Ruzycki Shannon M, McFadden Chanda, Jenkins Jessica, Kuriachan Vikas, Keir Michelle
Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
CJC Open. 2022 Apr 26;4(8):676-684. doi: 10.1016/j.cjco.2022.04.003. eCollection 2022 Aug.
Gender- and sex-based harassment and discrimination are consistently reported by about 50% of women physicians, and the prevalence may be even greater among women in cardiology. An exploration of these experiences and their impacts on women in healthcare is necessary to design interventions, create supports, and facilitate empathy, support, and allyship among leadership.
To understand and describe the experiences of harassment and discrimination among women working in cardiac sciences, to inform the design of interventions and supports, we performed one-on-one, semi-structured interviews with women in the Department of Cardiac Sciences in a single institute. Interviews were coded independently in parallel using thematic analysis and reconciled by trained qualitative researchers. Experiences were categorized as harassment using the Canadian Human Rights Act. Codes were grouped into themes by iterative discussion.
There were 15 participants, including trainees, physicians in a variety of cardiac subdisciplines, and nurse practitioners. All participants had experienced sex- or gender-based discrimination at work, though the impact and perception of these experiences varied. Whereas some participants felt that these experiences had little influence on their careers or personal lives, others changed practice specialties or locations due to harassment. Several participants had been sexually assaulted at work. Interviews revealed modifiable barriers to reporting harassment.
This qualitative dataset enriches the prevalence data on sex- and gender-based harassment among women working in cardiology by describing the impacts and perceptions of this harassment. Organizations should address commonly described barriers to reporting harassment, including addressing retaliation, and create systems-level supports for those affected by harassment.
约50%的女医生持续报告遭受基于性别和性别的骚扰与歧视，在心脏病学领域的女性中，这一比例可能更高。探索这些经历及其对医疗保健领域女性的影响，对于设计干预措施、提供支持以及促进领导层之间的同理心、支持和同盟关系而言是必要的。
为了解和描述从事心脏科学工作的女性所遭受的骚扰和歧视经历，以为干预措施和支持的设计提供信息，我们在一所单一机构的心脏科学系对女性进行了一对一的半结构化访谈。访谈采用主题分析独立并行编码，并由训练有素的定性研究人员进行核对。根据《加拿大人权法》，将经历归类为骚扰。通过反复讨论将代码分组为主题。
有15名参与者，包括实习生、各种心脏亚专业的医生和执业护士。所有参与者在工作中都经历过基于性别的歧视，尽管这些经历的影响和认知各不相同。一些参与者认为这些经历对其职业或个人生活影响不大，而另一些人则因骚扰而改变了执业专业或地点。几名参与者在工作中遭受过性侵犯。访谈揭示了举报骚扰存在可改变的障碍。
通过描述这种骚扰的影响和认知，这个定性数据集丰富了心脏病学领域女性基于性别和性别的骚扰的患病率数据。各组织应消除普遍描述的举报骚扰的障碍，包括应对报复行为，并为受骚扰影响的人建立系统层面的支持。
