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1.
Proc Natl Acad Sci U S A ; 121(16): e2313878121, 2024 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-38588425

RESUMO

Many mainstream organizations celebrate their historical successes. In their history, however, they often marginalized racial minorities, women, and other underrepresented groups. We suggest that when organizations celebrate their histories, even without mentioning historical marginalization, they can undermine belonging and intentions to join the organization among historically marginalized groups. Four experiments demonstrate that Black participants who were exposed to an organization that celebrated their history versus the present showed reduced belonging and intentions to participate in the organization. These effects were mediated by expectations of biased treatment in the organization. Further, when organizations had a history of Black people in power, celebrating history was no longer threatening, highlighting that the negative effects of celebrating history are most likely when organizations are or are assumed to be majority-White and have treated Black Americans poorly. Taken together, these findings suggest that emphasizing organizational history can be a source of social identity threat among Black Americans.


Assuntos
Negro ou Afro-Americano , Identificação Social , Humanos , População Negra , Brancos
2.
Psychol Sci ; 35(3): 239-249, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38285965

RESUMO

In the present research, we explored social-identity threat caused by subtle acts of omission, specifically situations in which social-identity information is requested but one's identity is not among the options provided. We predicted that being unable to identify with one's group-that is, in the demographics section of a survey-may signal social-identity devaluation, eliciting negative affect (e.g., anger) and increasing the importance of the omitted identity to group members' sense of self. Six preregistered experiments (N = 2,964 adults) sampling members of two minority-identity groups (i.e., gender minorities and members of a minority political party) support these predictions. Our findings document the existence of a subtle but likely pervasive form of social-identity threat.


Assuntos
Minorias Sexuais e de Gênero , Identificação Social , Adulto , Humanos , Grupos Minoritários , Ira , Identidade de Gênero
3.
J Pers ; 92(2): 620-635, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37269092

RESUMO

OBJECTIVE: Across four studies, we examined whether certain personality traits cue prejudice and serve as identity threat cues. BACKGROUND: Stigmatized group members may be vigilant to personality cues that signal prejudice. METHOD: In Study 1 (N = 76), perceivers selected traits and behaviors associated with disagreeableness and closedness to experience as indicators of prejudice. In Studies 2-4, perceivers with stigmatized identities (Total N = 907) learned about a target person who was depicted as disagreeable or agreeable (Studies 2 and 3) and as disagreeable or another trait matched on perceived negativity (i.e., low in conscientiousness, Study 4). RESULTS: Participants perceived the disagreeable target as more discriminatory and hierarchy-endorsing (Studies 2-4), more morally disengaged (Study 3), and more likely to discriminate against stigmatized identity groups (Studies 2 and 4) than the agreeable or low conscientious targets. The relationship between target disagreeableness and perceived discrimination was partially explained by higher perceived hierarchy endorsing beliefs (Studies 2-4) and perceived moral disengagement (Study 3). CONCLUSIONS: This research finds that perceivers with stigmatized identities utilize target disagreeableness as a cue of identity threat, inferring that disagreeable people are more likely to be discriminatory, prejudicial, and hierarchy-endorsing than agreeable and low conscientious people.


Assuntos
Personalidade , Preconceito , Humanos , Princípios Morais , Medo
4.
Br J Clin Psychol ; 62(1): 1-9, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36124953

RESUMO

OBJECTIVE: The aim of this study was to examine what factors make people with Parkinson's disease more susceptible to stereotype threat (i.e., the concern of being evaluated in line with negative group-based stereotypes) and the clinical consequences of this. METHOD: Forty-nine people with Parkinson's disease completed a measure of stereotype threat, as well as measures that indexed potential antecedents and clinical consequences of stereotype threat. RESULTS: Younger age and greater communication difficulties emerged as significant predictors of stereotype threat. Higher stereotype threat was also associated with increased emotional distress. CONCLUSIONS: These findings are an important first step in understanding stereotype threat in Parkinson's disease and may help to guide the development of intervention and educational efforts aimed at countering its effects.


Assuntos
Doença de Parkinson , Humanos , Estereotipagem , Emoções
5.
Qual Health Res ; 33(14): 1262-1278, 2023 12.
Artigo em Inglês | MEDLINE | ID: mdl-37848195

RESUMO

Despite almost one-third of women suffering from the loss of a baby through miscarriage, stillbirth, or infant loss, it is surprising how little research examines how such loss affects the identity and stigmas experienced by these individuals. Through in-depth, semi-structured interviews with bereaved mothers (in particular, mothers who lost a baby during pregnancy or within one year after birth), this research sheds light on the bereaved mother's experiences after loss. Specifically, this research applies the identity-threat model of stigma to showcase the process of stigmatized loss. Based on our findings, we also introduce the process model of stigmatized loss that can apply to all types of stigmatized loss. Key themes emerged as we explored stigmatized loss discourses. These include situational cues that trigger stigma, identity-based responses that aim to preserve both a baby's and mother's identity, as well as nonvolitional and volitional responses that help restore control and reconstruct identity. Additionally, other themes revolve around positive and negative outcomes stemming from avoiding stigmatized identity activation and identification of triggers that initiate a recursive process through stigmatized baby loss. Importantly, stigma can be perceived as both an identity threat (negative) and an identity confirmation (positive). Findings inform theory and practice alike.


Assuntos
Aborto Espontâneo , Mães , Natimorto , Feminino , Humanos , Lactente , Gravidez , Aborto Espontâneo/psicologia , Mães/psicologia , Estigma Social , Natimorto/psicologia
6.
Appetite ; 168: 105654, 2022 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-34428474

RESUMO

Consumers of meat products are generally shielded from the moral dissonance associated with the killing of livestock. Nonetheless, consumers increasingly look for ways to reduce or avoid meat in their diets due to concerns about individual health and the harmful global impacts of meat production. Campaigns that promote plant-based diets seek to facilitate such efforts by appealing to consumers' compassion, but the effects of such moral appeals on immediate food choice have not been studied. The literature on the psychology of meat consumption, its gendered associations in western cultural contexts are reviewed, and a compassion appraisal model for ethical food choice is tested. In a longitudinal restaurant field study and three laboratory experiments, the effects of interhuman as well as interspecies compassion appeals on meat-containing vs. meatless food choices are investigated. Compassion mediates ethical food choices, but is moderated by denial of the harmful consequences of meat production. Threats to masculinity that are often associated with meat advertising increase men's likelihood to choose meat instead of a vegetarian option. Overall, results indicate that men are less amenable to reduce their meat consumption and that they evaluate vegetarian options as less palatable when exposed to compassion appeals. These effects were opposite for women. Implications for meatless food products and for consumer well-being are discussed.


Assuntos
Empatia , Paladar , Comportamento do Consumidor , Feminino , Preferências Alimentares , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Carne , Princípios Morais
7.
J Health Commun ; 27(7): 460-470, 2022 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-36082842

RESUMO

Alcohol causes cancer, but many alcohol consumers are not aware of this risk. Research is needed to identify effective communication strategies to increase risk perceptions and decrease alcohol consumption. This study examined the effects of threatening and hedging languages in communicating the cancer risk associated with alcohol use. Results from a between-subjects experiment (N = 584) revealed a significant interaction effect: Threatening language combined with lexical hedges led to a higher perceived threat to drinker identity competence, which predicted higher intentions to reduce and stop drinking. Moreover, threatening language increased perceived threat to freedom, predicting greater reactance and lower behavioral intentions. Lastly, hedging increased perceived message tentativeness, predicting lower risk perceptions and behavioral intentions. Implications of our study were discussed.


Assuntos
Intenção , Neoplasias , Humanos , Idioma , Liberdade , Neoplasias/prevenção & controle , Consumo de Bebidas Alcoólicas/efeitos adversos , Consumo de Bebidas Alcoólicas/prevenção & controle
8.
Ethn Health ; 26(1): 110-125, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33307773

RESUMO

OBJECTIVES: Coronavirus stigmatization may be disproportionately impacting ethnoracial minority groups in the US. We test three hypotheses: [H1] Asians in the US are more likely to report experiencing coronavirus stigmatization than non-Hispanic Whites; [H2] Coronavirus stigmatization is associated with psychological distress; [H3] Magnitude of association between coronavirus stigmatization and psychological distress is more pronounced among US-born Asians, compared to non-Hispanic Whites. DESIGN: We analyzed cross-sectional survey data from the 10-31 March 2020 wave of the Understanding America Survey, a nationally representative survey of adults in the US. Psychological distress was assessed with the PHQ-4. Measures of association were estimated using multiple logistic regression and survey sampling weights. Predicted probabilities were calculated using marginal standardization ( n = 6707). RESULTS: [H1] The adjusted predicted probability of experiencing any coronavirus stigma among foreign-born Asians (11.2%, 95% CI: 5.5-17.0%; E-value = 4.52), US-born Asians (10.9%, 95% CI: 5.8-16.0%; E-value = 4.23), Blacks (8.0%, 95% CI: 5.3-10.7%; E-value = 2.92), and Hispanic Whites (7.3%, 95% CI: 4.6-9.9%; E-value = 2.58) was significantly greater than non-Hispanic Whites (4.5%, 95% CI: 3.7-5.4%). [H2] Individuals reporting any coronavirus stigma experience were significantly more likely to exhibit psychological distress (19.9%, 95% CI: 14.6-25.2% vs 10.6%, 9.6-11.6%; E-value = 3.16). [H3] The overall magnitude of association between experience of any coronavirus stigma and psychological distress was not significantly between US-born Asians and non-Hispanic Whites, though we found gender to mask this effect. US-born Asian females who experienced coronavirus stigmatization were more likely to exhibit psychological distress than non-Hispanic white females who experienced coronavirus stigmatization (relative risk (RR): 10.21, 95% CI: 2.69-38.74 vs 1.24, 95% CI: 0.76-2.01; p < 0.01). CONCLUSION: Comprehensive measures around care seeking, public awareness, and disaggregated data collection are needed to address ethnoracial coronavirus stigmatization and its impact on psychological health and well-being.


Assuntos
Povo Asiático/estatística & dados numéricos , COVID-19/psicologia , Coronavirus , Angústia Psicológica , Estereotipagem , Adulto , Idoso , Coronavirus/isolamento & purificação , Estudos Transversais , Etnicidade/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados Unidos
9.
Group Process Intergroup Relat ; 24(3): 321-349, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33958955

RESUMO

Integrating social identity threat and structural hole theories, this work examines how social network positions affect group-based identity threats. For individuals less well positioned to bridge (or "broker") relations between unconnected friends, stigma-by-association concerns may constrain affiliation with stereotypic targets. Three experiments (Ns = 280, 232, 553) test whether women (vs. men) in male-dominated STEM (vs. female-dominated) majors avoid befriending a female target with feminine-stereotypic (vs. STEM-stereotypic) interests. Only STEM women with less brokerage (i.e., less ability to manage introductions to unconnected friends) in their existing friendship networks avoided befriending (pilot experiment) and socially integrating (Experiments 1 and 2) feminine- (vs. STEM-) stereotypic targets, despite standardized target similarity and competence. STEM women in particular anticipated steeper reputational penalties for befriending stereotypically feminine peers (Experiment 2). Social identity threat may lead women in STEM-especially those lacking brokerage-to exclude stereotypically feminine women from social networks, reinforcing stereotypes of women and STEM fields.

10.
J Bus Res ; 123: 669-682, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33536692

RESUMO

To encourage people to behave in a more socially responsible or healthy way, many public service announcements (PSAs) dramatically illustrate the dire consequences of undesirable social or health behaviors. However, although informative, such negatively-framed PSAs can generate unintended consequences (e.g., a bad mood, low message acceptance). In this research, we investigated two approaches to improve the effectiveness of negatively-framed PSAs: (1) mood elevation and (2) self-affirmation. Using three studies with large samples of consumers, we found that adding mood-elevating or self-affirming elements to a negative PSA can be an effective way to enhance message acceptance. This is especially the case for recipients currently engaging (vs. not engaging) in the undesirable behaviors. Additionally, we designed mood elevation methods that can be implemented in PSAs in practice.

11.
Sex Cult ; 25(4): 1428-1446, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33584091

RESUMO

This study focuses on the impact of the COVID-19 lockdown on identity, relationships and psychological wellbeing among British South Asian gay men (BSAGM). Interview data from 15 BSAGM were analyzed using qualitative thematic analysis and identity process theory. The analysis yielded the following three themes: (1) Fear of involuntary disclosure of gay identity; (2) Anxiety about relationships; and (3) Coping and casual sexual encounters. BSAGM who returned to the family home during the lockdown reported fear of involuntary disclosure of their sexual identity, exposure to stigma in relation to their sexuality, and anxiety about their relationships with significant others. In order to cope with the resultant threats to identity, some individuals concealed their sexual identity, which could undermine their sense of identity authenticity, and some reported engaging in casual sexual encounters as a means of coping with identity threat. BSAGM may be at high risk of identity threat during the COVID-19 outbreak with limited access to social and psychological support in relation to their sexuality. This in turn may lead to a reliance on ineffective coping strategies, such as sexual risk-taking.

12.
Conserv Biol ; 34(3): 572-580, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-31663167

RESUMO

The natural resource management literature documents many reasons for pursuing collaborative processes, offering useful insights on how to manage conflict and facilitate productive deliberation in complex multistakeholder collaborative efforts. Moral foundations theory and self-affirmation theory can further help collaborative efforts mitigate conflicts caused by identity threats and the identity-protective reasoning these threats provoke. Moral foundations theory suggests an approach to increase collaboration by minimizing triggering language and helping people appreciate opposing viewpoints. Self-affirmation theory suggests a practical intervention that could be used to increase collaboration by desensitizing people to identity threats and reducing defensiveness. Taken together, these theories can contribute substantially to the understanding and practice of collaboration and conflict management for conservation.


Consideración de las Barreras Relacionadas con la Identidad que Enfrenta la Colaboración para la Conservación a través de la Teoría de Autoafirmación y la Teoría de Fundamentos Morales Resumen La literatura sobre el manejo de recursos naturales documenta muchas razones por las que es necesario buscar procesos colaborativos, los cuales ofrecen conocimiento útil sobre cómo manejar el conflicto. Estos procesos también facilitan la deliberación productiva dentro de los esfuerzos colaborativos complejos en los cuales participan múltiples actores. La teoría de fundamentos morales puede ayudar a que los esfuerzos colaborativos mitiguen los conflictos causados por las amenazas a la identidad y el razonamiento de protección de identidad que estas amenazas provocan. La teoría de fundamentos morales propone una estrategia para incrementar la colaboración al minimizar el lenguaje detonante y ayudar a que las personas aprecien los puntos de vista contrarios. La teoría de autoafirmación sugiere una intervención práctica que podría usarse para incrementar la colaboración al desensibilizar a las personas a tal grado que identifiquen amenazas y reduzcan la actitud defensiva. En conjunto, estas teorías pueden contribuir sustancialmente al entendimiento y la práctica de la colaboración y el manejo de conflictos para la conservación.


Assuntos
Conservação dos Recursos Naturais , Princípios Morais
13.
Ann Behav Med ; 53(4): 392-398, 2019 03 20.
Artigo em Inglês | MEDLINE | ID: mdl-29917036

RESUMO

BACKGROUND: Stigmatized people exhibit blunted cortisol responses to many stressors. PURPOSE: To examine the cortisol responses of individuals who are overweight to a stigma-related stressor involving interviewing for a weight-discriminatory company. METHODS: We recruited 170 men and women (mean age = 35.01) from towns located within about a 30-min drive of the study center. Weight was assessed using body mass index (BMI) and self-perceptions about being overweight. Participants were exposed to a laboratory stressor, modeled after the Trier Social Stress Test. In the stigmatizing condition, participants gave a supposedly videotaped speech about what makes them a good candidate for a job at a company that was described as having a weight-discriminatory health insurance benefit. Participants in the nonstigmatizing condition made a supposedly audiotaped speech for a company whose health insurance benefit was not described. Cortisol reactivity was then assessed. RESULTS: Participants who rated themselves as overweight or who were overweight according to their BMI evidenced a blunted cortisol response in the weight-stigmatizing condition, whereas lean participants in the weight-stigmatizing condition showed the rise in cortisol levels that typically occurs following the Trier Social Stress Test. CONCLUSIONS: People who experience the chronic stress of being stigmatized due to their weight show blunted cortisol responses just as other chronically stressed people do.


Assuntos
Hidrocortisona/análise , Sistema Hipotálamo-Hipofisário/fisiopatologia , Sobrepeso/fisiopatologia , Sistema Hipófise-Suprarrenal/fisiopatologia , Estigma Social , Estresse Psicológico/fisiopatologia , Adulto , Índice de Massa Corporal , Feminino , Humanos , Masculino , Sobrepeso/psicologia , Saliva/química , Estresse Psicológico/psicologia
14.
Soc Cogn ; 37(3): 294-313, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31303688

RESUMO

Research shows that smokers feel stigmatized, but does stigmatizing smokers do more harm than good? The model of stigma-induced identity threat was used to experimentally examine how U.S. and Danish smokers respond to stigma-relevant cues. Heavy smokers (112 Americans, 112 Danes) smoked a cigarette while giving a speech that was either video (stigma-visible condition) or audio recorded (stigma-concealed condition). Smokers high in self-concept reacted to the stigma-visible (as opposed to the stigma-concealed) condition with greater physiological reactivity (b = -2.80, p = .05), cognitive depletion (U.S. smokers, b = -0.06, p = .11), self-exempting beliefs (b = 0.32, p < .001), and less interest in stopping smoking (b = 0.28, p = .02). Thus, stigmatization led smokers toward emotional, cognitive, and attitudinal reactions that might make them less likely to quit. Future research should examine when smokers respond to stigmatization by quitting rather than with resistance or indifference.

15.
Qual Health Res ; 28(8): 1366-1377, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29441816

RESUMO

Suffering from a contested illness poses a serious threat to one's identity. We analyzed the rhetorical identity management strategies respondents used when depicting their health problems and lives in the context of observed or suspected indoor air (IA) problems in the workplace. The data consisted of essays collected by the Finnish Literature Society. We used discourse-oriented methods to interpret a variety of language uses in the construction of identity strategies. Six strategies were identified: respondents described themselves as normal and good citizens with strong characters, and as IA sufferers who received acknowledge from others, offered positive meanings to their in-group, and demanded recognition. These identity strategies located on two continua: (a) individual- and collective-level strategies and (b) dissolved and emphasized (sub)category boundaries. The practical conclusion is that professionals should be aware of these complex coping strategies when aiming to interact effectively with people suffering from contested illnesses.


Assuntos
Poluição do Ar em Ambientes Fechados/efeitos adversos , Doenças Profissionais/epidemiologia , Doenças Profissionais/psicologia , Síndrome do Edifício Doente/epidemiologia , Síndrome do Edifício Doente/psicologia , Finlândia , Humanos , Fatores de Risco , Estigma Social , Local de Trabalho
16.
Scand J Psychol ; 57(5): 427-32, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27461972

RESUMO

When faced with a threat to gender identity, people may try to restore their gender status by acting in a more gender-typical manner. The present research investigated effects of gender identity threat on self-presentations of agentic and communal traits in a Swedish and an Argentine sample (N = 242). Under threat (vs. affirmation), Swedish women deemphasized agentic traits (d [95% CI] = -0.41 [-0.93, 0.11]), Argentine women increased their emphasis on communal traits (d = 0.44 [-0.08, 0.97]), and Argentine men increased their emphasis on agentic traits (d = 0.49 [-0.03, 1.01]). However, Swedish men did not appear to be affected by the threat regarding agentic (d = 0.04 [-0.47, 0.55]) or communal traits (d = 0.23 [-0.29, 0.74]). The findings are to be considered tentative. Implications for identity threat research are discussed.


Assuntos
Identidade de Gênero , Relações Interpessoais , Autoimagem , Percepção Social , Adulto , Argentina , Feminino , Humanos , Masculino , Fatores Sexuais , Suécia , Adulto Jovem
17.
Pers Soc Psychol Bull ; : 1461672241235625, 2024 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-38682793

RESUMO

White-collar workplaces are critical "gateway" contexts. They play a crucial role in providing valuable opportunities and upward social mobility. Some groups are less likely, however, to feel they belong in these settings. For example, those with a college degree may feel relatively at ease. However, those without may be uncertain about whether they will be fully included. We examine one possibility for addressing these class-based belonging gaps. A growing education literature demonstrates the power of growth mindsets. We extend this research to the workplace and test its benefits. In two preregistered experiments (N = 1,777), we find that endorsing growth mindsets can support working-class (WK) individuals. When managers have a growth mindset, WK individuals report high sense of belonging. The effect occurred because managers with growth mindsets reduced identity threat. A preregistered survey of employees in the real world (N = 300) triangulated these findings. Sense of belonging was higher among those who believed their manager had a growth mindset. Furthermore, they reported greater job satisfaction and commitment. These findings have important implications for the growing conversation on addressing class divides.

18.
Pers Soc Psychol Bull ; : 1461672241231727, 2024 Mar 11.
Artigo em Inglês | MEDLINE | ID: mdl-38468397

RESUMO

Populism is on the rise across liberal democracies. The sociopsychological underpinnings of this increasing endorsement of populist ideology should be uncovered. In an online cross-sectional survey study among adult samples from five countries (Chile, France, Italy, Romania, and the United Kingdom; N = 9,105), we aimed to replicate an economic distress pattern in which relative deprivation and identity threat are associated with populism. We further tested a cultural backlash pattern-including perceived anomie, collective narcissism, and identity threat as predictors of populism. Multigroup structural equation models supported both economic distress and cultural backlash paths as predictors of populist thin ideology endorsement. In both paths, identity threat to belonging played a significant role as partial mediator. Furthermore, an integrative model showed that the two patterns were not mutually exclusive. These findings emphasize the implication of identity threat to belonging as an explanatory mediator and demonstrate the cross-national generalizability of these patterns.

19.
Front Psychol ; 15: 1296261, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38425563

RESUMO

Gun violence is a serious problem in the United States and elsewhere and more so among men than women. We conducted an experiment to examine if men whose masculinity was threatened are more attracted to guns than non-threatened men, presumably to compensate for the threat. After completing a gender knowledge test, men (N = 168) randomly received either false masculinity threatening (experimental condition) or masculinity affirming (control condition) feedback. Subsequently, we measured men's attitudes toward guns and their choice of a gun-range voucher. Men whose masculinity was threatened (vs. affirmed) showed more positive attitudes toward guns and were more likely to choose the voucher. Both effects were statistically significant when the whole sample was analyzed and when very strict exclusion criteria were applied. However, when data exclusions were based on a suspicion check, effects were statistically significant only when a covariate was included (i.e., social dominance orientation, patriotism, or experience with guns). We discuss reasons for this mixed evidence, including the possibility that suspicion regarding the masculinity feedback could itself be a compensatory reaction to threat.

20.
Implement Sci ; 19(1): 11, 2024 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-38347525

RESUMO

BACKGROUND: Clinical decision support systems (CDSSs) have the potential to improve quality of care, patient safety, and efficiency because of their ability to perform medical tasks in a more data-driven, evidence-based, and semi-autonomous way. However, CDSSs may also affect the professional identity of health professionals. Some professionals might experience these systems as a threat to their professional identity, as CDSSs could partially substitute clinical competencies, autonomy, or control over the care process. Other professionals may experience an empowerment of the role in the medical system. The purpose of this study is to uncover the role of professional identity in CDSS implementation and to identify core human, technological, and organizational factors that may determine the effect of CDSSs on professional identity. METHODS: We conducted a systematic literature review and included peer-reviewed empirical studies from two electronic databases (PubMed, Web of Science) that reported on key factors to CDSS implementation and were published between 2010 and 2023. Our explorative, inductive thematic analysis assessed the antecedents of professional identity-related mechanisms from the perspective of different health care professionals (i.e., physicians, residents, nurse practitioners, pharmacists). RESULTS: One hundred thirty-one qualitative, quantitative, or mixed-method studies from over 60 journals were included in this review. The thematic analysis found three dimensions of professional identity-related mechanisms that influence CDSS implementation success: perceived threat or enhancement of professional control and autonomy, perceived threat or enhancement of professional skills and expertise, and perceived loss or gain of control over patient relationships. At the technological level, the most common issues were the system's ability to fit into existing clinical workflows and organizational structures, and its ability to meet user needs. At the organizational level, time pressure and tension, as well as internal communication and involvement of end users were most frequently reported. At the human level, individual attitudes and emotional responses, as well as familiarity with the system, most often influenced the CDSS implementation. Our results show that professional identity-related mechanisms are driven by these factors and influence CDSS implementation success. The perception of the change of professional identity is influenced by the user's professional status and expertise and is improved over the course of implementation. CONCLUSION: This review highlights the need for health care managers to evaluate perceived professional identity threats to health care professionals across all implementation phases when introducing a CDSS and to consider their varying manifestations among different health care professionals. Moreover, it highlights the importance of innovation and change management approaches, such as involving health professionals in the design and implementation process to mitigate threat perceptions. We provide future areas of research for the evaluation of the professional identity construct within health care.


Assuntos
Sistemas de Apoio a Decisões Clínicas , Médicos , Humanos , Pessoal de Saúde , Farmacêuticos , Competência Clínica
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