Global Business School for Health, Faculty of Population Health Sciences, University College London, London, UK.
Brunel Business School, Brunel University London, Uxbridge, UK.
J Health Organ Manag. 2024 Oct 16;ahead-of-print(ahead-of-print):1108-1125. doi: 10.1108/JHOM-07-2024-0318.
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.
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.
本叙事文献综述考察了非西方、高权力距离背景下的交叉员工声音不平等现象，以制定一个多层次的概念框架。
设计/方法/途径：作者使用 Leininger（1997 年，2002 年）的文化关怀模式来探索多层次对交叉声音不平等的影响。本文将从对 31 项研究的综述中获得的见解应用于沙特阿拉伯移民姑息治疗（PC）护士的具体挑战。
综述中确定的主题表明，更好的跨文化交流如何缓解影响移民员工福祉和离职意愿的声音不平等，这些不平等是由于文化不和谐造成的。
原创性/价值：民族文化差异和交叉不平等对员工声音的影响在学术研究中基本上被忽视了。本文从非西方视角，借鉴文化关怀理论，提供了独特的见解，探讨了沙特阿拉伯交叉声音挑战，沙特阿拉伯正在进行国家转型计划，这一研究领域的研究还很少。它鲜明地对比了推进医疗保健的政策目标与基于保守态度的歧视性做法，后者扼杀了移民工人的声音。
