Ableism within health care professions: a systematic review of the experiences and impact of discrimination against health care providers with disabilities

Lindsay, Sally; Fuentes, Kristina; Ragunathan, Sharmigaa; Lamaj, Luiza; Dyson, Jaclyn

doi:10.1080/09638288.2022.2107086

Cited by 30 publications

(17 citation statements)

References 77 publications

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“…Disability at work remains an under-investigated domain within organisational diversity research (Gould et al ., 2022), but a growing body of literature has made substantive contributions to our understanding of PwD experiences at work and of the effectiveness of diversity and inclusion (D&I) initiatives, including RA. This research has developed primarily around three main themes: (a) the lived experiences of PwD, spanning ableism, workplace relationships and employment outcomes (Carr and Namkung, 2021; Grześkowiak et al ., 2021; Lindsay et al ., 2022), (b) PwD views of the RA process and outcomes and the factors that influence their decision to disclose disability (Brzykcy and Boehm, 2022; Dong et al ., 2021; Kulkarni, 2022) and (c) disability support and inclusion practices in organisations (Gould et al ., 2022; Jansen et al ., 2022; Kwan, 2021). Yet, less is known about managerial attitudes toward hiring PwD, specifically how RA processes influence these attitudes, which has been noted as a significant gap in the literature (Bonaccio et al ., 2019; Cavanagh et al ., 2017; Suresh and Dyaram, 2022).…”

Section: Introductionmentioning

confidence: 99%

Examining the impact of reasonable accommodation appraisals on New Zealand managers' attitudes toward hiring people with disability

D'Souza

Kuntz

2023

EDI

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PurposeManagers are responsible for implementing reasonable accommodation (RA) for people with disabilities (PwD). Yet, little is known about the extent to which managerial views of RA shape attitudes toward PwD. The study draws on conservation of resources (COR) and job demands and resources (JD-R) theories to examine the relationship between managerial views of RA availability and implementation ease on attitudes towards hiring PwD.Design/methodology/approachIn total, 162 full-time managers at a large New Zealand (NZ) healthcare organisation completed an online survey. Moderated multiple regressions were conducted to test the main effects and interactions between perceptions of RA process and attitudes towards hiring PwD.FindingsThe study results indicate that line managers held positive attitudes towards hiring PwD when they viewed RA implementation as easy, particularity around the provision of flexible work arrangements.Research limitations/implicationsThis study shows the importance of gaging managers' views of RA processes to understand their attitudes toward PwD and highlights potential linkages between managerial perspectives on RA, PwD experiences in the organisation and the effectiveness of disability support and inclusion initiatives.Practical implicationsRA availability from the organisation is insufficient to elicit positive managerial attitudes toward hiring PwD. Policies and procedures that reduce RA implementation complexity are expected to foster positive managerial attitudes toward PwD and improve employment outcomes for this employee group.Originality/valueThis study is the first to test how managerial attitudes towards hiring PwD are influenced by views of RA availability from the organisation and of RA implementation ease. It also provides a multidimensional measure that captures managerial views of RA availability from the organisation and RA implementation ease.

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Section: Introductionmentioning

confidence: 99%

Examining the impact of reasonable accommodation appraisals on New Zealand managers' attitudes toward hiring people with disability

D'Souza

Kuntz

2023

EDI

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“…These thought patterns are the cause of discriminatory practices, such as denial of (dental) treatment on the grounds of or failure to take into account the additional costs of living with a disability 11 . This attitudes leads to social prejudice, discrimination, and oppression of people with disabilities, as legislation and policy as well as their functional treatments are often shaped by ableist assumptions 12 . In the dental context, ableism leads to poor dental care structures for SHCN.…”

Section: Introductionmentioning

confidence: 99%

“…11 This attitudes leads to social prejudice, discrimination, and oppression of people with disabilities, as legislation and policy as well as their functional treatments are often shaped by ableist assumptions. 12 In the dental context, ableism leads to poor dental care structures for SHCN. Although it is known that special support measures improve oral health and oral health-related quality of life of people with disabilities, 13 they are not sufficiently implemented.…”

Section: Introductionmentioning

confidence: 99%

Effects of a disability‐simulating learning unit on ableism of final‐year dental students – a pilot study

Hillebrecht

Steffens

Roesner

et al. 2023

Special Care in Dentistry

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ObjectivesThis study aimed to describe a disability‐simulating learning unit (DSLU) to raise dental students’ awareness of the special needs of patients with disabilities as well as to measure the effect of the DSLU on ableism.MethodsA DSLU among final‐year undergraduate dental students (n = 33), was developed and evaluated. The students were randomly divided into two groups (Group I, n = 17; Group II, n = 16). Group II only received conventional teaching (control group), whereas Group I was additionally exposed to the DSLU (intervention group). In the DSLU, typical physical restrictions and the associated difficulties in attending dental appointments were simulated with the help of simulation suits. Four different stations offered the opportunity to experience typical signs of disability in a dental context. About 2 months after the DSLU, both groups were asked to answer the Symbolic Ableism Scale (SAS). An analysis was conducted to examine the participants’ average total score and several subscores. The Mann–Whitney U Test was employed to control the differences between the study groups.ResultsOverall, the students in the intervention group had a significantly (p = .001) lower mean SAS summary score (median = .37; IQR .32–.42) than the students in the control group (median = .50; IQR .39–.53). For the components “individualism” (p < .0001) and “excessive demands” (p = .002) significant group differences could be observed.ConclusionThe DSLU is a potentially feasible and effective method for influencing students’ ableism attitude.

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“…Ableism occurs in health care when a person with a disability experiences discrimination or prejudice from a nurse or other health care provider 3. It can cause a provider to underestimate a disabled person's quality of life or competence and affect the quality of nursing interventions 1.…”

mentioning

confidence: 99%

“…Ableism occurs in health care when a person with a disability experiences discrimination or prejudice from a nurse or other health care provider. 3 It can cause a provider to underestimate a disabled person's quality of life or competence and affect the quality of nursing interventions. 1 Ableism can also fracture the patient-to-provider relationship, resulting in a lack of communication owing to the patient's fear of being judged or not being heard.…”

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confidence: 99%

Ableism in Health Care

Graff

Russell²

2023

AJN, American Journal of Nursing

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Ableism within health care professions: a systematic review of the experiences and impact of discrimination against health care providers with disabilities

Cited by 30 publications

References 77 publications

Examining the impact of reasonable accommodation appraisals on New Zealand managers' attitudes toward hiring people with disability

Examining the impact of reasonable accommodation appraisals on New Zealand managers' attitudes toward hiring people with disability

Effects of a disability‐simulating learning unit on ableism of final‐year dental students – a pilot study

Ableism in Health Care

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