Evidence map›Paper›PMID 39762839›Full record

ArticleBMC nursing2025

The relationship between compulsory citizenship behavior and nurses' silence: a cross-sectional study.

Zifeng Li, Luhuan Yang, Zuyang Xi, Wen Yi, Yuanzhi Fu, Caiyun Chang, Yunhong Lei

Abstract read
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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Citizenship Fatigue as a Mediator Between Compulsory Citizenship Behavior and Work-Life Balance Among Nurses.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Zifeng LiThe First College of Clinical Medical Science, Three Gorges University, Yichang Central People's Hospital, Yichang City, Hubei Province, 443003, China.
Luhuan YangUniversity Putra Malaysia, Serdang, Selangor, 43400, Malaysia. 18811769816@163.com.
Zuyang XiThe First College of Clinical Medical Science, Three Gorges University, Yichang Central People's Hospital, Yichang City, Hubei Province, 443003, China.
Wen YiYichang Famous Doctor Studio, Yichang City, Hubei Province, 443003, China.
Yuanzhi FuThe First College of Clinical Medical Science, Three Gorges University, Yichang Central People's Hospital, Yichang City, Hubei Province, 443003, China.
Caiyun ChangThe First College of Clinical Medical Science, Three Gorges University, Yichang Central People's Hospital, Yichang City, Hubei Province, 443003, China.
Yunhong LeiYichang Hubo Medical Research Institute, Yichang City, Hubei Province, 443003, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study aimed to assess the relationship between compulsory citizenship behavior and nurses' silence.

methodsA descriptive cross-sectional online study was conducted in October 2023, targeting 402 nurses working in Yichang Central People's Hospital, Hubei Province, China. Data were collected through a structured questionnaire comprising demographic details, the Compulsory Citizenship Behavior Scale, and the Nurses' Silence Scale. Statistical analyses were conducted using SPSS 25.0, including descriptive statistics, t-tests, one-way ANOVA, Pearson correlation, and hierarchical regression analyses.

resultsThe study revealed that the overall mean score for nurses' compulsory citizenship behavior was 14.63 (3.99), while the overall mean score for nurses' silence was 32.78 (8.28). Significant differences in compulsory citizenship behavior scores were observed among nurses with varying levels of work experience (P < 0.05). Similarly, significant variations in silence scores were identified according to work experience and employment type (P < 0.05). After adjusting for work experience and employment type, a significant correlation was identified between compulsory citizenship behavior and nurses' silence (P < 0.05).

conclusionsNurses exhibited moderate levels of compulsory citizenship behavior and silence. Additionally, a significant positive correlation was revealed between compulsory citizenship behavior and nurses' silence. RECOMMENDATION: Nursing administrators should implement targeted measures to lower compulsory citizenship behavior, thereby fostering a more open and communicative environment within the organization, and encouraging nurses to express their opinions more freely.

Indexed as

Compulsory citizenship behaviorCross sectional studyNursesSilence

Identifiers

PMID39762839
PMCPMC11705706

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.