The University of Melbourne, Melbourne, VIC, Australia.
Sunshine Coast University Hospital, Birtinya, QLD, Australia.
Womens Health (Lond). 2022 Jan-Dec;18:17455057221114268. doi: 10.1177/17455057221114268.
To identify barriers and enablers to motherhood experienced by female doctors in Australia.
Semi-structured telephone interviews were conducted with 18 female physician-mothers in Australia, during March and May 2020. Interview data were examined using thematic analysis to extract key themes.
Six key barriers and seven key enablers were identified. Barriers (B1-6) largely reflected structural and cultural issues operating within health services and the wider medical profession. Barriers were the experience of working in medicine (B1); demands of postgraduate specialty training (B2); attitudes towards mothers in medicine (B3); gender inequality (B4); insufficient entitlements and support (B5); and competing priorities, conflicting roles (B6). Enablers were supportive partnerships (E1); break from traditional gender roles (E2); capacity to delegate/outsource (E3); doctors supporting doctors (E4); flexible work arrangements (E5); increasing acceptance and support (E6); and capacity to combine career and family (E7).
This was the first qualitative study to explore motherhood experiences among female doctors in Australia. Participants reported structural and cultural barriers during all stages of motherhood. The mismatch between identified barriers and available supports reveals opportunities for improving the experience of physician-mothers.
确定澳大利亚女医生在成为母亲过程中所面临的障碍和促进因素。
2020 年 3 月至 5 月，对澳大利亚的 18 名女性医师母亲进行了半结构式电话访谈。使用主题分析对访谈数据进行检查，以提取关键主题。
确定了 6 个主要障碍和 7 个主要促进因素。障碍（B1-6）主要反映了医疗服务和更广泛的医疗行业内部的结构和文化问题。障碍包括在医学领域工作的经历（B1）；研究生专业培训的要求（B2）；对医学领域中母亲的态度（B3）；性别不平等（B4）；权利和支持不足（B5）；以及优先级冲突、角色冲突（B6）。促进因素包括支持性的伴侣关系（E1）；打破传统性别角色（E2）；授权/外包能力（E3）；医生支持医生（E4）；灵活的工作安排（E5）；接受和支持的增加（E6）；以及兼顾职业和家庭的能力（E7）。
这是第一项探索澳大利亚女性医生成为母亲经历的定性研究。参与者报告了在成为母亲的所有阶段都存在结构和文化障碍。已确定的障碍与可用支持之间的不匹配，揭示了改善医师母亲体验的机会。
