Explaining career motivation among female doctors in the Netherlands: the effects of children,views on motherhood and work-home cultures

Abstract

The gender imbalance in senior medical positions is often attributed to an alleged lack of motivation on the part of female doctors, especially those with young children. Some researchers argue that an unsupportive work-home culture in the medical workplace also plays a role. This study investigates whether having children (and the age of the youngest child) affects female doctors’ career motivation and whether this relationship is mediated by views on motherhood and the supportiveness of the work-home culture. Cross-sectional data collected on 1070 Dutch female doctors in 2008 indicates that neither having children nor the age of the youngest child significantly affects the career motivation of female doctors. However, views on motherhood and a supportive work-home culture do affect female doctors’ career motivation. Governmental and organizational policies aimed at maternal employment and improving the work-life balance are discussed in terms of their effectiveness in supporting highly educated working women.

Keywords

career motivation female doctors having children motherhood ideology work-home culture

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References

Allen

(2001) Family-supportive work environments: the role of organizational perceptions. Journal of Vocational Behavior 58(3): 414–35.

Arendell

(2000) Conceiving and investigating motherhood: the decade’s scholarship. Journal of Marriage and the Family 62(4): 1192–207.

Baaijens

Van Doorne-Huiskes

Schippers

(2005) Do Dutch employees want to work more or fewer hours than they actually do? In: Peper

Van Doorne-Huiskes

Den Dulk

(eds) Flexible Working and Organisational Change: The Integration of Work and Personal Life. Cheltenham: Edward Elgar, 201–21.

Baron

Kenny

(1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology 51(6): 1173–82.

Beets

GCN

Liefbroer

De Jong Gierveld

(1997) Combining employment and parenthood: a longitudinal study of intentions of Dutch young adults. Population Research and Policy Review 16(5): 457–74.

Bertie

Himmelweit

Trigg

(2006) Social norms, cognitive dissonance and broadcasting: how to influence economic agents. In: Bruun

(ed.) Advances in Artificial Economics. Berlin/Heidelberg: Springer, 235–52.

Boulis

(2004) The evolution of gender and motherhood in contemporary medicine. The Annals of the American Academy of Political and Social Science 596(1): 172–206.

Crompton

Brockmann

Lyonette

(2005) Attitudes, women’s employment and the domestic division of labour: a cross-national analysis in two waves. Work, Employment and Society 19(2): 213–33.

De Jong

Heiligers

Groenewegen

Hingstman

(2006) Part-time and full-time medical specialists, are there differences in allocation of time? BMC Health Services Research 6(26): 1–8.

10.

De Leeuw

De Heer

(2001) Trends in household survey nonresponse: a longitudinal and international comparison. In: Groves

Dillman

Eltinge

Little

RJA

(eds) Survey Nonresponse. New York, NY: Wiley, 41–54.

11.

Dikkers

JSE

Geurts

SAE

Den Dulk

Peper

Taris

Kompier

MAJ

(2007) Dimensions of work-home culture and their relations with the use of work-home arrangements and work-home interaction. Work and Stress 21(2): 155–72.

12.

Duncan

Edwards

Reynolds

Alldred

(2003) Motherhood, paid work and partnering: values and theories. Work, Employment and Society 17(2): 309–30.

13.

European Commission (2008) Mapping the Maze: Getting More Women to the Top in Research. EUR 23311. DG-Research. Brussels: European Commission.

14.

Gash

(2008) Preference or constraints? Part-time workers’ transitions in Denmark, France and the United Kingdom. Work, Employment and Society 22(4): 655–74.

15.

Gornick

Meyers

Ross

(1997) Supporting the employment of mothers: policy variation across fourteen welfare states. Journal of European Social Policy 7(1): 45–70.

16.

Greenhaus

Beutell

(1985) Sources of conflict between work and family roles. The Academy of Management Review 10(1): 76–88.

17.

Hakim

(2002) Lifestyle preferences as determinants of women’s differentiated labor market careers. Work and Occupations 29(4): 428–59.

18.

Hays

(1996) The Cultural Contradictions of Motherhood. New Haven, CT: Yale University Press.

19.

Heiligers

PJM

Hingstman

(2000) Career preferences and the work–family balance in medicine: gender differences among medical specialists. Social Science and Medicine 50(9): 1235–46.

20.

Herzberg

(1966) Work and the Nature of Man. Cleveland, OH: World Publishing.

21.

Himmelweit

Sigala

(2004) Choice and the relationship between identities and behaviour for mothers with pre-school children: some implications for policy from a UK study. Journal of Social Policy 33(3): 455–78.

22.

Hochschild

(1997) The Time Bind: When Work Becomes Home and Home Becomes Work. New York, NY: Henry Holt.

23.

Johnston

Swanson

(2006) Constructing the ‘good mother’: the experience of mothering ideologies by work status. Sex Roles 54(7): 509–19.

24.

Judge

Cable

Boudreau

Bretz

RDJ

(1995) An empirical investigation of the predictors of executive career success. Personnel Psychology 48(3): 485–524.

25.

Keizer

(1997) Gender and careers in medicine. Netherlands Journal of Social Sciences 33(2): 94–112.

26.

Keuzenkamp

Hillebrink

Portegijs

Pouwels

(eds) (2009) Working Part-Time (Not) a Problem: Possibilities to Increase Labor Participation of Women with Small Part-Time Jobs. The Hague: SCP.

27.

Lewis

(2001) Restructuring workplace cultures: the ultimate work-family challenge? Women in Management Review 16(1): 21–9.

28.

Lindenberg

Frey

(1993) Alternatives, frames, and relative prices: a broader view of rational choice theory. Acta Sociologica 36(3): 191–205.

29.

London

(1983) Toward a theory of career motivation. Academy of Management Review 8(4): 620–30.

30.

London

(1997) Career Barriers: How People Experience, Overcome and Avoid Failure. Mahwah, NJ: Lawrence Erlbaum.

31.

Marks

Houston

(2002) Attitudes towards work and motherhood held by working and non-working mothers. Work, Employment and Society 16(3): 523–36.

32.

Marshall

Godfrey

Renfrew

(2007) Being a ‘good mother’: managing breastfeeding and merging identities. Social Science and Medicine 65(10): 2147–59.

33.

Metz

Tharenou

(2001) Women’s career advancement. Group and Organization Management 26(3): 312–42.

34.

Nordenmark

(2002) Multiple social roles - a resource or a burden: is it possible for men and women to combine paid work with family life in a satisfactory way? Gender, Work and Organization 9(2): 125–45.

35.

Ouwehand

(2005) Proactive coping and successful aging. Dissertation, Department of Psychological Health, University of Utrecht, Utrecht.

36.

Preacher

Hayes

(2004) SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments and Computers 36(4): 717–31.

37.

Robinson

GEMD

(2003) Stresses on women physicians: consequences and coping techniques. Depression and Anxiety 17(3): 180–89.

38.

SCP (Sociaal en Cultureel Planbureau [The Netherlands Institute for Social Research] (2006) Emancipation Monitor. The Hague: SCP.

39.

SCP (Sociaal en Cultureel Planbureau [The Netherlands Institute for Social Research]) (2008) Emancipation Monitor. The Hague: SCP.

40.

Stone

(2007) Opting Out: Why Women Really Quit Careers and Head Home. Berkeley, CA: University of California Press.

41.

SZW (Ministerie van Sociale Zaken en Werkgelegenheid [the Dutch Ministry of Social Affairs and Employment] (2007) Taskforce Deeltijdplus Werkplan [Taskforce Part-Time Plus: Plan of Work]. Ministry of Social Affairs and Employment, The Hague. Available (consulted 8 March 2010) at: http://home.szw.nl/index.cfm?menu_item_id=13711&hoofdmenu_item_id=1375&rubriek_item=391837&rubriek_id=391817&set_id=3301&doctype_id=6&link_id=140308

42.

Taylor

Lambert

Goldacre

(2009) Career progression and destination, comparing men and women in the NHS: postal questionnaire surveys. British Medical Journal 338:b1735.

43.

Thompson

Beauvais

Lyness

(1999) When work-family benefits are not enough: the influence of work-family culture on benefit utilization, organizational attachment and work-family conflict. Journal of Vocational Behavior 54(3): 392–415.

44.

Van Agtmaal-Wobma

Van Huis

(2008) De relatie tussen vruchtbaarheid en opleidingsniveau van de vrouw [The Relationship between Fertility and Educational Background of Women]. Voorburg/Heerlen: CBS [Statistics Netherlands].

45.

Van der Lippe

(2007) Dutch workers and time pressure: household and workplace characteristics. Work, Employment and Society 21(4): 693–711.

46.

Van der Velden

LFJ

Hingstman

Heiligers

PJM

Hansen

(2008) Toenemend percentage vrouwen in de geneeskunde: verleden, heden en toekomst. Nederlands Tijdschrift voor Geneeskunde 152(40): 2165–71.

47.

Van Doorne-Huiskes

Van Beek

(2009) Medical University Centers: Women in the Academic Top. Available (consulted 8 March 2010) at: http://www.vandoornehuiskes.nl/nieuws/brochure-universitaire-medische-centra-vrouwen-in-de-academische-top.html

48.

Van Wel

Knijn

(2006) Transitional phase or a new balance? Working and caring by mothers with young children in the Netherlands. Journal of Family Issues 27(5): 633–51.

49.

Vlasblom

Schippers

(2006) Changing dynamics in female employment around childbirth: evidence from Germany, the Netherlands and the UK. Work, Employment and Society 20(2): 329–47.