Özet:

Purpose: The purpose of this study is to reveal what are the issues that healthcare workers remain silent, the causes of silence and the consequences of silence perceived to healthcare workers. Method: The universe of the study consists of 884 health workers in an public hospital operating in Ankara, and 276 health workers (doctors, nurses, other health staff and administrative staff). Results: Health workers have been found to remain silent on issues of administrative and organizational reasons (3.10±0.92) and management problems (2.65±0.96) and performance of employees (2.64±0.88) due to the most administrative and organizational reasons. Health workers have expressed their belief that silence will result in performance and synergy outcomes (3.60±0.77) In addition, the research finds that the sub-dimensions of the health workers remain silent, the sub-dimensions of the "healing efforts", the sub-dimensions of the management position, the sub-dimensions of the "ethical issues", the sub-dimensions of the training and task, the sub-dimensions of the "working opportunities and responsibilities", the sub-dimensions of the management position, the sub-dimensions of the "management problems", the sub-dimensions of the age, the civil state and the time of work at the hospital, and the sub-dimensions of the "workers' performance" statically significant differences according to the time of work at the hospital and the management position. The reasons for the silence of health workers from the lower dimensions to the “experience deficiency” the lower dimensions according to the civic state, education and task, the lower dimensions according to the age, civic state, task and total working time, while the “work-related fears and fear of isolation” the lower dimensions have shown statistically significant differences according to the age, civic state, task and total working time. Finally, the detected results of silence from the subdimensions to the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions of the subdimensions. The result: The most important cause of silence in this study was the attitudes and behaviors of managers. In this context, managers should first value their employers, listen to them, take care of their problems, try to eradicate their worries about work.