병원 간호사의 조직침묵에 관한 근거이론적 접근

• 영문명: Nurses’ Organizational Silence in Hospitals: A Grounded Theoretical Approach
• 발행기관: 한국직업건강간호학회
• 저자명: 이경희 유명순
• 간행물 정보: 『한국직업건강간호학회지』제31권 제2호, 66~76쪽, 전체 11쪽
• 주제분류: 의약학 > 간호학
• 파일형태: PDF
• 발행일자: 2022.05.31

영문 초록

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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키워드

간호사 병원 의사소통 문화 근거이론 Nurses Hospitals Communication Culture Grounded theory