Objective:

To understand the current status of silence behavior, psychological capital, and job embeddedness among operating room (OR) nurses, and to explore the relationships among these factors.

Approach:

• Study Design: A cross-sectional study design was employed with participants recruited from four hospitals in Henan Province, China, using convenience sampling.
• Data Collection: Participants completed the General Socio-Demographic Characteristics questionnaire, the Psychological Capital Scale, the Job Embeddedness Scale, and the Silence Behavior Scale.
• Data Analysis: Structural equation modeling was performed using SPSS version 25.0 and AMOS version 26.0 to analyze the interrelationships among the factors.

Key Findings:

• 395 nurses participated, with an average age of 32.68 years.
• Moderate levels of psychological capital, job embeddedness, and silence behavior were observed.
• Silence behavior exhibited a negative correlation with psychological capital.
• Job embeddedness showed a significant negative correlation with silence behavior and a positive correlation with psychological capital.
• Job embeddedness partially mediated the relationship between psychological capital and silence behavior.

Interpretation:

Limitations:

• The study used convenience sampling, which may limit generalizability.
• Cross-sectional design does not allow for causal inferences.

Conclusion: