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ÀÌ°æÈñ ( Yi Kyung-Hee ) - Doowon Technical University Department of Nursing
À¯¸í¼ø ( You Myoung-Soon ) - Seoul National University Graduate School of Public Health Department of Public Health Science
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Abstract
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Purpose: This study aimed to explore the constructs and context of hospital nurses¡¯ organizational silence.
Methods: In-depth interviews were conducted with 17 nurses in small-middle general hospitals as well as big university hospitals. We then derived the key themes using grounded theory method.
Results: Nine themes and 30 sub-themes were derived: ¡°Willing to be recognized for performance rather than saying¡±, ¡°Getting used to the hard-to-speak climate¡±, ¡°Face the reality that does not change when said¡±, ¡°Complicated situation that prevents self-regulating decision-making¡±, ¡°Conflicts that are difficult to confront¡±, ¡°Unfair responsibilities that I want to evade¡±, ¡°Leaders who don¡¯t support me¡±, and ¡°Being blocked in communication¡±. Consequently, the nurses learned to adopt a climate of silence and ¡°learned organizational silence¡± behavior. They experienced that prosocial silence was essential for obtaining approval as a member of the group, and defensive silence for protecting themselves in the hierarchical structure and unfair responsibilities. Acquiescent silence originated from a futile relationship with their supervisors, one-way communications, and the unsupportive management system, in which three types of silence appeared sequentially or in combination with each other.
Conclusion: Based on these results, nursing managers should identify the context of nurses¡¯ organizational silence and should lessen these silence behaviors.
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KeyWords
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Nurses, Hospitals, Communication, Culture, Grounded theory
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