Gender equality and equity in intensive care: an international Delphi consensus study.
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Myatra Sheila Nainan, Nasa Prashant, Chanchalani Gunjan P, Zimmerman Janice L, Venkatesh Balasubramanian, Machado Flavia R, Ostermann Marlies, Leeies Murdoch, Coopersmith Craig M, Sorce Lauren R, Weiss Björn, Kuberkar Deepali, Abbenbroek Brett, Acharya Subhash P, Akech Sameul, Akinci Seda B, Al Duhailib Zainab, Berger-Estilita Joana, Branson Richard D, De Waele Jan, Derde Lennie P G, Divatia Mihika J, Dzierba Amy L, Elhoufy Ashraf M, Fiest Kirsten M, Fillipescu Daniela, Fox-Robichaud Alison E, Freires Fabricio J C, Fujii Tomoko, Galarza Laura, Gopalan Dean P, Hamzaoui Olfa, Hidalgo Jorge L, Jayasinghe Aruna S, Kanoore Edul Vanina S, Lubis Andriamuri P, Matot Idit, Mehta Sangeeta, Milic Vladimir, Monnet Xavier, Morrow Brenda M, Nadkarni Vinay M, Needham Dale M, Osinaike Babatunde B, Patil Vijaya P, Pérez Cornejo M Susana, Perez-Fernandez Javier, Ray Sumit, Robba Chiara, Rodriguez-Vega Gloria M, Rubulotta Francesca, Seifelnasr Osama, Turnbull Alison E, Ugarte Sebastián, Vincent Jean-Louis, Wendon Julia, Xie Jianfeng, Zabaleta Polo Yulieth M, Burns Karen E A
Аннотация
METHODS: A 12-member Steering Committee (7 women, 5 men) from 7 countries and 46 international panelists [(23 women, 21 men, 2 preferred not to disclose; median age 52 (33-75) years] from 32 countries (43% low- and middle-income) including intensive care practitioners, scientists, researchers, and trainees voted on 57 statements addressing issues related to gender equality and equity in 10 domains of professional life. Delphi rounds were conducted using online surveys. Consensus (at least 75% of panelists voting for a response option) and stability (consistent responses on iterative rounds) were assessed.
RESULTS: Six Delphi rounds were conducted between May and July 2025. A 100% response rate was achieved in each round. Consensus and stability were achieved on 43 (75%) of 57 statements from which 37 professional practice guidance statements were developed. Across domains, greater consensus was achieved on equality [23/27 (85.2%)] versus equity [12/18 (66.7%)] statements. Discordant equity statements primarily pertained to academia and engagement in multiprofessional meetings and the workplace.
CONCLUSION: Using a Delphi method, international experts reached consensus to generate 37 professional practice guidance statements. The consensus statements provide needed guidance for professional engagement and highlight areas for policy development to advance gender equity and equality for healthcare workers in intensive care. The discordant statements highlight areas for future research.