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Gendered experiences of work environment: A study of stress and ambiguity among dental students in Sweden
Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi. (Umeå Center for Gender Studies, Graduate School for Gender Studies)
2011 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)Alternativ titel
Könade upplevelser av arbetsmiljö :  En studie av stress och ambiguitet bland tandläkarstudenter i Sverige      (Svenska)
Abstract [en]

This thesis explores how dental students experience their education. We aim to generate ways to understand which elements relate to the students’ experience based on current theories and models regarding the quality of working life and gender (and) power relations.  

Methods Twelve interviews with Umeå dental students in their clinical semesters were analysed with a Grounded Theory (GT) as well as a content analysis approach. A web-survey was sent to all clinical dental students in Sweden (P ≈ 805) with a response rate of 40% (p = 322). The quantitative methods included structural equation modelling and cluster analysis.

Results The GT analysis resulted in the core category “Experiencing ambiguity,” that captured the student’s role-ambiguity. Central categories focused on perceived stress and performance assessment in relation to ambiguous inner and outer demands. The content analysis resulted in three categories: “Notions of inequalities,” “Gendering,” and “The student position.” These categories present the ways groups of students are constructed in relation to the student/dentist norm and social gender relations, and how women and men of foreign descent risk subordination and stereotyping. The SEM-model contained psychosocial work environment, tolerance for ambiguity, perceived stress, and student satisfaction. Work environment influenced both perceived stress and satisfaction, and stood for almost all of the explained variance in perceived stress for women, indicating that women are constructed as co-responsible for the work environment. About half of the variance for the men was explained by tolerance for ambiguity, indicating that the feeling of uncertainty may lead to stress in men who include “being in control” in their gender identity. The cluster analysis resulted in a six-cluster solution ranging from “The fresh and positive” to “The worn critiques.” Psychosocial work environment again appeared to be the main factor. Gender also appears to be a factor as the gender distribution in the best as well as the two worst clusters differs from the population.

Conclusion Work environment stands out among the factors that relate to the students wellbeing and satisfaction, but the student group is heterogeneous and the ways students perceive their work environment relate to different processes and experiences. We suggest that the ways gender and ethnicity appear to be constructed in relation to the sociocultural gender power relations and the (traditional) medical hierarchy could be of importance for how the students’ experience their psychosocial work environment.

Ort, förlag, år, upplaga, sidor
Umeå: Umeå universitet , 2011. , s. 43
Nyckelord [en]
dental students, Swedish dental education, work and organisational theories, gender power relations, ambiguity, perceived stress, satisfaction, grounded theory, content analysis, SEM, cluster analysis
Nyckelord [sv]
tandläkarstudenter, svensk tandläkarutbildning, arbets- och organisations teorier, genus och makt relationer, ambiguitet, upplevd stress, nöjdhet, grundad teori, innehållsanalys, SEM, kluster analys
Nationell ämneskategori
Tillämpad psykologi
Forskningsämne
psykologi
Identifikatorer
URN: urn:nbn:se:umu:diva-40734ISBN: 978-91-7459-162-0 (tryckt)OAI: oai:DiVA.org:umu-40734DiVA, id: diva2:402366
Disputation
2011-03-25, Hörsal F, Humanisthuset, Umeå universitet, Umeå, 09:15 (Svenska)
Opponent
Handledare
Tillgänglig från: 2011-03-11 Skapad: 2011-03-08 Senast uppdaterad: 2018-06-08Bibliografiskt granskad
Delarbeten
1. Shared ambiguity but different experiences and demands among dental students: a gender perspective
Öppna denna publikation i ny flik eller fönster >>Shared ambiguity but different experiences and demands among dental students: a gender perspective
2011 (Engelska)Ingår i: Qualitative Research in Psychology, Vol. 8, nr 1, s. 1-25Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

This study explores how dental students experience their clinical semesters from a gender perspective.

Twelve students (seven women and five men) and three teachers (two women and one man) at the Umeå dentistry programme participated in semi-structured interviews that were analysed with Grounded Theory methodology.

The model we propose consists of the core category Experiencing ambiguity and the three categories Experiencing pressure and stress, Assessing your own performance, and Passing through the eye of the needle and also includes four subcategories. At the core of our findings lies ambiguity, captured in the student dilemmas What’s enough/When’s enough. The answers to these dilemmas are further complicated by the gendered dimension and the dimension of unequal treatment, which provide students with different and contradicting sets of rules and roles. A comparison with recent findings from the U.S. shows that their experiences are not unique.

Our Experiencing ambiguity model constitutes a platform for future research on how students experience clinical education, as well as potential predictors and consequences in relation to performance and well-being.

Ort, förlag, år, upplaga, sidor
Routledge, Taylor & Francis Group, 2011
Nyckelord
dental students, gender perspective, psychosocial workk environment, grounded theory, ambiguity, control
Nationell ämneskategori
Psykologi
Forskningsämne
psykologi
Identifikatorer
urn:nbn:se:umu:diva-22842 (URN)10.1080/14780880902874231 (DOI)2-s2.0-79952799755 (Scopus ID)
Tillgänglig från: 2009-05-19 Skapad: 2009-05-19 Senast uppdaterad: 2023-03-24Bibliografiskt granskad
2. A model of psychosocial work environment, stress, and satisfaction among dental students in Sweden
Öppna denna publikation i ny flik eller fönster >>A model of psychosocial work environment, stress, and satisfaction among dental students in Sweden
2012 (Engelska)Ingår i: Journal of Dental Education, ISSN 0022-0337, E-ISSN 1930-7837, Vol. 76, nr 9, s. 1206-1217Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Dental students are often described as stressed. The stress has, among other things, been connected to stressors in their psychosocial environment and inconsistent feedback. The hypothesis of this study was that the psychosocial work environment in dental schools leads to stress and affects the satisfaction of dental students and that tolerance for ambiguity shields students from stress. A web-based survey was sent to the entire Swedish dental student population in clinical training (N=805); the response rate was 40 percent. Structural equation modeling used in the analyses contains four main constructs: psychosocial work environment, tolerance for ambiguity, perceived stress, and student satisfaction (χ2=267.437, d.f.=174, p<0.001, Normed χ2=1.537, RMSEA= 0.041, CFI=0.98). Psychosocial work environment influenced both perceived stress and satisfaction: it accounted for almost all of the explained variance in perceived stress for women, while about half of the variance for the men was explained by tolerance for ambiguity. This study concluded that about 40 percent of the total perceived stress of these female dental students was related to their psychosocial work environment. Tolerance for ambiguity shielded men but not women from stress. An improved psychosocial work environment in dental schools would decrease the stress of both male and female dental students.

Ort, förlag, år, upplaga, sidor
Washington: American dental education association, 2012
Nyckelord
dental students, dental education, academic environment, psychosocial work environment, stress, perceived stress, tolerance for ambiguity, gender norms, Sweden
Nationell ämneskategori
Tillämpad psykologi
Forskningsämne
psykologi
Identifikatorer
urn:nbn:se:umu:diva-40797 (URN)10.1002/J.0022-0337.2012.76.9.TB05376.X (DOI)000308337100012 ()22942417 (PubMedID)2-s2.0-84865985172 (Scopus ID)
Anmärkning

Publicerad som manuskript i avhandling under titeln:

The psychosocial work environment affects female dental students more than male

Tillgänglig från: 2011-03-09 Skapad: 2011-03-09 Senast uppdaterad: 2023-03-23Bibliografiskt granskad

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