Abstract

Objective To explore the influence of voice behavior of nurses on nursing practice environment so as to provide a reference for clinical nursing managers to improve nursing practice environment. Methods From January to May 2017, we selected 300 nurses from three ClassⅢ Grade B hospitals in Ningbo City as subjects by convenience sampling. The questionnaire survey was carried out with the Voice Behavior Scale (VBS) and the Practice Environment Scale of the Nursing Work Index (PES-NWI) to understand the status of nurses' voice behavior and nursing practice environment and to explore the correlation between them. A total of 300 questionnaires were sent out and 292 valid questionnaires were collected with 97.3% for the recovery rate. Results Among 292 nurses, the total score of PES-NWI was (76.67±13.34) . Nurses' voice behavior had a positive correlation with the nursing practice environment (r=0.328, P<0.01) . Hierarchical regression analysis showed the main influencing factors of nursing practice environment of nursing included promotive voice behavior and prohibitive voice behavior after controlling demographic variables. Conclusions The voice behavior of nurses remains to be improved and has preferences. Clinical managers should formulate targeted intervention according to the deficiencies of nurses' voice behavior to improve nursing practice environment. Key words: Nurses; Voice behavior; Nursing practice environment

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