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Why do nurses choose to stay silent?: A qualitative study.
Begüm Yalçın1, Ülkü Baykal2, Emine Türkmen3
1School of Nursing, Koc University, Istanbul, Turkey.
International Journal of Nursing Practice
|August 17, 2021
Summary
Nurses often remain silent due to fear of repercussions and a negative workplace climate. Creating psychological safety is crucial for encouraging open communication and organizational improvement in healthcare settings.
Area of Science:
- Nursing
- Organizational Psychology
- Healthcare Management
Background:
- Workplace silence hinders organizational improvement and is complex, not merely the absence of speaking out.
- Understanding the multifaceted nature of silence is critical for addressing its impact on healthcare environments.
Purpose of the Study:
- To explore nurses' perspectives and experiences concerning workplace silence.
- To identify factors contributing to nurses' decisions to remain silent.
Main Methods:
- Exploratory qualitative design utilizing semi-structured interviews.
- Snowball sampling method employed to recruit 24 nurses in 2016.
Main Results:
- Thematic analysis revealed three core themes: fear, silence climate, and disengagement.
- Fear subthemes included avoiding troublemaker labels, financial concerns, and reluctance to admit knowledge gaps.
- Nurses reported remaining silent in environments lacking support and psychological safety.
Conclusions:
- Fostering open communication and psychological safety is vital for nursing work environments.
- Encouraging nurses to voice opinions can empower them as change agents for improved healthcare practices.
- Addressing the root causes of silence is essential for organizational development in nursing.
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