Abstract: Objective: To investigate the impact of ICU nurses' organizational silence and job satisfaction on their turnover intention by establishing a structural equation model between them. Methods: Totally 205 ICU nurses from three tertiary grade A hospitals in Qingdao were investigated with Silence Behavior Scale, Mc Closkey/Mueller Satisfaction Scale (MMSS) and Turnover Intention Scale. Results: The scores of organizational silence, job satisfaction and turnover intention were 2.83±0.51, 3.01±0.36, 2.19±0.74. Organizational silence was negatively related to job satisfaction, and positively related to turnover intention. Job satisfaction played a mediating role between organizational silence and turnover intention. Conclusion: ICU nursing managers should pay attention to the impact of organizational silence on job satisfaction and turnover intention, and take measures to reduce nurses' organizational silence, improve job satisfaction to reduce turnover intention.