Examining the work experiences of women in healthcare leadership in Canada: a cross-sectional study

PURPOSE: Women's representation in healthcare leadership roles in Canada is increasing, yet limited prospective data exist on their perceptions of empowerment, organizational support, job satisfaction, engagement and well-being. This study explored how women in director-level or higher positions describe their work experience. DESIGN/METHODOLOGY/APPROACH: A quantitative cross-sectional study was conducted from February to May 2025. Participants held director-level positions or higher and were recruited from Health Authorities across British Columbia. A total of 185 participants who self-identified as a woman completed an online questionnaire including demographic items and the Picker Employee Questionnaire (PEQ). Data were exported from Qualtrics© and analyzed using SPSS (IBM version 27). Descriptive statistics were used to analyze demographic information and their work experience. Inferential statistics was used to examine relationships and group differences. FINDINGS: Overall, women reported positive, compassionate and inclusive work environments with strong safety and health scores. Engagement was lower than morale and teamwork. Protective factors against intent to leave included compassion, inclusivity, voice and safety. Organizational support, empathy and psychological safety promoted engagement, while excessive work pressure was a major risk factor. ORIGINALITY/VALUE: Women healthcare leaders generally experience supportive workplaces, but reducing work pressure and enhancing engagement remain critical for retention and well-being.