Abstract: Objective: To systematically review the literature and integrate the generation process, antecedents, and consequences of nurses' voice behavior, so as to provide reference for promoting nurses' voice behavior. Methods: Domestic and foreign databases were searched, and qualitative studies related to nurses' voice behavior were included. The search time limit was from the establishment of the database to December 31, 2024. After evaluating the literature quality, the collection synthesis method was used for Meta synthesis, and the research results were compared, analyzed, summarized, interpreted, and synthesized. Results: A total of 10 articles were included, and 28 research findings were extracted. These were categorized into 9 categories and consolidated into 3 integrated results, encompassing nurses' multiple-factor consideration of whether to take voice behavior, internal game affecting the voice behavior environment, and the multi-factor effects of nurses' voice behavior. Conclusion: Nurses' voice behavior is conducive to the continuous improvement and development of the organization, and enhance the discourse power of nurses and promote nursing reform. Therefore, in order to better implement voice behavior of nurses, the organization needs to establish smooth voice behavior channels. Nursing managers should listen to nurses' voice and give feedback; and provide training and education about voice behavior for nurses.

Key words: nurse; voice behavior; qualitative research; Meta synthesis