Investigating the Impact of Organizational Justice on the Relationship Between Organizational Learning and Organizational Silence in Clinical Nurses: A Structural Equation Modeling Approach

IF 3.7 2区 医学 Q2 MANAGEMENT Journal of Nursing Management Pub Date : 2024-10-23 DOI:10.1155/2024/7267388
Reza Nemati-Vakilabad, Pouya Mostafazadeh, Alireza Mirzaei
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Abstract

Background: When nurses feel that the learning processes in their organization are fair and just, they are more likely to feel confident about sharing their knowledge, expressing their concerns, and contributing to the learning process. Conversely, suppose employees perceive a lack of organizational justice. In that case, they may be less likely to speak up and share their valuable input due to concerns about unfair treatment or possible negative consequences.

Objective: Nurses’ silence and organizational learning may have a connection yet to be thoroughly investigated. We are exploring whether organizational justice mediates this relationship by improving nurses’ perception of it and reducing silence among them.

Methods: A study was conducted in Ardabil, Iran, to analyze the correlation between organizational learning, organizational justice, and organizational silence among 319 healthcare professionals from five hospitals. The study utilized three assessment tools: the organizational learning questionnaire, the organizational justice scale, and the organizational silence scale. The collected data were analyzed using IBM SPSS Statistics, and a structural equation model (SEM) was developed using the bootstrap method in AMOS 24.0 to test the proposed model.

Results: Our study found a strong positive relationship between organizational learning and organizational justice and a significant negative correlation between organizational learning and silence. Also, there was a significant negative relationship between organizational justice and silence. SEM showed that organizational learning indirectly affects organizational silence through organizational justice as a mediator, explaining 72.3% of all variance in organizational silence.

Conclusion: Our findings indicated that organizational learning is positively associated with justice but negatively associated with silence. When nurses experience organizational justice, they are less likely to remain silent. Encouraging nurses to share their opinions and concerns reduces silence and improves working conditions, morale, and patient care. Further research is needed to understand the complex interplay between organizational learning, justice, and silence in nursing settings.

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调查组织公正对临床护士组织学习与组织沉默之间关系的影响:结构方程模型方法
背景:如果护士认为组织中的学习过程是公平公正的,他们就更有可能自信地分享自己的知识、表达自己的担忧并为学习过程做出贡献。相反,如果员工认为组织缺乏公正。在这种情况下,由于担心受到不公平待遇或可能产生负面影响,他们可能不太愿意说出自己的想法并分享自己的宝贵意见。 目标:护士的沉默与组织学习之间可能存在某种联系,但这种联系尚未得到深入研究。我们正在探索组织公正是否会通过改善护士对组织公正的认知并减少他们的沉默来调解这种关系。 研究方法在伊朗的阿尔达比勒市开展了一项研究,分析来自五家医院的 319 名医护人员的组织学习、组织公正和组织沉默之间的相关性。研究使用了三种评估工具:组织学习问卷、组织公正量表和组织沉默量表。收集到的数据使用 IBM SPSS 统计软件进行分析,并在 AMOS 24.0 中使用引导法建立了一个结构方程模型(SEM)来检验提出的模型。 结果我们的研究发现,组织学习与组织公正之间存在很强的正相关关系,而组织学习与沉默之间存在显著的负相关关系。同时,组织公正与沉默之间也存在明显的负相关。SEM 显示,组织学习通过组织公正作为中介间接影响组织沉默,解释了组织沉默所有方差的 72.3%。 结论我们的研究结果表明,组织学习与公正正相关,但与沉默负相关。当护士体验到组织公正时,她们就不太可能保持沉默。鼓励护士分享他们的意见和担忧会减少沉默,改善工作条件、士气和患者护理。要了解护理环境中组织学习、公正和沉默之间复杂的相互作用,还需要进一步的研究。
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来源期刊
CiteScore
9.40
自引率
14.50%
发文量
377
审稿时长
4-8 weeks
期刊介绍: The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses. The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide. The Journal of Nursing Management aims to: -Inform practitioners and researchers in nursing management and leadership -Explore and debate current issues in nursing management and leadership -Assess the evidence for current practice -Develop best practice in nursing management and leadership -Examine the impact of policy developments -Address issues in governance, quality and safety
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