Exploring perceived barriers for advancement to leadership positions in healthcare: a thematic synthesis of women's experiences.

IF 1.7 4区医学 Q3 HEALTH POLICY & SERVICES

Journal of Health Organization and Management Pub Date : 2023-03-28 DOI:10.1108/JHOM-02-2022-0053

Alexandra Claire Haines, Eamonn McKeown

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引用次数: 0

Abstract

Purpose: This paper aims to explore the voices of women describing the perceived barriers for advancing to leadership positions in healthcare.

Design/methodology/approach: A systematic search was conducted through Elton B Stephans Company (EBSCO) host research platform using the databases Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete, Medical Literature Analysis and Retrieval System Online (MEDLINE) Complete and American Psychological Association (APA) PsycInfo. Nine papers were selected for this review. Thomas and Harden's (2008) method of thematic synthesis was used drawing from eight qualitative papers and one mixed methods paper describing women's lived experiences in, or advancing to, leadership positions in the healthcare sector. Analysis was conducted using three steps of thematic synthesis: the inductive coding of the text, the development of descriptive themes and the generation of analytical themes.

Findings: Through the method of thematic synthesis, six descriptive themes (barriers) emerged: internalised feelings, work-life balance, lack of support, stereotypes, discriminatory behaviours and organisational culture. From these, three analytical themes were identified: personal, interpersonal and organisational.

Research limitations/implications: This review looked at nine papers and documented women's voices. However, the women were in disparate geographical areas across the world and did not consider the specific cultural context in which the women were located. The healthcare sector is very large, and therefore, whilst there are shared commonalities, the disparateness could be a limitation.

Practical implications: Barriers were categorised as either structural barriers or attitudinal barriers to determine the policy and practice.

Originality/value: This research is crucial to better understanding what remedies need to be implemented to address gender disparity in the sector.

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探索在保健领域晋升领导职位的障碍:妇女经验的专题综合。

目的:本文旨在探讨女性的声音，描述在医疗保健领域晋升领导职位的感知障碍。设计/方法/方法:通过Elton B Stephans Company (EBSCO)主持研究平台，使用数据库“护理与相关健康文献累积索引”(CINAHL) Complete、“医学文献分析与检索系统在线”(MEDLINE) Complete和美国心理学会(APA) PsycInfo进行系统检索。本次综述选取了9篇论文。托马斯和哈登(2008)的主题合成方法是从八个定性论文和一个混合方法的论文描述妇女的生活经验，或推进到，在医疗保健部门的领导职位绘图。分析采用主题综合的三个步骤进行:语篇的归纳编码、描述性主题的发展和分析性主题的产生。研究发现:通过主题综合方法，出现了六个描述性主题(障碍):内化感受、工作与生活平衡、缺乏支持、刻板印象、歧视行为和组织文化。由此，确定了三个分析主题:个人、人际和组织。研究局限/启示:本综述研究了9篇论文，记录了女性的声音。然而，这些女性来自世界各地不同的地理区域，并没有考虑到这些女性所在的具体文化背景。医疗保健部门非常庞大，因此，虽然存在共同的共性，但差异可能是一种限制。实际影响:障碍被分类为结构性障碍或态度障碍，以确定政策和实践。原创性/价值:这项研究对于更好地理解需要采取哪些补救措施来解决该行业的性别差异至关重要。

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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.