The Role of Male and Female Nurse Shift Divisions in Prevention Allegations Abuse In the Emergency Room
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Abstract
The Intensive Care Unit (SICU) is a vital part of the healthcare system, requiring intensive interaction between medical personnel and critically ill patients. This situation poses a potential risk of abuse of authority, including allegations of sexual harassment. One preventative measure that hospital management can take is through fair and strategic gender-based nurse shift allocation. This study aims to analyze the effect of gender-based shift allocation for male and female nurses in preventing allegations of harassment in the SICU, identify factors contributing to the risk of harassment, and assess the potential for legal violations that may arise from such actions. This study used a qualitative approach with normative juridical methods and was supported by empirical data from literature studies and media reports. The analysis results indicate that gender-balanced shift distribution can create a safer work environment and reduce the likelihood of harassment. Furthermore, factors such as minimal supervision, lack of professional ethics training, and weak victim protection also increase the potential for such incidents. From a legal perspective, harassment by healthcare workers violates the Criminal Code, the Health Law, and the nursing professional code of ethics. Therefore, proportional gender-based shift allocation can be a strategic step in preventing legal violations in the healthcare sector.
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References
Abujaber, Nadeen, Frédérique Vallières, Kelly A McBride, Greg Sheaf, Pia Tingsted Blum, Nana Wiedemann, and others, ‘Examining the Evidence for Best Practice Guidelines in Supportive Supervision of Lay Health Care Providers in Humanitarian Emergencies: A Systematic Scoping Review’, Journal of Global Health, 12 (2022), 04017 <https://doi.org/10.7189/jogh.12.04017>
Arofiati, Fitri, and Puspa Apriliyanti, ‘The Family Satisfaction on Nursing Services at the Intensive Care Unit’, Open Access Macedonian Journal of Medical Sciences, 9.T4 (2021) <https://doi.org/10.3889/oamjms.2021.5776>
Azzahra, Gasella Aurelia, ‘Pengembangan Stereotip Gender Terhadap Persepsi Karyawan Pada Manajer Perempuan’, Konstruksi Sosial : Jurnal Penelitian Ilmu Sosial, 3.4 (2024) <https://doi.org/10.56393/konstruksisosial.v1i12.1375>
Beauchamp, Tom L., and James F. Childress, Principles of Biomedical Ethics, Fifth Edition, Principles of Biomedical Ethics, Fifth Edition, 2001
Bourgeault, Ivy, Jungwee Park, Dafna Kohen, Jelena Atanackovic, and Yvonne James, ‘A Gendered Analysis of Work, Stress and Mental Health, Among Professional and Non-Professional Workers’, Professions and Professionalism, 11.3 (2021) <https://doi.org/10.7577/pp.4029>
Cheraghi, Rozita, Leila Valizadeh, Vahid Zamanzadeh, Hadi Hassankhani, and Anahita Jafarzadeh, ‘Clarification of Ethical Principle of the Beneficence in Nursing Care: An Integrative Review’, BMC Nursing, 22.1 (2023), 89 <https://doi.org/10.1186/s12912-023-01246-4>
Demchenko, Vasily A., ‘The Concept of Negligence of Health Workers in Professional Activities in Criminal Law’, Vestnik Tomskogo Gosudarstvennogo Universiteta, 409, 2016 <https://doi.org/10.17223/15617793/409/27>
Harrington, Carol, ‘What Is “Toxic Masculinity” and Why Does It Matter?’, Men and Masculinities, 24.2 (2021) <https://doi.org/10.1177/1097184X20943254>
Hollywood, Lauren, and Kathryn E. Phillips, ‘Nurses’ Resilience Levels and the Effects of Workplace Violence on Patient Care’, Applied Nursing Research, 54 (2020) <https://doi.org/10.1016/j.apnr.2020.151321>
Jenner, Sabine C., Pia Djermester, and Sabine Oertelt-Prigione, ‘Prevention Strategies for Sexual Harassment in Academic Medicine: A Qualitative Study’, Journal of Interpersonal Violence, 37.5–6 (2022), NP2490–2515 <https://doi.org/10.1177/0886260520903130>
Kullberg, Anna, Mia Bergenmar, and Lena Sharp, ‘Changed Nursing Scheduling for Improved Safety Culture and Working Conditions - Patients’ and Nurses’ Perspectives’, Journal of Nursing Management, 24.4 (2016) <https://doi.org/10.1111/jonm.12352>
Labrague, Leodoro J., ‘Abusive Supervision and Its Relationship With Nursing Workforce and Patient Safety Outcomes: A Systematic Review’, Western Journal of Nursing Research, 46.1 (2024), 52–63 <https://doi.org/10.1177/01939459231212402>
Lin, Yen-Ko, Chao-Wen Chen, Yung-Sung Yeh, Chia-Ju Lin, Yu-Wen Huang, Yu-Chih Lin, and others, ‘Impacts of Mandatory Clinical Ethics Consultation on Resource Utilization and Ethical Conflicts in Critically Ill Patients: A Comparison between Medical and Surgical Intensive Care Units’, BMC Medical Ethics, 26.1 (2025), 110 <https://doi.org/10.1186/s12910-025-01268-4>
Mahabeer, Melissa, and Patsy Govender, ‘Employee Involvement and Work Team Effectiveness: Biographical Influences’, Corporate Ownership and Control, 10.1 D,CONT3 (2012) <https://doi.org/10.22495/cocv10i1c3art4>
Mesa-Chavez, Fernanda, Andrea Castro-Sanchez, and Cynthia Villarreal-Garza, ‘Gender Discrimination and Sexual Harassment Experienced by Women Physicians in Mexico’, Journal of Interpersonal Violence, 2025 <https://doi.org/10.1177/08862605251355627>
Messerschmidt, James W., ‘The Salience of “Hegemonic Masculinity”’, Men and Masculinities, 22.1 (2019) <https://doi.org/10.1177/1097184X18805555>
Ranjbar, Mansour, and Ali Morad Heidari-Gorji, ‘Relationship Between The Job Rotation Efficacy and Psychological Empowerment of Iranian Nurses’, Nursing Practice Today, 5.2 (2018)
Setyoharsih, Titis Wening, and Sidik Awaludin, ‘Non-Maleficence Concept in Palliative Care Patient in ICU: A Concept Analysis’, Malahayati International Journal of Nursing and Health Science, 7.5 (2024), 554–58 <https://doi.org/10.33024/minh.v7i5.310>
Shen, Chao-ying, ‘The Relative Study of Gender Roles, and Job Stress and Adversity Quotient’, The Journal of Global Business Management, 10.1 (2014)
Snowdon, David A., Sandra G. Leggat, and Nicholas F. Taylor, ‘Does Clinical Supervision of Healthcare Professionals Improve Effectiveness of Care and Patient Experience? A Systematic Review’, BMC Health Services Research, 17.1 (2017), 786 <https://doi.org/10.1186/s12913-017-2739-5>
Standing, Hilary, ‘Equity , Equal Opportunities , Gender and Organization Performance’, Who, December 2000, 2001
Sunjaya, Deni Kurniadi, Dewi Marhaeni Diah Herawati, and Adiatma Y.M. Siregar, ‘Depressive, Anxiety, and Burnout Symptoms on Health Care Personnel at a Month after COVID-19 Outbreak in Indonesia’, BMC Public Health, 21.1 (2021) <https://doi.org/10.1186/s12889-021-10299-6>
Suresh, Kiran, Raman Muraleedharan, and Ajith K Gopal, ‘Humanising Critical Care; A Qualitative Prospective Study Exploring Patient, Surrogate And Health Care Professional Experiences’, Indian Journal of Critical Care Medicine, 29.S1 (2025), S131–32 <https://doi.org/10.5005/jaypee-journals-10071-24933.94>
Svetek, Mojca, ‘Gender Stereotypes and Discrimination against Women in the Labour Market: A Psychological Perspective’, Psiholoska Obzorja, 28 (2019) <https://doi.org/10.20419/2019.28.495>
Varkey, Basil, ‘Principles of Clinical Ethics and Their Application to Practice’, Medical Principles and Practice, 30.1 (2021), 17–28 <https://doi.org/10.1159/000509119>
Wiwoho, Jamal, Sunny Ummul Firdaus, Drifarrosa Aisy Aufanuha Machfudz, and Moch Syafrudin Dwisapto Laxamanahady, ‘Legal Protection of Health Care Workers Regarding Workplace Violence During Pandemic COVID-19’, Journal of Law and Legal Reform, 4.1 (2023) <https://doi.org/10.15294/jllr.v4i1.61842>