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Psychological safety is essential for participation in clinical learning; however, little is known about how gendered experiences are perceived to influence psychological safety, professional identity, and resilience among nursing, midwifery, and medical students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This qualitative study explored how nursing, midwifery, and medical students experience gender-based discrimination in educational and clinical learning settings and how they perceive these experiences as relating to psychological safety, professional identity development, and resilience. Guided by critical social theory, the study adopted an IPA-informed interpretative qualitative design. Seven FGDs were conducted with nursing, midwifery, and medical students (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200956). Data were analysed using an iterative, interpretative process supported by MAXQDA. Reporting followed the COREQ guidelines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Analysis generated three interrelated themes with nine sub-themes. Theme 1, Gendered Professional Identity: Professional Role, Competence, and Status, comprised gender-based labelling of professional roles, gender-coded task allocation framed through \u201csensitivity versus physical strength,\u201d and glass-ceiling perceptions in career pathways. Theme 2, Inequity in Clinical Learning Opportunities and Psychological Safety, included restricted access to learning, gendered recognition and discrimination, and psychological safety and withdrawal. Theme 3, Resilience Through the Lens of Gender, encompassed competence-based identity construction, supportive academic and institutional ecosystems, and collective voice through professional solidarity and advocacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings suggest that gender-responsive and psychologically safe clinical learning environments may be important across nursing, midwifery, and medical education. Educators, supervisors, and clinical staff should consider addressing gendered role labelling, inequitable task allocation, and hidden curricula as potential structural barriers to learning and participation. Transparent and auditable learning objectives, gender-responsive supervision, monitoring of task and feedback allocation, and accessible reporting pathways may help reduce perceived inequities and support students\u2019 willingness to speak up. The findings also indicate that moving beyond an exclusive reliance on individual resilience may better support equitable professional identity development, sustainable workforce preparation, and safe patient care. However, these interpretations should be understood within the specific educational, clinical, and sociocultural context of the study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12909-026-09965-3","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T23:36:46Z","timestamp":1785368206000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gender-based discrimination shapes psychological safety and professional identity in clinical settings: a qualitative study of nursing, midwifery, and medical students"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6253-2016","authenticated-orcid":false,"given":"Tuba","family":"Sengul","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0669-6451","authenticated-orcid":false,"given":"Seda","family":"Sar\u0131k\u00f6se","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7691-6590","authenticated-orcid":false,"given":"Bet\u00fcl","family":"Uncu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7840-1635","authenticated-orcid":false,"given":"Ezgi Hasret","family":"Kozan Cikirikci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7991-3176","authenticated-orcid":false,"given":"Dilek","family":"Yilmaz Akyaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0414-3589","authenticated-orcid":false,"given":"Nurten","family":"Kaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"issue":"10190","key":"9965_CR1","doi-asserted-by":"publisher","first-page":"2535","DOI":"10.1016\/S0140-6736(19)30648-8","volume":"393","author":"K Hay","year":"2019","unstructured":"Hay K, McDougal L, Percival V, Henry S, Klugman J, Wurie H, et al. 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