Evidence map›Paper›PMID 35353996›Full record

ArticleThe western journal of emergency medicine2021

The Role of Gender in Nurse-Resident Interactions: A Mixed-methods Study.

Emily C Cleveland Manchanda, Anita N Chary, Noor Zanial, Lauren Nadeau, Jennifer Verstreken, Eric Shappell, Wendy Macias-Konstantopoulos, Valerie Dobiesz

Abstract read
In one paragraph

Article in The western journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Gender Inequity in the Clinical Setting.Clinics in colon and rectal surgery · 2023
    Review
  7. Article
  8. Three decades of demographic trends among academic emergency physicians.Journal of the American College of Emergency Physicians open · 2022
    Article
  9. Article
  10. Article
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

8 authors.

Emily C Cleveland ManchandaMassachusetts General and Brigham and Women's Hospitals, Boston Harvard Affiliated Emergency Medicine Residency, Boston, Massachusetts.
Anita N CharyMassachusetts General and Brigham and Women's Hospitals, Boston Harvard Affiliated Emergency Medicine Residency, Boston, Massachusetts.
Noor ZanialHarvard Medical School, Program in Global Surgery & Social Change, Boston, Massachusetts.
Lauren NadeauMassachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts.
Jennifer VerstrekenBrigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts.
Eric ShappellMassachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts.
Wendy Macias-KonstantopoulosMassachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts.
Valerie DobieszBrigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe role of gender in interprofessional interactions is poorly understood. This mixed-methods study explored perceptions of gender bias in interactions between emergency medicine (EM) residents and nurses.

methodsWe analyzed qualitative interviews and focus groups with residents and nurses from two hospitals for dominant themes. An electronic survey, developed through an inductive-deductive approach informed by qualitative data, was administered to EM residents and nurses. Quantitative analyses included descriptive statistics and between-group comparisons.

resultsSix nurses and 14 residents participated in interviews and focus groups. Key qualitative themes included gender differences in interprofessional communication, specific examples of, and responses to, gender bias. Female nurses perceived female residents as more approachable and collaborative than male residents, while female residents perceived nurses' questions as doubting their clinical judgment. A total of 134 individuals (32%) completed the survey. Females more frequently perceived interprofessional gender bias (mean 30.9; 95% confidence interval {CI}, 25.6, 36.2; vs 17.6 [95% CI, 10.3, 24.9). Residents reported witnessing interprofessional gender bias more frequently than nurses (58.7 (95% CI, 48.6, 68.7 vs 23.9 (95% CI, 19.4, 28.4). Residents reported that gender bias affected job satisfaction (P = 0.002), patient care (P = 0.001), wellness (P = 0.003), burnout (P = 0.002), and self-doubt (P = 0.017) more frequently than nurses.

conclusionPerceived interprofessional gender bias negatively impacts personal wellbeing and workplace satisfaction, particularly among female residents. Key institutional stakeholders including residency, nursing, and hospital leadership should invest the resources necessary to develop and integrate evidence-based strategies to improve interprofessional relationships that will ultimately enhance residency training, work climate, and patient care.

Indexed as

Emergency MedicineInternship and ResidencyFemaleHumansJob SatisfactionLeadershipMaleSexism

Identifiers

PMID35353996
PMCPMC8328169

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Registered trials

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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.