医护人员组织沉默行为真实体验质性研究的Meta整合  

Meta-synthesis of qualitative research on the real experiences of medical staff's organizational silence behavior

作　　者：高永娥 杨嘉伟 于万慧 罗姣 刘瑞 李春玉 曹孟娇 沈玮[1] Gao Yonge;Yang Jiawei;Yu Wanhui;Luo Jiao;Liu Rui;Li Chunyu;Cao Mengjiao;Shen Wei(School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学护理学院,济南250355

出　　处：《中华现代护理杂志》2024年第32期4386-4392,共7页Chinese Journal of Modern Nursing

摘　　要：目的整合医护人员组织沉默行为的真实体验。方法系统检索PubMed、Web of Science、Embase、Cochrane Library、CINAHL、EBSCO、ProQuest、中国知网、万方数据库、维普网、中国生物医学文献数据库,收集医护人员组织沉默行为的体验质性研究,检索时限为建库至2024年6月。使用澳大利亚乔安娜布里格斯研究所质性研究质量评价标准进行文献质量评价,采用汇集整合方法对结果进行整合。结果共纳入10篇文献,将65个研究结果归纳为11个新类别,最终形成4个整合结果:组织沉默行为复杂,尊重与担心共存;觉察到组织沉默的促成因素众多;医护人员感知到的负性体验;渴望重视,寻求支持。结论医护人员组织沉默体验复杂,管理者应予以重视并引导个体积极建言,提供多元支持,增强正性体验,以减轻组织沉默现象。Objective To synthesize the real experiences of medical staff's organizational silence behavior.MethodsA systematic search was conducted in databases including PubMed,Web of Science,Embase,Cochrane Library,CINAHL,EBSCO,ProQuest,China National Knowledge Infrastructure,Wanfang Data,VIP,and China Biology Medicine disc,collecting qualitative studies on medical staff's experiences related to organizational silence behavior.The search period covered the establishment of the databases until June 2024.The quality of the included studies was assessed using the Joanna Briggs Institute's qualitative research quality evaluation standards,and results were integrated using an aggregative synthesis approach.Results A total of 10 studies were included,with 65 findings summarized into 11 new categories,which were further synthesized into four overarching conclusions:organizational silence is complex,with respect and concern coexisting,many factors contribute to organizational silence,medical staff experience negative emotions as a result of organizational silence,there is a desire for recognition and support.Conclusions The experience of organizational silence behavior among medical staff is complex.Managers should focus on this issue,encourage individuals to voice their concerns,provide diverse support mechanisms,and enhance positive experiences to reduce the prevalence of organizational silence.

关 键 词：护士 医护人员 组织沉默 质性研究 Meta整合 

分 类 号：R47[医药卫生—护理学]