RESUMEN
Purpose: To explore and analyse the experience of work situation and professional role for midwives at a labour ward pre and post the implementation of a midwifery model of care (MiMo). Methods: A simultaneous mixed method was used. The qualitative core component departed from three focus group interviews (n = 16 midwives). Secondary inductive and deductive content analysis was performed using an unconstrained matrix to make a corresponding comparison of the different time points. The supplemental component was a quantitative survey about the work situation (n = 58). Results: The qualitative results pre the implementation showed three categories: Balance between Women and Organization, Midwives-Diverse as both Profession and Person, and Strained Work Situation. Post the intervention they transformed to Balance between Midwifery and Organization, Midwives-An Adaptable Profession, Strained Work Situation, and a new category Ability to concretize midwifery was found. There were no significant differences in the measures of work situation in the quantitative analyses. Conclusions: The synthesized findings based on the qualitative part show that MiMo has a potential to strengthen the professional role and midwifery practice. As such, MiMo has the capability to offer benefits to the labour wards with additional considerations.
Asunto(s)
Actitud del Personal de Salud , Partería , Rol Profesional/psicología , Lugar de Trabajo/psicología , Humanos , Entrevistas como Asunto , Estrés Laboral/psicología , Investigación Cualitativa , Sexismo/psicologíaRESUMEN
Lingering unconscious biases and daily cues continue to permeate and persist in academic medicine environments in the form of the exclusion of physicians who are women or racially/ethnically underrepresented in medicine. Academic medicine environments must change so that women and underrepresented in medicine racial/ethnic groups are seen, heard, and valued. A shared awareness among faculty, administrators, and trainees can inform the development of intentional strategies to alter individual behaviors, academic spaces, and institutional processes to cultivate a sense of belonging. Shifting the norms in medicine and the course of historical exclusion will require professional development in areas of inclusive teaching practices, skills to cultivate mentoring relationships with diverse trainees, and fostering discussions about the relevance of personal identity, as well as attention to the symbolism and imagery in institutional messages (e.g., portraits on the walls, website, marketing campaigns) and to the value of including community involvement in productivity metrics.
Asunto(s)
Grupos Minoritarios/psicología , Cultura Organizacional , Médicos Mujeres/psicología , Lugar de Trabajo/psicología , Femenino , Humanos , Tutoría/organización & administración , Médicos Mujeres/organización & administración , Médicos Mujeres/provisión & distribución , Sexismo/psicología , Estados Unidos , Lugar de Trabajo/organización & administraciónRESUMEN
Contemporary perceivers encounter highly gendered imagery in media, social networks, and the workplace. Perceivers also express strong interpersonal biases related to targets' gendered appearances after mere glimpses at their faces. In the current studies, we explored adaptation to gendered facial features as a perceptual mechanism underlying these biases. In Study 1, brief visual exposure to highly gendered exemplars shifted perceptual norms for men's and women's faces. Studies 2-4 revealed that changes in perceptual norms were accompanied by notable shifts in social evaluations. Specifically, exposure to feminine phenotypes exacerbated biases against hypermasculine faces, whereas exposure to masculine phenotypes mitigated them. These findings replicated across multiple independent samples with diverse stimulus sets and outcome measures, revealing that perceptual gender norms are calibrated on the basis of recent visual encounters, with notable implications for downstream evaluations of others. As such, visual adaptation is a useful tool for understanding and altering social biases related to gendered facial features.