■虽然许多研究已经分别探讨了外科医生的个人和职业身份,我们的研究是第一个检查交叉女性手术身份的研究。我们探索了两个医疗保健系统中自我和他人(同事和患者)构建的交叉手术身份及其感知的影响,回答了研究问题:女性外科医生的身份如何交叉,这些交叉点对他们的手术生活有什么影响?
■我们采用了以社会建构主义为基础的半结构化传记叙事访谈的定性方法。我们采用交叉性理论作为分析透镜。我们采用最大变异抽样来识别不同的参与者,包括38名外科医生(29名女性;9名男性),9位非手术同事(8位女性,1男),和13名女性外科医生(7名女性,6男)。我们的29名女外科医生还包括6名退出手术的人。我们使用五步框架分析方法分析了数据集。我们抓住了关于身份的谈话,以及身份对话(通过参与者对话的身份结构)。
■构建了多个相互交叉的个人(不仅仅是性别)和职业身份,据报道对女性外科医生的生活(包括他们的教育,培训,和成功)。我们通过四个主要交叉点介绍了交叉身份及其与性别有关的影响:(a)性别种族身份;(b)性别父母身份;(c)性别年龄身份;(d)性别职业身份(即照顾者,主管,导师/受训者,榜样和领导者)。我们的发现特别强调了有色人种女性外科医生所经历的挑战,谁是母亲,谁更年轻和/或谁是领导者,说明了女性经历中的多样性,而不仅仅是性别。最后,我们发现了对男性外科医生和父亲身份的意想不到的见解。
■交叉性理论提供了一种新颖的分析透镜,以扩展有关女性外科身份的现有知识。进一步的研究需要探索有色人种女性外科医生的交叉身份,年轻的女性外科医生,男性外科医生是父亲,以及本研究中未探索的身份(例如,多样化的性行为)。我们需要提高人们对交叉身份及其在手术中的影响的认识,以及提供培训,allyship,以及对交叉性敏感的政策修订。
UNASSIGNED: While many studies have explored surgeons\' personal and professional identities separately, our study is the first to examine intersecting female surgical identities. We explore intersecting surgical identities constructed by self and others (colleagues and patients) within two healthcare systems and their perceived impacts answering the research question: How do female surgeons\' constructed identities intersect, and what influences do those intersections have on their surgical lives?
UNASSIGNED: We employed qualitative methodology drawing on semi-structured biographical narrative interviews underpinned by social constructionism. We employed intersectionality theory as an analytical lens. We adopted maximum variation sampling to identify diverse participants, including 38 surgeons (29 female; 9 male), 9 non-surgical colleagues (8 female, 1 male), and 13 patients of female surgeons (7 female, 6 male). Our 29 female surgeons also included six who had transitioned out of surgery. We analyzed the dataset using a five-step Framework Analysis approach. We captured talk about identities, as well as identity talk (constructions of identity through participants\' talk).
UNASSIGNED: Multiple intersecting personal (not just gender) and professional identities were constructed and reported to have multiple impacts on female surgeons\' lives (including their education, training, and success). We present intersecting identities and their impacts relating to gender through four primary intersections: (a) gender + ethnic identities; (b) gender + parenthood identities; (c) gender + age identities; and (d) gender + professional identities (namely carer, competent, mentor/mentee, role model and leader). Our findings particularly highlight the challenges experienced by female surgeons of color, who are mothers, who are younger and/or who are leaders, illustrating diversity in women\'s experiences beyond that of gender alone. Finally, we found unexpected insights into male surgeons and fatherhood.
UNASSIGNED: Intersectionality theory offered a novel analytical lens to extend existing knowledge on female surgical identities. Further research is warranted exploring intersecting identities of female surgeons of color, younger female surgeons, and male surgeons who are fathers, as well as identities unexplored in this study (e.g., diverse sexualities). We need to raise awareness of intersecting identities and their impacts in surgery, as well as providing training, allyship, and policy revision that is sensitive to intersectionality.