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Pregnancy loss: A qualitative exploration of an experience stigmatized in the workplace
Journal of Vocational Behavior ( IF 11.1 ) Pub Date : 2023-01-30 , DOI: 10.1016/j.jvb.2023.103848
Stephanie L. Gilbert , Jennifer K. Dimoff , Jacquelyn M. Brady , Roderick Macleod , Taegen McPhee

Pregnancy loss is often stigmatized and is considered to be a taboo topic in the workplace, causing employees to suffer in silence. Yet, pregnancy loss is unequivocally a workplace issue – it can occur at work and influence work outcomes, such as performance, job attitudes, and employee wellbeing. Unfortunately, there is little research examining the intersection between work and pregnancy loss, leaving employers with little evidence-based guidance on how to support employees during and after pregnancy loss. The purpose of this qualitative study of working women (N = 29) is to provide insight into the ways by which work influences, and is influenced by, employees' physical and psychological experiences of loss. We utilized a phenomenological approach which revealed 12 themes that were temporal in nature and represented the interconnectedness of work and pregnancy loss. Themes related to the pre-loss experience (pregnancy experiences), loss experience (healthcare; physical health; psychological health; partner's experiences; loss disclosure; memorialization), short-term post-loss experience (work leave; workplace support; stigma), and long-term post-loss experience (return-to-work; shifts in perspective and identity). These results revealed that pregnancy loss experiences unfold over extended periods of time and across domains, involving the interaction between work, family, and healthcare systems. Findings are interpreted through the lens of bioecological systems theory and boundary theory, and illustrate the criticality of supportive workplace practices, such as return-to-work accommodations, bereavement support, and leave options, in supporting employee health and work outcomes.



中文翻译:

流产:对工作场所耻辱经历的定性探索

流产往往被污名化,被认为是职场禁忌话题,导致员工默默承受。然而,流产无疑是一个工作场所问题——它可能发生在工作中并影响工作成果,例如绩效、工作态度和员工福利。不幸的是,很少有研究检查工作与流产之间的交集,因此雇主几乎没有关于如何在流产期间和流产后为员工提供支持的循证指导。这项对职业女性的定性研究的目的 ( N = 29) 是为了深入了解工作如何影响员工的身心损失体验,并受其影响。我们使用现象学方法揭示了 12 个主题,这些主题本质上是暂时的,代表了工作和流产之间的相互联系。与损失前经历(怀孕经历)、损失经历(医疗保健;身体健康;心理健康;伴侣经历;损失披露;纪念)、短期损失后经历(工作休假;工作场所支持;耻辱感)相关的主题,和长期的损失后经验(重返工作岗位;观点和身份的转变)。这些结果表明,流产经历会在很长一段时间内和跨领域展开,涉及工作、家庭和医疗保健系统之间的相互作用。调查结果通过生物生态系统理论和边界理论的视​​角进行解释,并说明支持性工作场所实践(例如重返工作岗位、丧亲之痛支持和休假选择)在支持员工健康和工作成果方面的重要性。

更新日期:2023-02-03
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