@article{ART003302015},
author={Park, Sung-Hye and Lee, Yoon-Ju},
title={Influences of Proactive Personality, Voice Self-efficacy, and Managers’ Empowering Leadership on Constructive and Supportive Voice Behavior among Operating Room Nurses: A Cross-Sectional Study},
journal={Global Health and Nursing},
issn={2233-5560},
year={2026},
volume={16},
number={1},
pages={31-42},
doi={10.35144/ghn.2026.16.1.31}
TY - JOUR
AU - Park, Sung-Hye
AU - Lee, Yoon-Ju
TI - Influences of Proactive Personality, Voice Self-efficacy, and Managers’ Empowering Leadership on Constructive and Supportive Voice Behavior among Operating Room Nurses: A Cross-Sectional Study
JO - Global Health and Nursing
PY - 2026
VL - 16
IS - 1
PB - Research Institute of Nursing Science
SP - 31
EP - 42
SN - 2233-5560
AB - Purpose: This study aimed to identify proactive personality, voice self-efficacy, and managers’ empowering leadership as factors influencing voice behavior among operating room nurses. Methods: A descriptive cross-sectional design was employed. Participants were 218 operating room nurses with more than one year of clinical experience from four university-affiliated hospitals (one tertiary and three general hospitals). Data were collected via an online survey between June 25 and September 7, 2024, using a structured self-report questionnaire that assessed demographic and job-related characteristics, proactive personality, voice self-efficacy, empowering leadership, and four types of voice behavior. Data were analyzed using descriptive statistics, independent t-tests, Mann-Whitney U tests, one-way ANOVA, Pearson correlation coefficients, and multiple linear regression with SPSS/WIN 29.0. Results: On a 5-point scale, the mean scores were 3.18±0.68 for constructive voice and 3.18±0.69 for supportive voice. Proactive personality (β=.25, p=.001), self-efficacy for voice (β=.27, p<.001), and empowering leadership (β=.13, p=.034) were identified as significant influencing factors of constructive voice with explaining 24.0% of the variance (F=23.99, p<.001). Proactive personality (β=.26, p=.002) was identified as a significant influencing factor of supportive voice with accounting for 12.0% of the variance (F=10.46, p<.001). Conclusion: OR nurses demonstrated moderate levels of constructive and supportive voice behavior. Enhancing proactive personality and self-efficacy for voice, along with promoting empowering leadership among managers, may help create a work environment that encourages positive voice behaviors and supports desirable organizational outcomes.
KW - Key Words: Perioperative nursing;Voice behavior;Personality;Self-efficacy;Leadership
DO - 10.35144/ghn.2026.16.1.31
ER -
Park, Sung-Hye and Lee, Yoon-Ju. (2026). Influences of Proactive Personality, Voice Self-efficacy, and Managers’ Empowering Leadership on Constructive and Supportive Voice Behavior among Operating Room Nurses: A Cross-Sectional Study. Global Health and Nursing, 16(1), 31-42.
Park, Sung-Hye and Lee, Yoon-Ju. 2026, "Influences of Proactive Personality, Voice Self-efficacy, and Managers’ Empowering Leadership on Constructive and Supportive Voice Behavior among Operating Room Nurses: A Cross-Sectional Study", Global Health and Nursing, vol.16, no.1 pp.31-42. Available from: doi:10.35144/ghn.2026.16.1.31
Park, Sung-Hye, Lee, Yoon-Ju "Influences of Proactive Personality, Voice Self-efficacy, and Managers’ Empowering Leadership on Constructive and Supportive Voice Behavior among Operating Room Nurses: A Cross-Sectional Study" Global Health and Nursing 16.1 pp.31-42 (2026) : 31.
Park, Sung-Hye, Lee, Yoon-Ju. Influences of Proactive Personality, Voice Self-efficacy, and Managers’ Empowering Leadership on Constructive and Supportive Voice Behavior among Operating Room Nurses: A Cross-Sectional Study. 2026; 16(1), 31-42. Available from: doi:10.35144/ghn.2026.16.1.31
Park, Sung-Hye and Lee, Yoon-Ju. "Influences of Proactive Personality, Voice Self-efficacy, and Managers’ Empowering Leadership on Constructive and Supportive Voice Behavior among Operating Room Nurses: A Cross-Sectional Study" Global Health and Nursing 16, no.1 (2026) : 31-42.doi: 10.35144/ghn.2026.16.1.31
Park, Sung-Hye; Lee, Yoon-Ju. Influences of Proactive Personality, Voice Self-efficacy, and Managers’ Empowering Leadership on Constructive and Supportive Voice Behavior among Operating Room Nurses: A Cross-Sectional Study. Global Health and Nursing, 16(1), 31-42. doi: 10.35144/ghn.2026.16.1.31
Park, Sung-Hye; Lee, Yoon-Ju. Influences of Proactive Personality, Voice Self-efficacy, and Managers’ Empowering Leadership on Constructive and Supportive Voice Behavior among Operating Room Nurses: A Cross-Sectional Study. Global Health and Nursing. 2026; 16(1) 31-42. doi: 10.35144/ghn.2026.16.1.31
Park, Sung-Hye, Lee, Yoon-Ju. Influences of Proactive Personality, Voice Self-efficacy, and Managers’ Empowering Leadership on Constructive and Supportive Voice Behavior among Operating Room Nurses: A Cross-Sectional Study. 2026; 16(1), 31-42. Available from: doi:10.35144/ghn.2026.16.1.31
Park, Sung-Hye and Lee, Yoon-Ju. "Influences of Proactive Personality, Voice Self-efficacy, and Managers’ Empowering Leadership on Constructive and Supportive Voice Behavior among Operating Room Nurses: A Cross-Sectional Study" Global Health and Nursing 16, no.1 (2026) : 31-42.doi: 10.35144/ghn.2026.16.1.31
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