Örgütsel Sessizlik, Sessizliğin Nedenleri ve Sonuçları: Bir Devlet Hastanesi Çalışanları Üzerinde Araştırma

Abstract

The aim of this study is to determine, on which issues healthcare staff keep their silence, the reasons of this silence and the perceived consequences of it from the point of healthcare staff. The 884 staff of a state hospital, located in Ankara, including doctors, nurses, administrative personnel and so on, constitutes the scope of this research. The sample of the research is composed of 276 health workers. Following this research, it is determined that a great majority (62%) of healthcare staff are keeping their silence against administrators, whereas 34,1% of them expressing their problems to particular people and only 14,1% of those are talking solely about specific issues. It is also contrived that, healthcare staff stay mostly silent about administrative and organizational problems (3,10±0,92), management problems (2,65±0,96) and staff performance (2,64±0,88). Healthcare staff are of the opinion that, keeping silence will lead to negative results that may affect performance and synergy (3,60±0,77) as well. In consequence of this research, the sub-dimensions of which healthcare staff keep their silence; “improvement efforts” sub-dimensiondiffers according to gender and marital status, “ethic issues” sub-dimension differs as to training and title and “working opportunities and responsibilities” sub-dimension differs by task qualification statistically in a meaningful way. Besides, “lack of experience” sub-dimension becomes distinct by gender, training and title, whereas “ job-related fear and isolation fear” sub-dimension differs solely according to title statistically. Finally, the sub-dimension of “the results affecting performance and synergy”, which belongs to perceived results of silence differs according to marital status and title, “results causing staff unhappiness” differs as to title, whereas the sub-dimension of “the results restricting improvement and development” differs as to marital status, full operating time and job qualification.