ArticleBMC nursing2026
The organisational silence experiences of Generation Z nurses in emergency department: a qualitative descriptive phenomenological research study in Shanghai, China.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Workplace Bullying, Compassion Fatigue, and Organizational Silence Among Perioperative Nurses: A Cross-Sectional Study.Journal of nursing management · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
backgroundPatient safety is a fundamental objective for healthcare systems worldwide and a prerequisite for high-quality nursing care. Growing evidence indicates that organisational silence among nurses not only undermines job satisfaction and performance but also stifles innovation and impedes decision-making within healthcare organisations, thereby jeopardising patient safety. In China, Generation Z emergency nurses exhibit distinct characteristics compared to previous generations, which may shape their experiences of organisational silence. However, the precise influence of these generational traits on their propensity for silence remains unclear.
objectivesThis study aimed to explore the organisational silence experiences of Generation Z emergency nurses within China’s distinctive sociocultural context.
methodsA phenomenological qualitative approach was adopted for this study. Semi-structured, in-depth face-to-face interviews were conducted with 21 Generation Z emergency nurses from a tertiary hospital in Shanghai between January and February 2025. The collected data were analysed using Colaizzi’s seven-step phenomenological analysis method.
resultsThe analysis revealed three primary themes with twelve associated subthemes: (a) competency limitations among those maintaining silence, (b) underlying reasons for organisational silence, and (c) outcomes of silence.
conclusionWhile moderate silence may yield certain benefits, prolonged organisational silence can have detrimental effects on employees, teams and organisations. As different types of organisational silence operate through distinct mechanisms, healthcare managers should develop targeted intervention strategies based on careful assessment of both the motivations behind silence and its extent. The ultimate objectives are to reduce organisational silence among Generation Z emergency nurses, enhance staff retention, and improve patient safety outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.