Abstract: Objective To understand the current situation of organizational silence and structural authorization among emergency department nurses in tertiary Grade A hospitals,and to explore the correlation between the two factors. Methods The nurses from the emergency departments of 5 tertiary hospitals in Shanghai were selected as the research subjects by convenient sampling from January to February of 2023. A survey was conducted using the Employee Silence Questionnaire and the Work Efficiency Condition Scale,and a correlation analysis was conducted. Results The results showed that 138 nurses in the emergency department had a score of （36.72±12.56）for organizational silence. Among the three dimensions,the score of tacit silence was （3.33±1.23）,indifference silence was （3.06±1.19）,defense silence was（2.80±1.20）,and structural authorization was（61.03±13.73）. There was a negative correlation between organizational silence and structural authorization（P<0.01）. Conclusion Nurses in the emergency department of tertiary Grade A hospitals have moderate level of organizational silence,which is negatively correlated with structural authorization. The lower the level of structural authorization,the heavier the degree of organizational silence. This suggests that managers can reduce or even eliminate organizational silence among emergency department nurses by enhancing structural authorization.

Key words: Emergency Department Nurse, Organizational Silence, Structural Authorization, Correlation Analysis