Organizational stressors, work-family interface and the role of gender in the hospital: Experiences from Turkey

Meral Turk, Asli Davas*, Feride A. Tanik, Anthony Montgomery

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)


In the framework of the EU project ‘Improving quality and safety in the hospital: The link between organizational culture, burnout and quality of care’, focus groups (FGs) were conducted to explore hospital environment stressors and their relationship with health care professional (HP) well-being and quality of care.

Semi-structured interviews and FGs were used. Three mixed FGs with 23 health care workers, two FGs with 12 nurses, and another one with nine physicians were conducted. Thematic analyses were performed. Data were coded into main themes and subthemes.

Three themes emerged from the discussions: (1) Organizational stressors associated with working conditions concerning the nature of the job, workload and working schedule, unclear role definition, lack of time for personal development, interpersonal relationships at work, changes in health policy, (2) work–family spillover and (3) the gendered nature of health care work and of patients' expectations, and the gendered character of the workplace.

Health care professionals are faced with numerous challenges that create stress affecting their daily life. Job stressors related to working conditions, the negative and positive spillover of work–family interference and the gendered nature of health care work emerged as important issues for Turkish HPs.

Statement of contribution
What is already known on this subject?

In Turkey, gender has rarely been considered in the healthcare studies.
Rapid changes in health reforms are making healthcare professionals more vulnerable to stress.
The deteriation in the health system impacts women more than men, as higher ratios work in outsourced services.
What does this study add?

Despite signifcant changes in attitudes towards women, nurses are treated as “mothers” of the clinics.
Women as health workers are particularly exposed to multiple stressors, that are rooted in ideals about gender.
Understanding the way healthcare is organized along gendered lines is a precusor to any real organizational change.
Original languageEnglish
Pages (from-to)442-458
JournalBritish Journal of Health Psychology
Issue number2
Early online date28 Mar 2013
Publication statusPublished - 1 May 2014
Externally publishedYes


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