James Yvonne, Hermosura Billie Jane, Decady Ruth, Bourgeault Ivy L
University of Ottawa, Ottawa, Ontario, Canada.
Healthc Manage Forum. 2025 Mar;38(2):141-147. doi: 10.1177/08404704241293947. Epub 2024 Nov 3.
This scoping review of gender and healthcare leadership synthesized the barriers and facilitators at multiple levels employing a framework that integrates a specific focus on the concept of care. The 71 sources identified focus predominantly on barriers to women's leadership at the individual and team level and, to a lesser extent, at the organizational and system level. Facilitators tend to be presented as recommended actions than evaluated interventions. Healthcare leadership tends to ignore the gendered context of care elevating leaders who are least likely to provide such care. Where personal caregiving circumstances are considered, they are individualized, reflecting the literature in general. More critical analysis is needed to focus on women's experiences and how their gender can predetermine their success in achieving and being in leadership positions. Healthcare leadership researchers are encouraged to include gender and care-focused analyses and interventions to address the under-representation of women in healthcare leadership.
这项关于性别与医疗保健领导力的范围综述采用了一个整合了对护理概念特别关注的框架,综合了多个层面的障碍和促进因素。所确定的71个来源主要关注个人和团队层面上女性领导力的障碍,在组织和系统层面的关注较少。促进因素往往被呈现为推荐行动,而非经过评估的干预措施。医疗保健领导力往往忽视护理的性别背景,推崇那些最不可能提供此类护理的领导者。在考虑个人护理情况时,这些情况是个体化的,这反映了一般文献的情况。需要进行更批判性的分析,关注女性的经历以及她们的性别如何预先决定她们在获得和担任领导职位方面的成功。鼓励医疗保健领导力研究人员纳入以性别和护理为重点的分析及干预措施,以解决女性在医疗保健领导力中代表性不足的问题。