Analysis of the Current Situation and Influencing Factors of Nurses’ Voice Behavior in Neonatal Intensive Care Units of Grade A Tertiary Hospitals in Sichuan Province: A Multicenter Cross‐Sectional Study DOI Creative Commons

Xiujuan Zhang,

Qiong Chen, Yanling Hu

et al.

Journal of Nursing Management, Journal Year: 2025, Volume and Issue: 2025(1)

Published: Jan. 1, 2025

Aims: Voice behavior refers to nurses' proactive actions in offering constructive suggestions, providing feedback, or raising concerns the workplace, which are crucial for enhancing care quality and improving work environment. This study aims investigate current status influencing factors of voice among nurses neonatal intensive units (NICUs) tertiary hospitals Sichuan Province, empirical evidence improved nursing management hospital administration. Design: A multicenter, crosssectional survey. Methods: From January June 2023, 422 from Province were selected through stratified random sampling. Data collected self-reported questionnaires, including a general information questionnaire scale. The scale consists 10 items, divided into promotive prohibitive dimensions, using five-point Likert (1 = "never" 5 "always"). has been widely used Chinese demonstrates good internal consistency (Cronbach's α 0.951). analysis was conducted SPSS Version 26.0. Structural validity assessed exploratory factor (KMO > 0.8, Bartlett's test p < 0.05), followed by confirmatory AMOS. For group comparisons, independent t-tests variance (ANOVA) used, with Welch's unequal variances. Post hoc multiple comparisons performed Tamhane's T2 variances LSD equal p-value 0.05 considered statistically significant. Results: Age, marital status, number children significantly influenced behavior. increased age up 50 years, unmarried individuals exhibited less than married divorced ones, more correlated Job title, position, years experience department also impacted Higher positions 15 associated Senior titles higher Conclusion: NICU is various factors, age, children, job department. As increases, grows, accumulates, tends intensify. In particular, senior nurses, managers should pay attention their encourage active involvement decision-making processes enhance care. Nursing tailor strategies based on these individual characteristics, customized support at different levels. At same time, emphasis be placed creating psychologically safe environment stimulate initiative creativity, thereby team communication collaboration. approach will contribute ensure patient safety NICUs. Implications Profession: Understanding helps nurse participation quality. can implement following strategies: (1) create environment: open ensuring feel opinions valued, clear channels feedback action, (2) address behavior: provide leadership training transform negative promoting collaboration improvement, (3) experience: offer mentorship new while encouraging experienced take roles decision-making, (4) incentivize contributions: develop reward systems recognize care, such as acknowledging innovative ideas participation.

Language: Английский

Navigating Toxicity: Investigating the Interplay Between Workplace Gaslighting, Workaholism, and Agility Among Nurses DOI
Ahmed Abdelwahab Ibrahim El‐Sayed, Samira Ahmed Alsenany, Mohamed Hussein Ramadan Atta

et al.

Nursing Inquiry, Journal Year: 2025, Volume and Issue: 32(1)

Published: Jan. 1, 2025

ABSTRACT Toxic workplace environments, especially those involving gaslighting, are known to contribute stress and excessive work habits, such as workaholism, which may hinder a nurse's agility—an essential skill in adapting fast‐paced healthcare environments. However, the interplay between agility nursing remains underexplored. This study aims investigate relationship among nurses, focusing on how gaslighting moderates this relationship. is multicenter cross‐sectional that was conducted 594 full‐time nurses from three major hospitals Egypt. Data were collected using Gaslighting at Work Questionnaire, Workforce Agility Scale, Bergen Addiction Scale. Correlation regression analyses performed test hypotheses. Results revealed reported moderate levels of agility. Significant negative correlations found both workaholism. negatively moderated workaholism agility, exacerbating impact nurses' ability remain agile. The findings indicate toxic behaviors, undermine Regulatory safeguards necessary protect ensuring their well‐being quality services. These call for development national standards policies address mental health ensure accountability settings.

Language: Английский

Citations

3
Analysis of the Current Situation and Influencing Factors of Nurses’ Voice Behavior in Neonatal Intensive Care Units of Grade A Tertiary Hospitals in Sichuan Province: A Multicenter Cross‐Sectional Study DOI Creative Commons

Xiujuan Zhang,

Qiong Chen, Yanling Hu

et al.

Journal of Nursing Management, Journal Year: 2025, Volume and Issue: 2025(1)

Published: Jan. 1, 2025

Aims: Voice behavior refers to nurses' proactive actions in offering constructive suggestions, providing feedback, or raising concerns the workplace, which are crucial for enhancing care quality and improving work environment. This study aims investigate current status influencing factors of voice among nurses neonatal intensive units (NICUs) tertiary hospitals Sichuan Province, empirical evidence improved nursing management hospital administration. Design: A multicenter, crosssectional survey. Methods: From January June 2023, 422 from Province were selected through stratified random sampling. Data collected self-reported questionnaires, including a general information questionnaire scale. The scale consists 10 items, divided into promotive prohibitive dimensions, using five-point Likert (1 = "never" 5 "always"). has been widely used Chinese demonstrates good internal consistency (Cronbach's α 0.951). analysis was conducted SPSS Version 26.0. Structural validity assessed exploratory factor (KMO > 0.8, Bartlett's test p < 0.05), followed by confirmatory AMOS. For group comparisons, independent t-tests variance (ANOVA) used, with Welch's unequal variances. Post hoc multiple comparisons performed Tamhane's T2 variances LSD equal p-value 0.05 considered statistically significant. Results: Age, marital status, number children significantly influenced behavior. increased age up 50 years, unmarried individuals exhibited less than married divorced ones, more correlated Job title, position, years experience department also impacted Higher positions 15 associated Senior titles higher Conclusion: NICU is various factors, age, children, job department. As increases, grows, accumulates, tends intensify. In particular, senior nurses, managers should pay attention their encourage active involvement decision-making processes enhance care. Nursing tailor strategies based on these individual characteristics, customized support at different levels. At same time, emphasis be placed creating psychologically safe environment stimulate initiative creativity, thereby team communication collaboration. approach will contribute ensure patient safety NICUs. Implications Profession: Understanding helps nurse participation quality. can implement following strategies: (1) create environment: open ensuring feel opinions valued, clear channels feedback action, (2) address behavior: provide leadership training transform negative promoting collaboration improvement, (3) experience: offer mentorship new while encouraging experienced take roles decision-making, (4) incentivize contributions: develop reward systems recognize care, such as acknowledging innovative ideas participation.

Language: Английский

Citations

0