The Library
Factors that influence the implementation of organisational interventions for advancing women in healthcare leadership : a meta-ethnographic study
Tools
Mousa, Mariam, Skouteris, Helen, Boyle, Jacqueline A., Currie, Graeme, Riach, Kathleen and Teede, Helena J. (2022) Factors that influence the implementation of organisational interventions for advancing women in healthcare leadership : a meta-ethnographic study. eClinicalMedicine, 51 . 101514. doi:10.1016/j.eclinm.2022.101514 ISSN 2589-5370.
|
PDF
WRAP-factors-influence-implementation-organisational-interventions-advancing-women-healthcare-leadership-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (347Kb) | Preview |
Official URL: https://doi.org/10.1016/j.eclinm.2022.101514
Abstract
Background:
Gender inequity in healthcare leadership persists and progress is slow, with the focus firmly on problems, barriers and on requiring women themselves to adapt and compete in a system not designed for them. Women are individually burdened to advance their careers, with little effort given to addressing systemic barriers in the health sector. A recent systematic review prioritised organisational-level approaches and demonstrated effective interventions. In this meta-ethnographic study, we further this work by examining factors in implementation of organisational interventions for advancing women in leadership.
Methods:
The meta-ethnographic framework applied here follows the Noblit and Hare approach for synthesising findings and applying interpretive analysis to original research. We generated a new line-of-argument with insights for the healthcare sector. The protocol is registered (CRD42020162115) on the International Prospective Register of Systematic Reviews. Three academic databases (MEDLINE, PsycINFO, SCOPUS) were searched systematically between 2000 and 2021. Studies were analysed if they included organisational-level interventions that sought to measurably advance women in leadership. Study characteristics were extracted using a standard template for intervention details. Quality appraisal was conducted using the Critical Appraisal Skills Program tool. Data synthesis was conducted across 19 criteria of the Meta-Ethnography Reporting Guide (eMERGe).
Findings:
Fifteen qualitative studies were included. Analysis revealed three meta-themes that are central to successful implementation of organisational interventions that advance women in healthcare leadership: (1) leadership commitment and accountability, influenced by internal and external organisational settings, salient for long term outcomes and for developing an inclusive leadership culture; (2) intervention fit with individuals with consideration given to personal beliefs, preferences, experiences, capabilities or life circumstances, including capacity for leadership roles in their broader life context; balanced against maintaining interventional fidelity, and (3) cultural climate and organisational readiness for change, addressing traditional, conservative and constrictive perspectives on gender and leadership in health, highlighting the facilitating role of male colleagues.
Interpretation:
This meta-ethnographic research extends past work by integrating empirical evidence from a systematic literature review of effective organisational level interventions, with the identification of pragmatic themes to generate, implement, evaluate and embed evidence-based organisational interventions to advance women in healthcare leadership. This work can inform initiatives and policymakers to generate and implement new knowledge to advance women in healthcare leadership.
Funding:
Epworth Health and Monash University provided scholarships for MM. HT is funded by an NHMRC / MRFF Practitioner Fellowship, JB by an NHMRC fellowship and HS by a Monash Warwick University Professorship.
Item Type: | Journal Article | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Subjects: | H Social Sciences > HD Industries. Land use. Labor H Social Sciences > HM Sociology H Social Sciences > HQ The family. Marriage. Woman R Medicine > R Medicine (General) |
||||||||||||
Divisions: | Faculty of Social Sciences > Warwick Business School > Entrepreneurship, Innovation & Management Faculty of Social Sciences > Warwick Business School |
||||||||||||
SWORD Depositor: | Library Publications Router | ||||||||||||
Library of Congress Subject Headings (LCSH): | Leadership in women, Women in medicine, Sexism in medicine, Equality -- Health aspects, Women executives, Health services administrators, Women in the professions | ||||||||||||
Journal or Publication Title: | eClinicalMedicine | ||||||||||||
Publisher: | Elsevier | ||||||||||||
ISSN: | 2589-5370 | ||||||||||||
Official Date: | September 2022 | ||||||||||||
Dates: |
|
||||||||||||
Volume: | 51 | ||||||||||||
Article Number: | 101514 | ||||||||||||
DOI: | 10.1016/j.eclinm.2022.101514 | ||||||||||||
Status: | Peer Reviewed | ||||||||||||
Publication Status: | Published | ||||||||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||||||||
Date of first compliant deposit: | 3 August 2022 | ||||||||||||
Date of first compliant Open Access: | 8 August 2022 | ||||||||||||
RIOXX Funder/Project Grant: |
|
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |
Downloads
Downloads per month over past year