{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:50:32Z","timestamp":1791298232338,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aims to examine the relationships between Organisational Arrogance (OA), Psychological Safety (PS), and Organisational Silence (OS) among healthcare employees, and to determine whether these variables differ according to demographic characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      The study was conducted with 439 healthcare employees working in primary, secondary, and tertiary healthcare institutions across different regions of T\u00fcrkiy. Data were collected through an online survey consisting of the OS Scale, OA Scale, and PS Scale. The structural validity of the scales was tested using Confirmatory Factor Analysis (CFA) via AMOS. Descriptive statistics, independent samples\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests, ANOVA, and correlation analyses were performed using IBM SPSS Statistics. Normality assumptions were assessed based on skewness and kurtosis values.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The findings revealed that OA is negatively and significantly associated with PS (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.313,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and positively associated with OS (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.344,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Additionally, PS is negatively associated with OS (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u2009\u22120.294,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Demographic analyses indicated that only gender produced a significant difference in OA, with female employees reporting higher levels than males, while no significant differences were found for PS and OS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results suggest that OA may contribute to decreasing PS and increasing OS. Enhancing PS within organisations may help reduce silent behaviours and promote open communication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jep.70645","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T13:52:24Z","timestamp":1791294744000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Examining the Relationships Between Organisational Arrogance, Organisational Silence, and Psychological Safety: An Application on Healthcare Employees"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7445-5361","authenticated-orcid":false,"given":"Mustafa","family":"Filiz","sequence":"first","affiliation":[{"name":"Department of Health Management, Faculty of Business Administration Artvin \u00c7oruh University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5642-6498","authenticated-orcid":false,"given":"Yal\u00e7\u0131n","family":"Karag\u00f6z","sequence":"additional","affiliation":[{"name":"Department of Health Management, Faculty of Business Administration D\u00fczce University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4594-9290","authenticated-orcid":false,"given":"Yusuf","family":"Kara\u015fin","sequence":"additional","affiliation":[{"name":"Department of Medical Services and Techniques, Gedik Vocational School \u0130stanbul Gedik University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","unstructured":"M.FilizandJ.Blenkinsopp \u201cThe Mediating Role of Psychological Safety in the Effect of Organisational Cynicism on Whistleblowing \u201d Journal of health organization and management39 no.8(2025):1969\u20131981 https:\/\/doi.org\/10.1108\/JHOM-10-2024-0427.","DOI":"10.1108\/JHOM-10-2024-0427"},{"key":"e_1_2_12_3_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbusres.2025.115240","article-title":"Coping With Uncertainty: The Interaction of Psychological Safety and Authentic Leadership in Their Effects on Defensive Decision Making","volume":"190","author":"Artinger F. 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