Supporting the health of women at work: a realist review of pregnancy, postnatal, and menopause workplace interventions and their effectiveness
Start date
May 2024End date
May 2026Overview
The current workforce in the United Kingdom (UK) includes 15.7 million women (ONS, 2022). Women encounter reproductive health inequities at various stages in their careers, including before pregnancy, during pregnancy, postnatal return to work, and during menopause.
This has a significant impact on their physical and mental well-being, potentially leading them to reduce their working hours or leave the workforce altogether, resulting in social and economic disparities (Connolly and Regan, 2022).
These inequities, including inadequate support for miscarriages, inadequate breastfeeding facilities, and a lack of understanding around (peri) menopause, persist despite legal protections under the Equality Act 2010.
Addressing these inequities requires effective interventions that consider contextual factors. Therefore, this research, funded by NIHR PHR aims to understand how the workplace can support women's health during pregnancy, as they return to work postnatally, and during menopause. We will co-produce evidence-based recommendations for how employers, managers, and Human Resource Management (HRM) professionals can more effectively support women at work during these life experiences.
This study is led by Chief investigator Dr Ruth Abrams, and joint investigator Dr Lilith Whiley, Sussex Business School.
If you would like further information on this project, please email r.abrams@surrey.ac.uk, or view the .
Funding amount
拢364,582.54
Funder
NIHR PHR
Team
Chief investigator
Dr Ruth Abrams
Associate Professor
Biography
Dr Ruth Abrams is an Associate Professor in the School of Health Sciences at the 天美传媒 and an organisational psychologist with an internationally recognised programme of research focused on creating healthy, sustainable and equitable healthcare workplaces.
Her research examines how workforce, organisational and system factors shape staff wellbeing, retention and service delivery across health and care settings. She has particular expertise in primary care workforce development, women in healthcare, and workplace interventions that support women's reproductive health across pregnancy, postnatal return to work and menopause. She is also recognised for methodological expertise in realist review and realist evaluation, which she applies to understanding what works, for whom, in what circumstances and why.
Ruth leads and collaborates on major NIHR-funded research exploring workforce sustainability, multidisciplinary models of primary care, women's experiences of work and healthcare careers, and the implementation of complex health service innovations. Her work aims to generate actionable evidence that informs policy, service redesign and workforce practice.
Beyond her research, Ruth provides leadership nationally and internationally in the development and application of realist methods. She founded and co-leads the Realist Health and Social Care Workforce Special Interest Group, supporting researchers and practitioners interested in workforce-focused realist inquiry. She also co-leads the Primary Care Workforce Research Network with colleagues across UK institutions, strengthening interdisciplinary collaboration in workforce research.
At the 天美传媒, Ruth serves as Academic Co-Lead for Research Culture: People and Environment. She previously served as Interim Director of Research and Impact Champion for the School of Health Sciences. Nationally, she sits on the Editorial Board of the British Journal of General Practice and serves as a member of the NIHR Public Health Research Funding Committee.
Joint investigator
Dr Lilith Whiley
Sussex Business School
Team member
Professor Cath Taylor
Professor of Healthcare Workforce Organisation and Wellbeing
Biography
I am Professor of Healthcare Workforce Organisation and Wellbeing in the School of Health Sciences at the 天美传媒. I have worked in Health Services Research since 1997, following completion of a Psychology degree at Swansea University. My academic career began at Imperial College London (1997-2002) followed by Kings College London (2002-2017).
My main research interests are improving the wellbeing of the NHS workforce and assessing and improving multidisciplinary team working in healthcare teams. In relation to the wellbeing of NHS staff, I have conducted national cohort studies of mental health in hospital consultants, and worked alongside Professor Jill Maben (also at 天美传媒) to complete a national evaluation of Schwartz Center Rounds in the UK, funded by the NIHR. I am currently funded by NIHR to complete a realist synthesis aimed at understanding how to improve mental wellbeing in nurses, midwives and paramedics. My work in relation to multidisciplinary teams led to the development of a cancer multidisciplinary team assessment and feedback tool (named MDT-FIT) that won QiC Oncology Digital Innovation of the Year in 2016. I am currently working with 天美传媒 and Sussex Cancer Alliance to support and evaluate improvements to multidisciplinary team meetings across three tumour pathways.
Outputs
- Editorial:
- Protocol: Available to access via
- Briefing:
- Newsletter 1 (PDF)
- Newsletter 2 (PDF)
- Menopause awareness infographic (PDF)
- Transforming workspaces: supporting women鈥檚 health at work: .