Breaking the silence: a cross-sectional study of psychological capital, job embeddedness, and silence behavior in operating room nurses - Report - MDSpire

Breaking the silence: a cross-sectional study of psychological capital, job embeddedness, and silence behavior in operating room nurses

  • By

  • Jinfeng Qi

  • Yu Zhang

  • Qiaomei Cheng

  • Shuai Wang

  • Zhi Zou

  • July 1, 2026

  • 0 min

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Clinical Report: Examining the Interplay of Psychological Capital, Job Embeddedness, and Silence Behavior Among Operating Room Nurses

Overview

This study investigates the relationships among psychological capital, job embeddedness, and silence behavior in operating room nurses. Findings indicate that silence behavior is negatively correlated with psychological capital and that job embeddedness mediates this relationship.

Background

Operating room nurses face high-stress environments that can lead to silence behavior, where they withhold important clinical information. Understanding the factors influencing this behavior, such as psychological capital and job embeddedness, is crucial for improving communication and patient safety in surgical settings.

Data Highlights

VariableCorrelation
Psychological CapitalNegative with Silence Behavior
Job EmbeddednessNegative with Silence Behavior
Job EmbeddednessPositive with Psychological Capital

Key Findings

  • A total of 395 OR nurses participated in the study.
  • The average age of participants was 32.68 years.
  • Silence behavior among OR nurses was found to be at a moderate level.
  • Job embeddedness partially mediates the relationship between psychological capital and silence behavior.
  • Both psychological capital and job embeddedness were positively correlated.

Clinical Implications

Enhancing psychological capital and job embeddedness may reduce silence behavior among OR nurses, potentially improving communication and patient safety. Managers should consider strategies to foster these factors in their teams.

Conclusion

The study highlights the moderate levels of silence behavior, psychological capital, and job embeddedness among OR nurses.

Related Resources & Content

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  2. Frontiers in Medicine, 2026 -- Transition shock and perceived patient safety culture among newly graduated nurses: a latent profile and chained mediation analysis
  3. BMC Psychiatry (Springer), 2025 -- The Impact of Workplace Thriving on the Relationship Between Emotional Labor and Presenteeism Among Psychiatric Nurses With and Without Sleep Issues
  4. Frontiers in Medicine, 2026 -- The double‑edged sword of calling: mediating nursing practice environment and missed care – a cross‑sectional study
  5. AANA, AORN, ASPAN Position Statement on Workplace Civility, 2026
  6. Relationship between psychological capital and nursing burnout: A systematic review and meta‐analysis - PMC
  7. Heeding the voices of nurses: a systematic review and meta-analysis of organizational silence levels among clinical nurses | BMC Nursing | Springer Nature Link
  8. AANA, AORN, ASPAN Position Statement on Workplace Civility
  9. Relationship between psychological capital and nursing burnout: A systematic review and meta‐analysis - PMC
  10. Heeding the voices of nurses: a systematic review and meta-analysis of organizational silence levels among clinical nurses | BMC Nursing | Springer Nature Link

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