Background Organizational silence refers to a collective-level phenomenon of saying or 
doing very little when the organization deals with serious problems. Self-efficacy known as the 
perception of competence in resolving stressful situations. Organizational silence has great impact 
on employee behavior and self-efficacy perception is an important factor in predicting an 
individual's behavior. Aim of study: this study aimed to assess Organizational silence as perceived 
by nurses and its relation to their self-efficacy. Research design: a descriptive correlational design 
was used in carrying out this study. Setting: The study was conducted at El-Hamoul General
Hospital which affiliated to Kafr EL-Sheikh Governorate Ministry of Health. El-Hamoul General 
Hospital consists of four buildings, provides care for patients in different medical specialties. Study 
subjects: The Subjects of this study included 144 staff nurses. Data collection tools: Two tools 
were used namely organizational silence scale (OSS) and self-efficacy scale (SES). Results: More 
than half of staff nurses (53%) had high level of organizational silence. Meanwhile, more than one 
quarter of them (26%) had low level of organizational silence. Hence, (20%) had moderate level of 
organizational silence. Less than two thirds (62%) of staff nurses had high level of self-efficacy. 
Meanwhile, (21.2%) had low level of self-efficacy, (16.8%) had moderate level of self-efficacy. 
Conclusion: There was statistically significant positive correlation between organizational silence 
and job self-efficacy among staff nurses. Recommendation: Share staff nurses in decision making 
by maintaining voice mechanisms in use. Update organizational policies to maximize flexibility.