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Influence of Self-leadership, Managers' Authentic Leadership, and Nurses' Organizational Culture Relationships on Hospital Nurses' Organizational Silence: A Mixed Method Study
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병원간호사가 지각하는 셀프리더십, 관리자의 진성리더십, 간호조직문화가 조직침묵에 미치는 영향: 혼합연구방법 적용

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Type
Academic journal
Author
Lee, Hyun-Ju (부산가톨릭대학교) Kang, So-Young (부산가톨릭대학교)
Journal
Korean Academy of Nursing Administration Journal of Korean Academy of Nursing Administration Vol.30 No.4 KCI Excellent Accredited Journal SCOPUS
Published
2024.9
Pages
404 - 415 (12page)

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Influence of Self-leadership, Managers' Authentic Leadership, and Nurses' Organizational Culture Relationships on Hospital Nurses' Organizational Silence: A Mixed Method Study
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Purpose: This study identified the influence of self-leadership, managers’ authentic leadership, and nurses’ organizational culture relationships on hospital nurses’ organizational silence. Methods: An explanatory sequential mixed-method study was conducted. For the quantitative portion, 138 nurses from seven hospitals participated. For the qualitative portion, ten nurses with high organizational silence scores were interviewed. Quantitative data were analyzed with SPSS/WIN 26.0. Qualitative data were analyzed by content analysis using NVivo 12.0. Results: Quantitative results indicated that self-expectations and a relation-oriented culture explained 14.0% of the variance in acquiescent silence. The combined effect of rehearsal, constructive thought, and relational transparency associated with managers’ authentic leadership on prosocial silence was 15.0%. Qualitative results revealed eight primary themes related to organizational silence: 1) being unable to voice my opinion because I feel insignificant, 2) things that middle managers cannot say, 3) earnest managers, 4) receptive managers, 5) indifferent managers, 6) feeling of camaraderie, 7) selective silence based on performance, and 8) mandatory following of directives. Conclusion: Programs to improve managers’ leadership skills and reduce hospital nurses’ organizational silence should be implemented consistently. Hospitals should strive to foster a positive and equitable organizational culture.

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