Gender equality and managers' work in elderly and social care: A structural equation modelling approach

J Nurs Manag. 2021 Nov;29(8):2689-2696. doi: 10.1111/jonm.13396. Epub 2021 Jul 9.

Abstract

Aim: The study explores whether, and how, gender equality is associated with key aspects related to operative managers' improvement work. We explore the possible associations between gender equality and; prioritization of social regulations in operative decision-making, engagement in operative improvement work, group dynamics challenges and collaboration between managers and subordinates.

Background: Regarding organizational relations and preconditions for providing good care and developing operative work in the social and elderly care sector, the value of having organizational gender equality is unknown.

Method: Associations were analysed using structural equation modelling of questionnaire data. The questionnaire was distributed to first-line managers in a large city in Sweden (n = 598, response rate 56%).

Results: Positive perceptions of organizations' gender equality were significantly associated with more engagement in operative improvement work, fewer group dynamics challenges and higher priority of social regulations in unit decision-making, also when controlling for confounders. Gender equality had no association with managers' collaboration with subordinates in this study.

Conclusion(s): This study demonstrates that equal opportunities for male and female workers could benefit operative managers' improvement work.

Implications for nursing management: Organizations that strive to improve conditions for operative work, which strengthen preconditions for service development, should include values of gender equality.

Keywords: collaboration; elderly care; gender equality; institutional logics; leadership.

MeSH terms

  • Aged
  • Female
  • Gender Equity*
  • Humans
  • Latent Class Analysis
  • Leadership
  • Male
  • Organizations
  • Social Support*
  • Surveys and Questionnaires