AimWhereas voice behaviour has been identified as a key precursor to safe and high‐quality patient care, little is known about how voice relates to key workforce outcomes. This study aimed to investigate the relationships between certified nursing assistants' perceived promotive voice behaviour (speaking up with suggestions for future improvement) and prohibitive voice behaviour (speaking up about problems or potentially harmful situations) and their self‐reported levels of job satisfaction, work engagement and turnover intentions.Design and methodsDutch certified nursing assistants were recruited for a two‐wave survey study through non‐random convenience sampling. The final sample contained 152 respondents. The data were analysed using multiple linear regression analyses. In all analyses, the dependent variable at time one was controlled for.ResultsCertified nursing assistants' promotive and prohibitive voice behaviour at time one were found to be positively related to their level of job satisfaction at time two while controlling for job satisfaction at time one. No relationships with work engagement or occupational turnover intentions were found.ConclusionWhile previous research has found positive effects of voice on patient safety outcomes and team and organizational improvements in care organizations, we demonstrate that voice is also related to a key workforce outcome, that is, certified nursing assistants' job satisfaction.Implications and impactRecognizing the interplay between voice behaviour and job satisfaction underscores the importance of creating work environments where certified nursing assistants feel able and willing to make their voices heard—with ideas and suggestions, as well as information regarding problems and concerns.Patient or public involvementThree certified nursing assistants have contributed to the development of the survey.

中文翻译：

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认证护理助理的声音行为与工作满意度、工作投入和离职意向之间的关系：双波调查研究

目的虽然语音行为已被认为是安全和高质量患者护理的关键先导，但人们对语音与关键劳动力成果之间的关系却知之甚少。本研究旨在调查认证护理助理感知到的促进性声音行为（提出未来改进的建议）和禁止性声音行为（说出问题或潜在有害情况）与他们自我报告的工作满意度、工作水平之间的关系。敬业度和离职意向。设计和方法通过非随机方便抽样招募荷兰认证护理助理进行两波调查研究。最终样本包含 152 名受访者。使用多元线性回归分析对数据进行分析。在所有分析中，第一时间的因变量均受到控制。 结果发现，在控制第一时间的工作满意度的同时，认证护理助理在第一时间的激励性和禁止性声音行为与第二时间的工作满意度水平呈正相关。没有发现与工作投入或职业流动意图之间的关系。结论虽然之前的研究发现声音对患者安全结果以及护理组织中的团队和组织改进产生积极影响，但我们证明声音也与关键的劳动力结果相关，即认证护理助理的工作满意度。意义和影响认识到声音行为和工作满意度之间的相互作用强调了创造工作环境的重要性，让认证护理助理感到能够并愿意表达自己的声音——包括想法和建议以及有关问题的信息患者或公众的参与 三名经过认证的护理助理为调查的开展做出了贡献。