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Dismantling pervasive gender stereotypes in healthcare leadership contexts with an ecological systems theory approach

Published online by Cambridge University Press:  28 January 2025

Andrei A. Lux*
Affiliation:
School of Business and Law, Edith Cowan University, Perth, WA, Australia
Nasim Salehi
Affiliation:
Faculty of Health and Medical Sciences, Bond University, Gold Coast, QLD, Australia
Diarmuid Hurley
Affiliation:
Faculty of Health, Southern Cross University, Bilinga, QLD, Australia
Elizabeth Emanuel
Affiliation:
Faculty of Health, Southern Cross University, Bilinga, QLD, Australia
*
Corresponding author: Andrei A. Lux; Email: a.lux@ecu.edu.au
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Abstract

Leadership emergence is fraught with pervasive gender stereotypes, and women remain underrepresented in senior leadership roles, particularly in healthcare organisations. We apply ecological systems theory to explain how environmental factors enable or inhibit women’s leadership emergence in healthcare settings. We interviewed 17 senior female leaders in the Australian healthcare sector to explore how gender-related perceptions affected their leadership journeys. Five themes emerged that challenge existing narratives: men supported women’s advancement; women impeded other women’s progress; vulnerability was a leadership strength; ambitious women were ostracised; and women were ‘given’ leadership opportunities rather than actively pursuing them. By situating these findings within the ecological systems theory framework, we highlight the interplay of individual and contextual influences across ecosystem levels. Our study offers a novel perspective on gender stereotypes in leadership emergence, advancing ecological systems theory by extending it into a new field. We provide recommendations at individual, organisational, community, and societal levels to empower women leaders.

Information

Type
Research Article
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press in association with Australian and New Zealand Academy of Management.
Figure 0

Table 1. Data structure – quotes, codes, and themes