Evidence map›Paper›PMID 40380158›Full record

ArticleBMC nursing2025

Heeding the voices of nurses: a systematic review and meta-analysis of organizational silence levels among clinical nurses.

Shasha Wen, Wenting Ji, Di Gao, Xianying Lu, Ting Zhao, Jing Gao, Ran Xu

Abstract read
In one paragraph

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
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.

Shasha Wen *School of Nursing, Chengdu University of Traditional Chinese Medicine, No. 1166, Liutai Avenue, Wenjiang District, Chengdu, Sichuan Province, 611137, China.
Wenting Ji *School of Nursing, Chengdu University of Traditional Chinese Medicine, No. 1166, Liutai Avenue, Wenjiang District, Chengdu, Sichuan Province, 611137, China.
Di Gao *Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China.
Xianying LuSchool of Nursing, Chengdu University of Traditional Chinese Medicine, No. 1166, Liutai Avenue, Wenjiang District, Chengdu, Sichuan Province, 611137, China.
Ting ZhaoSchool of Nursing, Chengdu University of Traditional Chinese Medicine, No. 1166, Liutai Avenue, Wenjiang District, Chengdu, Sichuan Province, 611137, China.
Jing GaoSchool of Nursing, Chengdu University of Traditional Chinese Medicine, No. 1166, Liutai Avenue, Wenjiang District, Chengdu, Sichuan Province, 611137, China. 19941012@cdutcm.edu.cn.
Ran XuSchool of Nursing, Chengdu University of Traditional Chinese Medicine, No. 1166, Liutai Avenue, Wenjiang District, Chengdu, Sichuan Province, 611137, China. 397433562@qq.com.

Funding

Sichuan Medical and Health Rule of Law Research 23YFYB008The 2023 Annual Xinglin Scholar Disciplinary Talent Research Improvement Program - Nursery Talent Special Project of Chengdu University of Traditional Chinese Medicine MPRC2023050
6 · The paper itself

Abstract

backgroundSystematic integration of nursing staff perspectives constitutes a critical determinant of organizational efficacy. However, more and more studies showed that organizational silence occurred among nurses frequently. We aimed to analyze the pooled level of organizational silence in nursing field so as to provide the evidence for the nursing management.

methodsThe data were collected following predefined inclusion criteria. Two researchers independently screened studies, extracted data and assessed the quality of included studies. Stata 15.1 was used to examine the data.

resultsThere were 34 studies in total, involving 13,394 nurses from China, Turkey, and Korea. Nurses had a moderate level of organizational silence in our study, with an average mean score of 2.69 (95% CI: 2.57-2.81). Significant heterogeneity in the prevalence estimates of the included studies was detected (I

conclusionsOur findings revealed a moderate level of organizational silence among nursing professionals, offering critical insights into their unmet communicative needs within healthcare institutions. This empirical evidence underscores the necessity to develop targeted intervention strategies aimed at counteracting the detrimental impacts of organizational silence on both clinical safety outcomes and long-term institutional sustainability.

Indexed as

Meta-analysisNursesOrganizational silenceSystematic review

Identifiers

PMID40380158
PMCPMC12084937

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.