The relationship between organizational trust and voice behavior among neonatal intensive care unit nurses in tertiary A hospitals in Sichuan Province: the mediating role of career resilience

作者：Xiu Juan Zhang, Xi Huang, Yanling Hu, Qiong Chen, Xiufang Zhao · 发表于：Frontiers in Public Health · 年份：2024 · DOI：10.3389/fpubh.2024.1505641 · 被引用次数：8 · 研究领域：Nursing education and management、Healthcare professionals’ stress and burnout、Job Satisfaction and Organizational Behavior

Background: Neonatal intensive care unit (NICU) nurses face immense pressure, yet research on their voice behavior and the motivational mechanisms behind it is limited. Specifically, the impact of organizational trust and career resilience on this behavior has not been thoroughly explored. Aim: This study aims to examine the relationship between organizational trust and voice behavior in NICU nurses, with career resilience acting as a mediating factor, providing empirical evidence for nursing management. Methods: A multicenter cross-sectional survey was conducted from January to June 2023, involving 422 neonatal nurses from tertiary hospitals in Sichuan Province, China. Data were collected using a self-designed questionnaire, a voice behavior scale, an organizational trust scale, and a career resilience scale. Hierarchical regression and structural equation modeling (SEM) were employed to analyze the relationships among the variables. Results: < 0.001) significantly predicted voice behavior. Mediation analysis using structural equation modeling confirmed that career resilience mediated the relationship between organizational trust and voice behavior, with a mediation effect of 0.340, accounting for 44.8% of the total effect. The structural model demonstrated good fit indices (CFI = 0.962, RMSEA = 0.045), indicating the robustness of the proposed model. Conclusion: Organizational trust significantly influences NICU nurses' voice behavior, with career resilience playing a criti...