dc.contributor.author
Yolci, Arda
dc.contributor.author
Schenk, Liane
dc.contributor.author
Sonntag, Pia-Theresa
dc.contributor.author
Peppler, Lisa
dc.contributor.author
Schouler-Ocak, Meryam
dc.contributor.author
Schneider, Anna
dc.date.accessioned
2023-12-13T13:58:12Z
dc.date.available
2023-12-13T13:58:12Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/41862
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-41583
dc.description.abstract
Background: Discrimination against hospital staff based on ascribed features is prevalent in healthcare systems worldwide. Detrimental effects on health and quality of patient care have been shown. Our study aims to describe and analyse the discrimination experiences of both physicians and nurses, specifically for the German hospital context.
Methods: A cross-sectional online survey on observed and personally experienced discrimination at work addressed staff from 22 hospitals of two organizations in Germany. Sociodemographic and occupational as well as institutional characteristics served as independent variables. In multivariable analyses, block- and stepwise logistic regressions were calculated for the two dependent variables (witness and victim of discrimination). Sensitivity analyses with imputed data for missings were performed.
Results: N = 800 healthcare professionals (n = 243 physicians, n = 557 nurses; response rate: 5.9%) participated in the survey. 305 respondents (38.1%) were witnesses of discrimination, while 108 respondents (13.5%) were victims of discrimination in their wards. Reasons for observed discriminatory acts were predominantly attributed to the ethnicity of the person concerned, their appearance and language, whereas personally affected staff most frequently cited gender as a reason, followed by ethnicity, and physical appearance. In multivariable models, cultural competence significantly increased the likelihood of witnessing discrimination (beta = .575; p = .037). In terms of the likelihood of being a victim of discrimination, in addition to cultural competence (beta = 2.838; p = < .001), the interaction of the effects of gender and professional group was statistically significant (beta = .280; p = .010).
Conclusions: Given the extent of experienced and observed discrimination, appropriate institutional responses are needed. Further research on discriminatory structures in the German-speaking health care system should focus on discrimination at the intersection of ethnicity, gender and occupation.
en
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Discrimination
en
dc.subject
Healthcare staff
en
dc.subject
Cultural competence
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Observed and personally experienced discrimination: findings of a cross-sectional survey of physicians and nursing staff
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.articlenumber
83
dcterms.bibliographicCitation.doi
10.1186/s12960-022-00779-0
dcterms.bibliographicCitation.journaltitle
Human Resources for Health
dcterms.bibliographicCitation.number
1
dcterms.bibliographicCitation.originalpublishername
Springer Nature
dcterms.bibliographicCitation.volume
20
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.funding
Springer Nature DEAL
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
36494666
dcterms.isPartOf.eissn
1478-4491