Evidence map›Paper›PMID 42581698›Full record

ArticleJournal of nursing management2026

Green Voice Behavior in Nursing: The Roles of Organizational Support, Intrinsic Motivation, and Psychological Safety.

Seung Eun Lee, Heejin Lim, Sujin Nam, V Susan Dahinten

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Seung Eun LeeCollege of Nursing, Mo-Im KIM Nursing Research Institute, Yonsei University, Seoul, South Korea, yonsei.ac.kr.ORCID https://orcid.org/0000-0002-4173-3337
Heejin LimCollege of Nursing, Yonsei University, Seoul, South Korea, yonsei.ac.kr.ORCID https://orcid.org/0009-0005-7548-0445
Sujin NamCollege of Nursing, Yonsei University, Seoul, South Korea, yonsei.ac.kr.ORCID https://orcid.org/0000-0002-6998-5202
V Susan DahintenSchool of Nursing, University of British Columbia, Vancouver, Canada, ubc.ca.ORCID https://orcid.org/0000-0002-5469-922X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoordinated action is needed to combat climate change and environmental damage, and it is important that healthcare be part of that response. Through proactive behaviors such as environmentally responsible communication or "green voice behavior," nurses can effectively support sustainability initiatives. However, empirical evidence on the factors that encourage such behavior remains limited. This study examined the relationship between perceived green organizational support and nurses' green voice behavior, while also testing the mediating role of green intrinsic motivation and the moderating effect of psychological safety.

designA descriptive correlational design with cross-sectional data was employed.

methodsData were collected from 649 nurses in South Korea. We tested a second-stage moderated mediation in which perceived green organizational support is associated with green voice behavior through green intrinsic motivation, while psychological safety moderates the association between green intrinsic motivation and green voice behavior. Analyses were conducted using the PROCESS macro in SPSS (Model 4 for simple mediation; Model 14 for moderated mediation).

resultsPerceived green organizational support was positively associated with green voice behavior, both directly (b = 0.40, 95% confidence interval [CI] [0.329, 0.479]) and via green intrinsic motivation (b = 0.05, 95% CI [0.023, 0.075]). In our model, psychological safety moderated the relationship between green intrinsic motivation and green voice behavior (interaction b = 0.19, p = 0.002). The conditional indirect effect of perceived green organizational support on green voice behavior via green intrinsic motivation increased as psychological safety rose (index of moderated mediation = 0.03, 95% CI [0.010, 0.053]).

conclusionThese findings highlight the importance of supportive organizational environments in encouraging nurses to engage in environmentally responsible communication. Recognizing nurses' environmental contributions, fostering intrinsic motivation, and ensuring psychological safety may promote green voice behavior in healthcare.

Indexed as

MotivationNursesOrganizational CultureAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedPsychological SafetyRepublic of KoreaSurveys and QuestionnairesWorking ConditionsWorkplacegreen behaviorhealth facilitiesnursesproactive behaviorspeaking upsustainabilityvoice behavior

Identifiers

PMID42581698
PMCPMC13462904

What OpenQuestion holds

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LicenceCC BY
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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.