中层管理人员是解决NHS种族歧视的障碍或推动者:一种定性研究研究
Jaqui Long1, Sandra Buchan2, Fiona C Sampson3
1SCHARR, The University of Sheffield, Sheffield, UK jaqui.long@sheffield.ac.uk.
BMJ open
|January 8, 2026
概括
中层管理人员对于解决种族歧视和改善国家卫生服务 (NHS) 中黑人和少数民族 (BME) 员工的体验至关重要. 他们的行动决定了歧视行为是否受到挑战,影响了BME员工的包容性.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 多样性和包容性的多样性和包容性
背景情况:
- 国家卫生服务 (NHS) 的黑人和少数民族 (BME) 员工面临着重大歧视挑战.
- 现有的国家和地方倡议旨在促进包容性,但在感知和生活经验之间存在差距.
研究的目的:
- 调查高级和中层管理人员在解决NHS内部BME员工歧视方面的作用.
- 了解管理人员是如何成为积极变革的障碍或推动者.
主要方法:
- 这是一项定性研究,涉及英格兰五个NHS信托机构的多层次,多来源的数据收集.
- 进行了26次与高级领导人和BME网络主席 (27名参与者) 的采访,以及与BME员工的五个重点小组 (37名参与者).
主要成果:
- 歧视,骚扰和排斥深深植根于NHS文化中,影响了BME员工.
- 高层领导人对有效干预措施的看法与BME工作人员的实际经验之间存在重大差异.
- 中层经理在挑战或延续歧视行为方面发挥着关键作用.
结论:
- 对于NHS的BME员工来说,种族歧视仍然存在.
- 中层管理人员是改善BME员工状况的关键.
- 个人和组织的变化取决于中层管理人员的承诺和行动,尽管国家政策.
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