ArticleJournal of advanced nursing2025
The relationships between certified nursing assistants' voice behaviour and job satisfaction, work engagement and turnover intentions: A two-wave survey study.
Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Dynamics of Occupational Well-Being and Turnover Intention in Long-Term Care: A 12-Month Longitudinal Study of Nursing Assistants.Healthcare (Basel, Switzerland) · 2026Article
- Workplace Upward Networking Between Affective Leadership and Voice Behavior.The Journal of nursing administration · 2026Article
- Job satisfaction and organisational determinants among medical nursing assistants under hospital-based care reforms: a large cross-sectional study in China.Frontiers in public health · 2026Article
- The ideal-reality gap: a qualitative study of nurse middle managers' perspectives on speaking up for patient safety.Frontiers in public health · 2026Article
- Factors Influencing the Implementation of Unaccompanied Care for Older Inpatients in Chinese Tertiary Hospitals: A Qualitative Study.Patient preference and adherence · 2026Article
- Conceptualizing the learning organization in nursing homes: a scoping review.BMC health services research · 2025Article
- Is a stimulating work environment related to job satisfaction and retention among care professionals? A cross-sectional study in Dutch nursing homes.Journal of health organization and management · 2025Article
- The mediating role of job satisfaction related to nurse-nurse collaboration and turnover intention.BMC nursing · 2025Article
- The relationships between certified nursing assistants' voice behaviour and job satisfaction, work engagement and turnover intentions: A two-wave survey study.Journal of advanced nursing · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
aimWhereas voice behaviour has been identified as a key precursor to safe and high-quality patient care, little is known about how voice relates to key workforce outcomes. This study aimed to investigate the relationships between certified nursing assistants' perceived promotive voice behaviour (speaking up with suggestions for future improvement) and prohibitive voice behaviour (speaking up about problems or potentially harmful situations) and their self-reported levels of job satisfaction, work engagement and turnover intentions. DESIGN AND
methodsDutch certified nursing assistants were recruited for a two-wave survey study through non-random convenience sampling. The final sample contained 152 respondents. The data were analysed using multiple linear regression analyses. In all analyses, the dependent variable at time one was controlled for.
resultsCertified nursing assistants' promotive and prohibitive voice behaviour at time one were found to be positively related to their level of job satisfaction at time two while controlling for job satisfaction at time one. No relationships with work engagement or occupational turnover intentions were found.
conclusionWhile previous research has found positive effects of voice on patient safety outcomes and team and organizational improvements in care organizations, we demonstrate that voice is also related to a key workforce outcome, that is, certified nursing assistants' job satisfaction. IMPLICATIONS AND IMPACT: Recognizing the interplay between voice behaviour and job satisfaction underscores the importance of creating work environments where certified nursing assistants feel able and willing to make their voices heard-with ideas and suggestions, as well as information regarding problems and concerns. PATIENT OR PUBLIC INVOLVEMENT: Three certified nursing assistants have contributed to the development of the survey.
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