ArticleJournal of nursing management2026
Workplace Bullying, Compassion Fatigue, and Organizational Silence Among Perioperative Nurses: A Cross-Sectional Study.
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. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn operating room settings, organizational silence can hinder timely communication about safety concerns and may adversely affect surgical care. Drawing on conservation of resources (COR) theory, this study investigated how workplace bullying and compassion fatigue were associated with organizational silence among perioperative nurses. It also examined whether compassion fatigue conditioned the association between workplace bullying and organizational silence.
methodsA multicenter cross-sectional study was conducted with 305 perioperative nurses from teaching hospitals in Iran. Participants were recruited through a multistage cluster sampling procedure. Data were obtained using validated measures, including the Workplace Bullying Questionnaire, the compassion fatigue subscale of the Professional Quality of Life Scale, and the Organizational Silence Behavior Scale. Descriptive statistics, Pearson correlation analysis, and hierarchical moderated regression were used to analyze the data.
resultsPerioperative nurses reported moderate scores for workplace bullying and compassion fatigue, while organizational silence scores were comparatively high. Workplace bullying (β = 0.35, p < 0.001) and compassion fatigue (β = 0.27, p < 0.001) were each positively associated with organizational silence. The interaction between workplace bullying and compassion fatigue was also positive and statistically significant (β = 0.18, p = 0.002; total R
conclusionThe findings support a resource-oriented interpretation within COR theory, suggesting that workplace bullying and compassion fatigue are associated with greater organizational silence among perioperative nurses. Healthcare administrators should consider integrated workplace interventions that combine antibullying policies with psychological support strategies to reduce silence-promoting conditions and support nurses' willingness to voice safety-related concerns. IMPLICATION FOR NURSING MANAGEMENT: Nurse managers should address organizational silence through integrated strategies that combine antibullying policies, psychologically safe reporting systems, and compassion fatigue-focused support programs. Such interventions may help reduce silence-promoting conditions and support perioperative nurses' willingness to raise patient-safety concerns.
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.