Relation between Healthcare Organizational Silence and its Effectiveness among Nurses

Gomaa, Fryal Mohamed Ahmed; El Saied, Karima Ahmed; El-Bus, Loly Mohamad Shawky

doi:10.21608/tsnj.2025.464029

Relation between Healthcare Organizational Silence and its Effectiveness among Nurses

Document Type : Original Article

Authors

¹ 1Master Student of Nursing Administration, Faculty of Nursing, Tanta University, Egypt. 2Nursing Specialist at Psychiatry and Neurology center, Tanta University Egypt.

² Professor of Nursing Administration, Nursing Administration Department, Faculty of Nursing, Tanta University, Egypt.

³ Lecturer of Nursing Administration, Nursing Administration Department, Faculty of Nursing, Tanta University, Egypt.

10.21608/tsnj.2025.464029

Abstract

Background: Organizational silence represents a behavioral response that can either hinder or enhance organizational performance. It may signal agreement and cooperation or, conversely, disagreement and resistance, thereby functioning as a source of pressure for both nurses and the organization. Therefore, healthcare institutions should identify the underlying causes of organizational silence among nurses, as it significantly influences their level of commitment to work and overall organizational effectiveness. Aim: Assess the relation between healthcare organizational silence and its effectiveness among nurses. Design: A descriptive correlational research design was used. Setting: The study was conducted at Tanta University Psychiatry, Neurology and Neurosurgery Center which affiliated to Ministry of High Education and Scientific Research. Subjects: All (n=336) nurses. Tools: It involved organizational silence and health care organizational effectiveness questionnaires. Results: Nearly half (48.5%) of nurses exhibited a high level of overall organizational silence and the majority (90.5%) of them had a low level of overall organizational effectiveness. Conclusion: There was a statistically significant negative correlation between overall silence and overall effectiveness. Recommendations: Hospital management provides training courses, workshops and educational programs for nurses regarding organizational silence and organizational effectiveness and establishes a system of reward and retention of nurses.