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Original Articles

병원 간호사의 조직침묵에 관한 근거이론적 접근

원문정보

Nurses’ Organizational Silence in Hospitals : A Grounded Theoretical Approach

이경희, 유명순

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초록

영어

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.

목차

Abstract
서론
1. 연구의 필요성
2. 연구목적
연구방법
1. 연구설계
2. 연구대상
3. 자료수집
4. 자료분석
5. 윤리적 고려
연구결과
1. 병원간호사 조직침묵 개념의 구성
논의
결론 및 제언
REFERENCES

저자정보

  • 이경희 Yi, Kyunghee. 두원공과대학교 간호학과 조교수
  • 유명순 You, Myoungsoon. 서울대학교 보건대학원 보건학과ㆍ보건환경연구소 교수

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