Gender and power: Nurses and doctors in Canada

<p>Abstract</p> <p>Background</p> <p>The nurse-doctor relationship is historically one of female nurse deference to male physician authority. We investigated the effects of physicians' sex on female nurses' behaviour.</p> <p>Methods</p> <p...

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Main Authors: Phillips Susan P, Zelek Barbara
Format: Article
Language:English
Published: BMC 2003-02-01
Series:International Journal for Equity in Health
Subjects:
Online Access:http://www.equityhealthj.com/content/2/1/1
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author Phillips Susan P
Zelek Barbara
author_facet Phillips Susan P
Zelek Barbara
author_sort Phillips Susan P
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The nurse-doctor relationship is historically one of female nurse deference to male physician authority. We investigated the effects of physicians' sex on female nurses' behaviour.</p> <p>Methods</p> <p>Nurses at an urban, university based hospital completed one of two forms of a vignette-based survey in January, 2000. Each survey included four clinical scenarios. In form 1 of the questionnaire the physicians described were female, male, female, and male. In form 2, vignettes were identical but the physician sex was changed to male, female, male, and female. Differences in responses to questions based on the sex of the physician in each vignette were studied</p> <p>Results</p> <p>199 self-selected nurses completed the survey. The responses of 177 female respondents and 11 respondents who did not specifiy their sex, and were assumed to be female based on the overall sex ratio of respondents, were analysed. Persistent sex-role stereotypes influenced the relationship between female nurses and physicians. Nurses were more willing to serve and defer to male physicians. They approached female physicians on a more egalitarian basis, were more comfortable communicating with them, yet more hostile toward them.</p> <p>Conclusion</p> <p>When nurses and doctors are female, traditional power imbalances in their relationship diminish, suggesting that these imbalances are based as much on gender as on professional hierarchy. The effects of this change on the authority of the medical profession, the role of nurses, and on patient care merit further exploration.</p>
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spelling doaj.art-4c6672b6dbf3441ab0b1c3d68685cdef2022-12-22T03:06:42ZengBMCInternational Journal for Equity in Health1475-92762003-02-0121110.1186/1475-9276-2-1Gender and power: Nurses and doctors in CanadaPhillips Susan PZelek Barbara<p>Abstract</p> <p>Background</p> <p>The nurse-doctor relationship is historically one of female nurse deference to male physician authority. We investigated the effects of physicians' sex on female nurses' behaviour.</p> <p>Methods</p> <p>Nurses at an urban, university based hospital completed one of two forms of a vignette-based survey in January, 2000. Each survey included four clinical scenarios. In form 1 of the questionnaire the physicians described were female, male, female, and male. In form 2, vignettes were identical but the physician sex was changed to male, female, male, and female. Differences in responses to questions based on the sex of the physician in each vignette were studied</p> <p>Results</p> <p>199 self-selected nurses completed the survey. The responses of 177 female respondents and 11 respondents who did not specifiy their sex, and were assumed to be female based on the overall sex ratio of respondents, were analysed. Persistent sex-role stereotypes influenced the relationship between female nurses and physicians. Nurses were more willing to serve and defer to male physicians. They approached female physicians on a more egalitarian basis, were more comfortable communicating with them, yet more hostile toward them.</p> <p>Conclusion</p> <p>When nurses and doctors are female, traditional power imbalances in their relationship diminish, suggesting that these imbalances are based as much on gender as on professional hierarchy. The effects of this change on the authority of the medical profession, the role of nurses, and on patient care merit further exploration.</p>http://www.equityhealthj.com/content/2/1/1gendernursesprofessional relationshipsphysician nurse interactionscollaboration
spellingShingle Phillips Susan P
Zelek Barbara
Gender and power: Nurses and doctors in Canada
International Journal for Equity in Health
gender
nurses
professional relationships
physician nurse interactions
collaboration
title Gender and power: Nurses and doctors in Canada
title_full Gender and power: Nurses and doctors in Canada
title_fullStr Gender and power: Nurses and doctors in Canada
title_full_unstemmed Gender and power: Nurses and doctors in Canada
title_short Gender and power: Nurses and doctors in Canada
title_sort gender and power nurses and doctors in canada
topic gender
nurses
professional relationships
physician nurse interactions
collaboration
url http://www.equityhealthj.com/content/2/1/1
work_keys_str_mv AT phillipssusanp genderandpowernursesanddoctorsincanada
AT zelekbarbara genderandpowernursesanddoctorsincanada