中，护士的组织沉默水平处于中等程度，平均得分2.69（95%置信区间：2.57 - 2.81）。纳入研究的患病率估计存在显著异质性（I² = 99.00%，P < 0.001）。回归分析未揭示异质性来源。亚组分析显示，只有肿瘤科是异质性来源。
我们的研究结果表明护理专业人员中存在中等程度的组织沉默，这为了解他们在医疗机构中未得到满足的沟通需求提供了重要见解。这一实证证据强调了制定有针对性的干预策略的必要性，以应对组织沉默对临床安全结果和长期机构可持续性的不利影响。
