Abstract

The coronavirus (COVID-19) arrived in the United Kingdom (UK) in February 2020, placing an unprecedented burden on the National Health Service (NHS). Literature from past epidemics and the COVID-19 pandemic underscores the importance of using a gender lens when considering policy, experiences, and impacts of the disease. Researchers are increasingly examining the experiences of healthcare workers (HCWs), yet there is a dearth of research considering how gender shapes HCWs’ personal experiences. As the majority of HCWs in the UK and worldwide are women, research that investigates gender and focuses on women’s experiences is urgently needed. We conducted an analysis of 41 qualitative interviews with HCWs in the British NHS during the first peak of the COVID-19 pandemic in the Spring of 2020. Our findings demonstrate that gender is significant when understanding the experiences of HCWs during COVID-19 as it illuminates ingrained inequalities and asymmetrical power relations, gendered organizational structures and norms, and individual gendered bodies that interact to shape experiences of healthcare workers. These findings point to important steps to improve gender equality, the wellbeing of healthcare workers, and the overall strength of the NHS.

Highlights

  • Since it began to spread in Wuhan, China at the end of 2019, Corona Virus Disease 2019 (COVID-19) has tested the strength of health systems worldwide

  • This paper examines the experiences of Healthcare workers (HCWs) during the first peak of the COVID-19 pandemic in England through a gender lens, incorporating literature from the social sciences and feminism, health systems research, past epidemics, and the current COVID-19 pandemic to discuss our findings and outline future changes

  • Redeployed staff seemed especially impacted by the hardships that all HCWs faced during the pandemic

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Summary

Introduction

Since it began to spread in Wuhan, China at the end of 2019, Corona Virus Disease 2019 (COVID-19) has tested the strength of health systems worldwide. Have you been in contact with patients who had suspected and/or confirmed COVID-. - How have you found working around these patients? (e.g., dehydration, discomfort, restriction in movement, difficulties communicating) - How has PPE impacted the type of care you provide patients? 3. How has the COVID-19 outbreak affected health services in your department? Probes: - How has this affected your normal daily tasks/responsibilities? - Impact of COVID-19 on the delivery of services to non-COVID-19+ patients (i.e., cancellation of elective surgeries) - What tasks are you able to do more or less effectively? - Work (response efforts, PPE, services) - The national effort 6. Geneva: World Health Organization, Available online: https://www.who.int/social_determinants/resources/human_resources_ for_health_wgkn_2007.pdf (accessed on 10 October 2020). [CrossRef] Health & Care Professions Council (HCPC). Exploring gender differences in the working lives of UK hospital consultants. Journal of the Royal Society of Medicine 108: 184–91. [CrossRef]

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