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Intersectional employee voice inequalities and culture care theory: the case of migrant palliative care nurses in Saudi Arabia

Davies, Julie; Anjuman, Thamina; Al Ghamdi, Zeyad; Altamimi, Saud; Ellahi, Mateen; Al Thani, Moza; Huang, Frank; ... Alshehri, Rawan; + view all (2024) Intersectional employee voice inequalities and culture care theory: the case of migrant palliative care nurses in Saudi Arabia. Journal of Health Organization and Management 10.1108/JHOM-07-2024-0318. (In press). Green open access

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Abstract

Purpose: This narrative literature review examines intersectional employee voice inequalities in a non-Western, high power distance context to develop a multilevel conceptual framework. / Design/methodology/approach: The authors use Leininger's (1997, 2002) culture care model to explore multilevel influences on intersectional voice inequalities. The article applies insights from a review of 31 studies to the specific challenges of migrant palliative care (PC) nurses in Saudi Arabia. / Findings: The themes identified in the review indicate how better transcultural communications might mitigate voice inequalities that influence migrant employee wellbeing and intentions to quit which result from cultural incongruities. / Originality/value: The impact of national culture differences and intersectional inequalities on employee voice has largely been ignored in academic research. This paper offers unique insights drawing on culture care theory into intersectional voice challenges from a non-Western perspective in the underresearched setting of Saudi Arabia which is mid-way through a national transformation program. It starkly contrasts policy ambitions for advancing healthcare with discriminatory practices based on conservative attitudes which stifle migrant worker voices.

Type: Article
Title: Intersectional employee voice inequalities and culture care theory: the case of migrant palliative care nurses in Saudi Arabia
Open access status: An open access version is available from UCL Discovery
DOI: 10.1108/JHOM-07-2024-0318
Publisher version: https://doi.org/10.1108/JHOM-07-2024-0318
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: Saudi Arabia, Employee voice, Migrant nurses, Palliative care, Culture care theory, Intersectional inequalities
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10196269
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