CHALLENGES IN MANAGING DIVERSE GENDER ROLES AMONG ROMANIAN MEDICAL PROFESSIONALS

Authors

  • Nicoleta CIOBANU-HAȘOVSCHI ‟Grigore Popa” University of Medicine and Pharmacy Iași
  • Loreley HAȘOVSCHI “Ștefan cel Mare” University Suceava
  • Lorena-Mihaela MANOLE ‟Grigore Popa” University of Medicine and Pharmacy Iași
  • Iulia Cristina ROCA ‟Grigore Popa” University of Medicine and Pharmacy Iași
  • R. P. DOBRIN ‟Grigore Popa” University of Medicine and Pharmacy Iași
  • Irina DOBRIN ‟Grigore Popa” University of Medicine and Pharmacy Iași
  • C. ȘTEFĂNESCU ‟Grigore Popa” University of Medicine and Pharmacy Iași

DOI:

https://doi.org/10.22551/45z39647

Keywords:

HEALTHCARE ETHICS, MEDICAL PROFESSIONALS, GENDER DIVERSITY, INCLUSIVE EDUCATION, GENDER STEREOTYPES

Abstract

This original research examines the perceptions and attitudes of Romanian medical professionals towards gender nonconformity, focusing on stereotypes and their implications for healthcare delivery. The aim is to identify cultural and psychological barriers that influence healthcare delivery to gender diverse individuals and to propose educational strategies for improving inclusivity and non-discrimination. Materials and methods:  Through a qualitative, phenomenological approach, the research explores stereotypes and conformity to assigned gender roles among a sample of medical students that were evaluated through interviews focusing on personal and professional views shaped by cultural, familial and societal influences. The study combined systematic literature reviews from international databases with a transversal study involving 50 medical students aged 20-52 years. Participants’ views on traditional axioms and other popular gender stereotypes were critically evaluated to identify variations across age, gender, marital status and cultural background. Results:  Results showed that gender role conformity is prevalent, particularly among married and religious participants, underscoring the influence of traditional patriarchal norms on societal integration. The findings emphasize the need for specialized education to foster acceptance and tolerance toward gender diversity. Addressing cultural stereotypes and providing adequate training are critical for developing ethical medical practices that ensure equitable care for all patients. The findings highlight the urgent need for specialized education to dismantle stereotypes, improve professional competence and foster ethical medical practices. Conclusions:  This research concludes that recognizing and addressing gender role biases is pivotal in reducing stigma and ensuring equitable care for nonconforming individuals within the Romanian healthcare system.

Author Biographies

  • Nicoleta CIOBANU-HAȘOVSCHI, ‟Grigore Popa” University of Medicine and Pharmacy Iași

    “Socola” Institute of Psychiatry Iași

  • Lorena-Mihaela MANOLE, ‟Grigore Popa” University of Medicine and Pharmacy Iași

    “Sf. Maria” Children’s Emergency Clinical Hospital Iași

  • Iulia Cristina ROCA, ‟Grigore Popa” University of Medicine and Pharmacy Iași

    “Sf. Spiridon” County Clinical Emergency Hospital Iași

  • R. P. DOBRIN, ‟Grigore Popa” University of Medicine and Pharmacy Iași

    “Socola” Institute of Psychiatry Iași

  • Irina DOBRIN, ‟Grigore Popa” University of Medicine and Pharmacy Iași

    “Socola” Institute of Psychiatry Iași

  • C. ȘTEFĂNESCU, ‟Grigore Popa” University of Medicine and Pharmacy Iași

    “Socola” Institute of Psychiatry Iași

References

1. Guerin E. What Are the Benefits of Educating Nurses on Transgender Health? Transgend Health 2021; 6(4): 185-187 / doi: 10.1089/trgh.2020.0064.

2. Szydlowski M. Gender recognition and the rights to health and health care: Applying the principle of self-determination to transgender people. International Journal of Transgenderism 2016; 17(3-4): 199-211 / doi: 10.1080/15532739.2016.1217183.

3. Cantemir A, Cantemir I, Costache A, et al. Medical and Social Assistance for the Transgender Com-munity: Difficulties and Particularities in Psychiatric and Psychotherapeutic Assistances, Revista de cercetare și intervenție socială 2021; 74: 149-163.

4. Ramos MDB, Riera JRM, González GM. Gender attitudes and stereotypes in nursing. Cult Cuid 2010; 28: 39-48 / doi: 10.7184/cuid.2010.28.06

5. McLaughlin, K, Muldoon, O.T, Moutray, M. Gender, gender roles and completion of nursing educa-tion: a longitudinal study Nurse Education Today 2009; 30(4): 303-307 / doi: 10.1016 /j.nedt.2009.08. 005.

6. Sarwar A. Nursing care plan for gender identity disorder. Made for Medical. https: //www.madeformedical.com/nursing-care-plan-for-gender-identity-disorder/, consulted on 9th March 2024.

7. Băluță I, Tufiș C. Barometrul Violenței de Gen 2022, Violența împotriva femeilor în România: re-prezentări, percepții, Presa Universitară Clujeană, Editura DOTA, 2022

8. David D. Psihologia poporului român, Profilul psihologic al românilor într-o monografie cognitiv -experimentală, Editura Polirom, 2015.

9. Ellemers N. Gender Stereotypes. Annu Rev Psychol 2018; 69: 275-298 / doi: 10.1146/annurev-psych-122216-011719.

10. Haines EL, Deaux K, Lofaro N. The Times They Are a-Changing … or Are They Not? A Comparison of Gender Stereotypes, 1983-2014. Psychol Women Q 2016; 40: 353-363 / doi: 10.1177/0361684 316 634081.

11. Kite ME, Deaux K, Haines EL. Psychology of Women: A Handbook of Issues and Theories. Praeger Publishers / Greenwood Publishing Group; Westport, CT, USA: 2008.

12. Teresa-Morales, C, Rodríguez-Pérez, M, Araujo-Hernández, M, Feria-Ramírez, C. Current Stereotypes Associated with Nursing and Nursing Professionals: An Integrative Review. Int J Environ Res Public Health 2022; 19(13): 7640 / doi: 10.3390/ijerph19137640.

13. Cușnir L. Percepțiile tinerilor privind calitățile individuale și rolurile de gen. Revista de Filosofie, Sociologie și Științe Politice 2019; 3(181): 153-168

14. Adams KA, Nagoshi CT, Filip -Crawford G, Terrell HK. Components of gender- nonconformity prejudice. International Journal of Transgenderism. 2016 / doi: 10.1080/ 15532739. 2016. 1200509.

15. Ellis SJ, Bailey L, Mcneil J. Trans people`s experiences of mental health and gender identity services: a UK study. Journal of Gay and Lesbian Mental Health 2014; 19(1): 4-20 / doi: 10.1080/19359705. 2014.960990.

16. Casad B, Timko BR. Gender stereotypes. In: Kevin Leo Yabut Nadal editor, SAGE Publications, Inc. The SAGE Encyclopedia of Psychology and Gender, 2015.

17. Aranda M, Castillo-Mayén MDM, Montes-Berges B. Has the Traditional Social Perception on Nurses Changed? Attribution of Stereotypes and Gender Roles. Acción Psicológica 2015; 12(1): 103-112.

18. Kirchmeyer C, Bullin C. Gender roles in a traditionally female occupation: A study of emergency, operating, intensive care, and psychiatric nurses. Journal of Vocational Behavior 1996; 50(1): 78-95 / doi: 10.1006/jvbe.1996.1541.

19. Lyu X, Akkadechanunt, T, Soivong, P, Juntasopeepun, P. et al. A qualitative systematic review on the lived experience of men in nursing. Nurs Open 2022; 9(5): 2263-2276 / doi: 10.1002 /nop2.1269.

20. Boniol M, McIsaac M, Xu L, et al. Gender equity in the health workforce: Analysis of 104 countries. Health Workforce Working paper 1, 2019.

21. Bayuo J, Wong KCA, Abu-Odah H, Wong FKY. Becoming and overcoming: A qualitative meta-synthesis of the experiences of men in nursing academia. J Prof Nurs 2022; 43: 83-106 / doi: 10.1016/ j.profnurs.2022.07.022.

22. Asante AO, Korsah KA, Amoako C. Does the gender of nurses’ matter to patients? A qualitative analysis of gender preferences of patients. SAGE Open Med 2023; 11: 20503121231182514 / doi: 10.1177/ 20503121231182514.

23. Winkel AF, Telzak B, Shaw J, et al. The Role of Gender in Careers in Medicine: A Systematic Review and Thematic Synthesis of Qualitative Literature. J Gen Intern Med 2021; 36: 2392-2399/ doi: 10.1007 /s11606-021-06836-z.

24. Pololi LH, Civian JT, Brennan RT, Dottol, AL, Krupat E. Experiencing the culture of academic med-icine: Gender matters, a national study. J Gen Intern Med 2013; 28(2): 201-207.

25. Carr PL, Raj A, Kaplan SE, et al. Gender differences in academic medicine: Retention, rank, and leadership comparisons from the national faculty survey. Acad Med 2018; 93(11): 1694-1699.

26. Freund KM, Raj A, Kaplan SE, et al. Inequities in academic compensation by gender: A follow-up to the national faculty survey cohort study. Acad Med 2016; 91(8): 1068-1073.

27. American Association of Medical Colleges. 2018-2019 The State of Women in Academic Medicine: Exploring Pathways to Equity|AAMC (cited 2020 Sep 30). Available from: https:// www.aamc.org / data-reports/data/2018-2019-state-women-academic-medicine-exploring-pathways-equity.

28. Buddeberg-Fischer, B, Stamm, M, Buddeberg, C, et al. The impact of gender and parenthood on physicians’ careers - Professional and personal situation seven years after graduation. BMC Health Serv Res 2010; 10(1): 40.

29. Fox G, Schwartz A, Hart KM. Work-family balance and academic advancement in medical schools. Acad Psychiatry 2006; 30(3): 227-334.

30. Azizzadeh A, McCollum CH, Miller CC, et al. Factors influencing career choice among medical students interested in surgery. Curr Surg 2003; 60(2): 210-213.

31. Heffron AS, Braun KM, Allen-Savietta C, et al. Gender can influence student experiences in MD-PhD training. Journal of Women’s Health 2021; 30(1): 90-102.

32. Carr PL, Gunn CM, Kaplan SA, Ra, A, Freund KM. Inadequate progress for women in academic medicine: findings from the national faculty study. J Womens Health (Larchmt) 2015; 24(3): 190-199.

33. Carr, P.L, Pololi, L, Knight, S, Conrad, P. Collaboration in academic medicine: reflections on gender and advancement. Acad Med 2009; 84(10): 1447-1453.

34. Jones RD, Griffith KA, Ubel PA, Stewart A, Jagsi R. A mixed-methods investigation of the motiva-tions, goals, and aspirations of male and female academic medical faculty. Acad Med 2016; 91(8): 1089-1097.

35. Bailon, C. Gender roles and mental health. The Traditional Individual in Society: A Study on Tradi-tional Gender Roles and Mental Health. Skidmore College. Sociology. Thesis, 2019.

Additional Files

Published

2025-07-08

Issue

Section

INTERNAL MEDICINE - PEDIATRICS