Intersectional employee voice inequalities and culture care theory: the case of migrant palliative care nurses in Saudi Arabia.

IF 1.7 4区医学 Q3 HEALTH POLICY & SERVICES

Journal of Health Organization and Management Pub Date : 2024-10-16 DOI:10.1108/JHOM-07-2024-0318

Julie Davies, Thamina Anjuman, Zeyad Al Ghamdi, Saud Altamimi, Sheikh Mateen Ellahi, Moza Al Thani, Frank Huang, Yara Alsoqair, Rawan Alshehri

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引用次数: 0

Abstract

Purpose: This narrative literature review examines intersectional employee voice inequalities in a non-Western, high power distance context to develop a multilevel conceptual framework.

Design/methodology/approach: The authors use Leininger's (1997, 2002) culture care model to explore multilevel influences on intersectional voice inequalities. The article applies insights from a review of 31 studies to the specific challenges of migrant palliative care (PC) nurses in Saudi Arabia.

Findings: The themes identified in the review indicate how better transcultural communications might mitigate voice inequalities that influence migrant employee wellbeing and intentions to quit which result from cultural incongruities.

Originality/value: The impact of national culture differences and intersectional inequalities on employee voice has largely been ignored in academic research. This paper offers unique insights drawing on culture care theory into intersectional voice challenges from a non-Western perspective in the underresearched setting of Saudi Arabia which is mid-way through a national transformation program. It starkly contrasts policy ambitions for advancing healthcare with discriminatory practices based on conservative attitudes which stifle migrant worker voices.

查看原文本刊更多论文

交叉性员工声音不平等与文化护理理论：沙特阿拉伯移民姑息治疗护士的案例。

目的：这篇叙事性文献综述研究了在非西方、高权力距离背景下的交叉员工话语权不平等问题，从而建立了一个多层次的概念框架：作者使用 Leininger（1997 年，2002 年）的文化关怀模型来探讨交叉话语权不平等的多层次影响因素。文章将对 31 项研究的综述应用于沙特阿拉伯移民姑息关怀（PC）护士面临的具体挑战：研究结果：综述中确定的主题表明，更好的跨文化交流可以减轻声音不平等，而声音不平等会影响移民员工的福祉以及因文化不协调而产生的辞职意向：学术研究在很大程度上忽视了民族文化差异和交叉不平等对员工话语权的影响。本文从非西方视角出发，借鉴文化关怀理论，对沙特阿拉伯这一研究不足的国家转型计划中期所面临的交叉话语权挑战提出了独特见解。它将推进医疗保健的政策雄心与基于保守态度的歧视性做法形成鲜明对比，后者扼杀了外来务工人员的声音。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Organization and Management HEALTH POLICY & SERVICES-

CiteScore

3.20

自引率

7.10%

发文量

期刊介绍： ■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.