Evidence map›Paper›PMID 41958246›Full record

ReviewJournal of advanced nursing2026

Barriers to Women's Leadership in Nursing: A Rapid Evidence Assessment and Proposal for an Integrated Theoretical Framework.

Chiara Palazzo, Vincenza Giordano, Andrea Chirico, Teresa Rea, Assunta Guillari

Abstract readReview
In one paragraph

Review in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Chiara PalazzoDepartment of Biomedicine and Prevention, University of Rome 'Tor Vergata', Rome, Italy.ORCID https://orcid.org/0009-0001-6293-4648
Vincenza GiordanoDepartment of Public Health, University of Naples 'Federico II', Naples, Italy.ORCID https://orcid.org/0009-0001-7625-5240
Andrea ChiricoDepartment of Social and Developmental Psychology, University of Rome 'Sapienza', Rome, Italy.ORCID https://orcid.org/0000-0001-9955-1926
Teresa ReaDepartment of Public Health, University of Naples 'Federico II', Naples, Italy.ORCID https://orcid.org/0000-0001-6444-0951
Assunta GuillariDepartment of Translational Medical Sciences, University of Naples 'Federico II', Naples, Italy.ORCID https://orcid.org/0000-0001-8423-8195

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIM(S): This review analyses and synthesises the available evidence on the barriers limiting women's career advancement in nursing. It aims to identify effective interventions to promote gender equity in healthcare leadership through an integrated framework informed by Social Role Theory, Ambivalent Sexism Theory and Theory of Planned Behaviour.

designRapid Evidence Assessment. DATA SOURCES: The search was conducted on the databases: PubMed, CINAHL Complete, MEDLINE, ApaPsycArticles, ApaPsycInfo between March and May 2025.

methodsThe Population-Exposure-Outcome framework guided the formulation of the research question. Two reviewers independently conducted screening, quality appraisal and data extraction.

resultsEight studies with heterogeneous research designs were included: four literature reviews, three quantitative studies and one qualitative study. The analysis identified four themes: (1) gender pay gap; (2) gender stereotypes and cultural expectations; (3) systemic barriers: organisational structures and institutional culture; (4) organisational strategies for gender equity and female leadership.

conclusionCareer advancement for female nurses is limited by systemic and internalised constraints that reinforce vertical segregation. Multilevel interventions are needed to dismantle structural inequalities and reshape gender norms within nursing leadership. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Targeted reforms, including transparent promotion criteria, structured mentoring, bias awareness training and inclusive organisational policies, are essential to promote leadership equity, improve workplace justice and foster a sustainable health system. IMPACT: This study addresses the persistent gender gap in nursing leadership, identifying systemic, cultural and individual barriers to women's career progression. Through a Rapid Evidence Assessment, it proposes a new multilevel theoretical framework. The results support policies and interventions to promote gender equity in nursing leadership. REPORTING

methodsThis review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for reporting. PATIENT OR PUBLIC CONTRIBUTION: None.

Indexed as

Career MobilityGender EquityLeadershipNursingSexismFemaleHumansbarrierscareer progressiongender biasgender discriminationgender gapglass ceilingleadershipnursingorganisational and cultural factorssex discrimination

Identifiers

PMID41958246
PMCPMC13576831

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.