Evidence map›Paper›PMID 35139035›Full record

ArticleBMJ open2021

Healthcare workers' perception of gender and work roles during the COVID-19 pandemic: a mixed-methods study.

Bria Scriven Mele, Jayna M Holroyd-Leduc, Patricia Harasym, Sandra M Dumanski, Kirsten Fiest, Ian D Graham, Kara Nerenberg, Colleen Norris, Jeanna Parsons Leigh, Louise Pilote and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  5. The second victim phenomenon´s impact in male and female healthcare workers: a scoping review.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 3 countries.

Bria Scriven MeleCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-6931-5153
Jayna M Holroyd-LeducCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Patricia HarasymCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0003-4260-5270
Sandra M DumanskiCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Kirsten FiestCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-7299-6594
Ian D GrahamFaculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Kara NerenbergCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Colleen NorrisFaculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Jeanna Parsons LeighFaculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID 0000-0002-8408-674X
Louise PiloteFaculty of Medicine, McGill University, Montreal, Québec, Canada.ORCID 0000-0002-6159-0628
Harlan PrudenFaculty of Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
Valeria RaparelliFaculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Doreen RabiCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Shannon M RuzyckiCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0002-8122-2910
Ranjani SomayajiCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Henry Thomas StelfoxCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Sofia B AhmedCumming School of Medicine, University of Calgary, Calgary, Alberta, Canada sofia.ahmed@albertahealthservices.ca.ORCID 0000-0003-3000-2229
University of Calgary · CAUniversity of Alberta · CADalhousie University · CAMcGill University · CASimon Fraser University · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesA high functioning healthcare workforce is a key priority during the COVID-19 pandemic. We sought to determine how work and mental health for healthcare workers changed during the COVID-19 pandemic in a universal healthcare system, stratified by gender factors.

designA mixed-methods study was employed. Phase 1 was an anonymous, internet-based survey (7 May-15 July 2020). Phase 2 was semistructured interviews offered to all respondents upon survey completion to describe how experiences may have differed by gender identity, roles and relations.

settingNational universal healthcare system (Canada).

participants2058 Canadian healthcare worker survey respondents (87% women, 11% men, 1% transgender or Two-Spirit), including 783 health professionals, 673 allied health professionals, 557 health support staff. Of the 63 unique healthcare worker types reported, registered nurses (11.5%), physicians (9.9%) and pharmacists (4.5%) were most common. Forty-six healthcare workers were interviewed.

main outcome measuresReported pandemic-induced changes to occupational leadership roles and responsibilities, household and caregiving responsibilities, and anxiety levels by gender identity.

resultsMen (19.8%) were more likely to hold pandemic leadership roles compared with women (13.4%). Women (57.5%) were more likely to report increased domestic responsibilities than men (45%). Women and those with dependents under the age of 10 years reported the greatest levels of anxiety during the pandemic. Interviews with healthcare workers further revealed a perceived imbalance in leadership opportunities based on gender identity, a lack of workplace supports disproportionately affecting women and an increase in domestic responsibilities influenced by gender roles.

conclusionsThe COVID-19 pandemic response has important gendered effects on the healthcare workforce. Healthcare workers are central to effective pandemic control, highlighting an urgent need for a gender-transformative pandemic response strategy.

Indexed as

COVID-19PandemicsCanadaChildFemaleGender IdentityHealth PersonnelHumansMalePerceptionSARS-CoV-2COVID-19health services administration & managementmental healthorganisation of health servicesqualitative research

Identifiers

PMID35139035
PMCPMC8718936
OpenAlexW4205351285

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.