Analysis of the Current Situation and Influencing Factors of Nurses’ Voice Behavior in Neonatal Intensive Care Units of Grade A Tertiary Hospitals in Sichuan Province: A Multicenter Cross‐Sectional Study

作者：Xiujuan Zhang, Qiong Chen, Yanling Hu, Xiufang Zhao, Xi Huang · 发表于：Journal of Nursing Management · 年份：2025 · DOI：10.1155/jonm/8175652 · 被引用次数：3 · 研究领域：Infant Development and Preterm Care、Neonatal Respiratory Health Research、Nursing education and management

Aims: Voice behavior refers to nurses’ proactive actions in offering constructive suggestions, providing feedback, or raising concerns in the workplace, which are crucial for enhancing care quality and improving the work environment. This study aims to investigate the current status and influencing factors of voice behavior among nurses in neonatal intensive care units (NICUs) in tertiary hospitals in Sichuan Province, providing empirical evidence for improved nursing management and hospital administration. Design: A multicenter, crosssectional survey. Methods: From January to June 2023, 422 neonatal nurses from tertiary hospitals in Sichuan Province were selected through stratified random sampling. Data were collected through self‐reported questionnaires, including a general information questionnaire and a voice behavior scale. The voice behavior scale consists of 10 items, divided into promotive and prohibitive behavior dimensions, using a five‐point Likert scale (1 = “ never ” and 5 = “ always ”). The scale has been widely used among Chinese nurses and demonstrates good internal consistency (Cronbach’s α = 0.951). Data analysis was conducted using SPSS Version 26.0. Structural validity was assessed through exploratory factor analysis (KMO > 0.8, Bartlett’s test p < 0.05), followed by confirmatory factor analysis using AMOS. For group comparisons, independent t ‐tests and analysis of variance (ANOVA) were used, with Welch’s test for unequal variances. Post hoc multipl...