Research on the chain mediation effect of knowledge power loss and organizational psychological safety between clinical nurses'organizational competitive atmosphere and knowledge hiding
SHAO Xiaoduo
YOU Xi
CHEN Rujun
YU Shaomin
CHEN Lili
Abstract：Objective To explore the mechanism of knowledge power loss and organizational psychological safety in the relationship between organizational competition atmosphere and knowledge hiding among clinical nurses.Methods A questionnaire survey was conducted among a total of 402 clinical nurses from two tertiary grade A hospitals in Wenzhou City,Zhejiang Province,using the general information questionnaire,Competitive Psychological Climate Scale,Knowledge Power Loss Scale,Organizational Psychological Safety Scale and Knowl-edge Hiding Behavior Scale.Results The score of organizational competition atmosphere of clinical nurses was(14.29±2.07)points,the score of knowledge power loss was(15.89±2.15)points,the score of organizational psychological safety was(20.68±3.38)points,and the score of knowledge hiding was(22.04±3.11)points.Clinical nurses'knowledge hiding was positively correlated with organizational competi-tion atmosphere and knowledge power loss(r1=0.589,r2=0.619,both P＜0.01),and negatively correlated with organizational psychological safety(r=-0.484,P＜0.01).The mediation effect analysis showed that the total indirect effect of clinical nurses'organizational competition at-mosphere on knowledge hiding was 0.353,and the mediating effects of knowledge power loss and organizational psychological safety accounted for 19.66%and 26.78%of the total effect,respectively,and the chain mediation effect of the two accounted for 13.39%of the total effect.Conclusion Clinical nurses'knowledge hiding is at a low level.Organizational competition atmosphere can directly predict clinical nurses'knowledge hiding,and can also indirectly predict their knowledge hiding behavior through the mediating effects of knowledge power loss,or-ganizational psychological safety,and the chain mediation effect of the two.Nursing managers should establish a scientific assessment mecha-nism,reasonably adjust the intensity of competition,strengthen the construction of team values,encourage clinical nurses to express them-selves,and reduce knowledge hiding.
Keywords：clinical nursesorganizational competitive atmosphereknowledge hidingknowledge power lossorganizational psychologi-cal safetychain mediation effectnursing
Publication Date：2025-07-10
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 558-562 )