What are your thoughts on patients who request no male nurses taking care of them? What are your thoughts on patients who request no male nurses taking care of them? - pg.6 | allnurses

What are your thoughts on patients who request no male nurses taking care of them? - page 6

What are your thoughts on patients who request no male nurses taking care of them?... Read More

  1. Visit  leslie :-D profile page
    #65 1
    Quote from nursejenna1986
    I agree it is probably just modesty.
    Quote from greenbeanio
    The issue may be beyond that of mere "modesty". We need to bear in mind the needs of abuse survivors even if the patient has not identified a hx of abuse. If we are to provide "trauma-informed care", we need to get into the habit of providing care in such a way as to not require the pt to self-identify as a trauma survivor. Like "universal precautions" which are applied universally, so as to avoid stigma.

    Here are some stats:
    Who are the Victims? | RAINN | Rape, Abuse and Incest National Network

    And this is actual rape - not all sexual assault which would include inappropriate touching, voyeurism, frottage, verbal sexual harassment etc.

    Given these statistics, it may be understandable why people may have issues around their bodies.
    i was just going to post something similar to above post, so thank you greenbeanio.
    for many of us, it really does go beyond "just modesty"...
    that there are cases of rape, and even years of horrific abuses including sexual.
    do not assume anything about your pts - this goes for male and female.
    and while many of us manage to go on with our lives, it is something you never ever truly get over.
    having a male nurse (or whoever the former perp was) could easily trigger someone who has been grossly and inhumanely violated.

    i'm sorry guys - but this goes far beyond your capabilities as a nurse.
    some things just cannot be fixed, and pts needs must try and be honored.
    it really as simple as that.

    leslie
  2. Visit  tewdles profile page
    #66 1
    Quote from ZippyGBR
    are there any responses that actually say that or just responses from people saying that it;s someone's loss if they reject the care offered by a professional on the basis of an characteristic of the carer ...

    exactly how far are you prepared to allow the wants of patients to go vs the needs of the patient, the service and the unit as a whole ?

    there is also the issue of those who should know better ( i.e. other Nurses ) not only supporting patient choice ( within the bounds of the service) but suggesting that it is their opinion as well ) Opinions which are common among the population at large are not really suitable among health staff and especially among professionals.
    Ok...so I will admit that there were only 3 or 4 responses that do not honor the request of the patient over the inconvenience or feelings of the professional. Having said that, even just a few bothers me...

    How far would I go? First, I have been a nurse for more than 30 years in and out of the hospital setting and have lived through all sort of patient/family requests in all sort of settings. This is what I know, nurses are trained to be patient advocates. I am a patient advocate and I will advocate for the wishes of the patient in the health care arena as long as what they are asking is not illegal or prohibited by policy. It might be stupid, in our opinion. It might be inconvenient for us as health care workers either in reality or in our opinion. It might be unusual, in our opinion. It may not make sense to us. In my professional opinion it is our duty to try to provide the best care for the patient not just related to their medical diagnosis and the medical and nursing tasks you/we are charged with completing, but also for the WHOLE person...their emotional, psychosocial, spiritual, cultural, and physical needs. We are the one professional discipline which is responsible for all of those areas. So, I guess I would (and have) gone pretty far to allow the wishes of the patient to trump the "needs" of the health care system when possible.

    I am not certain what you mean when you talk about "those who should know better" related to patient choice within the bounds of the service. When it comes to offering our patients our "opinion", those comments should be limited to our professional recommendations rather than personal opinions. What we think as a general citizen has no bearing on the patient's right to participate in their care and their right to express their wishes related to that care. So I think we are in agreement if that was what you were getting at.

    From another perspective, nursing school does not save people from bigoted or wrong thinking on social issues. You might have noticed that even medical school does not remove crazy opinions from the hearts of some students after many years. There are plenty of professionals in a variety of fields who hold "unsuitable" opinions.
  3. Visit  anotherone profile page
    #67 0
    Quote from mofomeat

    I'm still trying to understand why it's ok for women to bring their small boys into men's restrooms and stand right next to me with my junk hanging out, but it's somehow taboo for them to take those same small boys to a stall in the women's restroom. Once again, it's a drop in the bucket compared to so many other things that are far more important. For entertainment I'll just start a conversation with them, "So... come here often?"
    What? I have NEVER EVER seen this? is this more common in some areas than others? I have ONLY, hundreds of times seen a woman take a little boy into women's bathrooms never walk into a men's br with the kid? or do you mean the part that urinals are not private? so confused......
    anyway, It would depends for me. most people making this request are do to modesty reasons. get over yourselves male or female requests. most pts who specify are ok with a male/female ent dr. but prefer a ob/gyn or urologist of his/her own gender. they might be ok with a male/female dr but not a nurse of a different gender because depending on the diagnosis etc the male/female dr might not see as much of the patient as the nurse would.
  4. Visit  Albert4 profile page
    #68 1
    Exactly, just like when a patient requests, nicely, that no black or Asian nurses take care of them.
    It's all about patient comfort, right?
  5. Visit  thompd01 profile page
    #69 2
    As a nurse we need to try to understand what patient's needs are. If they request no male nurse than if at all possible they shouldn't have a male nurse. They shouldn't be drilled or made to feel bad. It is totally a patient's preference.

    If no female nurse is available, politely explain to the patient and ensure them that their privacy will be maintained at all cost. In this situation, a male nurse could care for the patient and during private moments like bathing or using the restroom possibly a female coworker could assist the patient.
  6. Visit  Ruby Vee profile page
    #70 1
    Quote from zippygbr
    are there any responses that actually say that or just responses from people saying that it;s someone's loss if they reject the care offered by a professional on the basis of an characteristic of the carer ...

    exactly how far are you prepared to allow the wants of patients to go vs the needs of the patient, the service and the unit as a whole ?

    there is also the issue of those who should know better ( i.e. other nurses ) not only supporting patient choice ( within the bounds of the service) but suggesting that it is their opinion as well ) opinions which are common among the population at large are not really suitable among health staff and especially among professionals.
    i'm not sure i understand your comments.

    i will say that patients who start rejecting caregivers based on one characteristic or another often wind up with substandard care. there was the patient who rejected our best nurse because "she's too old" and rejected the next caregiver because "he's black." they didn't like another nurse because "her english is atrocious" (the lady had a master's in english literature and understood both written and spoken english better than most americans, but she did have a thick accent) and the next nurse was rejected due to visible tattoos.

    now while it is the patient's right to refuse care, if they refuse all care they have no business taking up space in our health care system. and when they refuse all caregivers, who is going to be left to give them care? in that patient's case, it was only the travelers who weren't rejected and who would care for her. now those travelers were competent nurses, but they weren't experts in our specialty.
  7. Visit  pednursedeb profile page
    #71 3
    I am a retired nurse, due to health issues. Even as a nurse I felt uncomfortable with the personal care I recieved from male CNAs and male nurses. I had a Whipple procedure due to pancreatic cancer. I had a j tube for feeding. Because of that I had a couple of accidents. It was very uncomfortable for me to have a male clean me up. I didn't complain. They were professional and kind. I see male physicians so I never thought I'd feel that way. Most physicians don't get that personal except once a year for a pap smear. I don't want to offend anyone and would never refuse to have a male nurse care for me. I've worked with some great nurses, so I'm just commenting on how I felt.
  8. Visit  Susie2310 profile page
    #72 1
    Quote from ruby vee
    i'm not sure i understand your comments.

    i will say that patients who start rejecting caregivers based on one characteristic or another often wind up with substandard care. there was the patient who rejected our best nurse because "she's too old" and rejected the next caregiver because "he's black." they didn't like another nurse because "her english is atrocious" (the lady had a master's in english literature and understood both written and spoken english better than most americans, but she did have a thick accent) and the next nurse was rejected due to visible tattoos.

    now while it is the patient's right to refuse care, if they refuse all care they have no business taking up space in our health care system. and when they refuse all caregivers, who is going to be left to give them care? in that patient's case, it was only the travelers who weren't rejected and who would care for her. now those travelers were competent nurses, but they weren't experts in our specialty.
    i do hear what you are saying, and your frustration. but the characteristics you brought up are to my mind a separate issue from the focus of this discussion, a patient requesting no male nurses. i saw this discussion as focused on the gender of the nurse. in the situation you describe i still can't think of anything else to do except to respect the patient's wishes regarding caregivers and try one's best to accommodate them, which it appears your facility did.
  9. Visit  Dave Ray profile page
    #73 0
    can the patient request only female physicians, female lab techs, female housekeeping, female admission clerks, female imaging techs, female ambulance drivers, female emt's, female paramedics, female hospital security, female nursing supervisors, female patient advocates, female insurance customer service, female gift shop persons, female hospital engineers, female cna's, female pca's, female or techs, female pa's, female pharmacists, female transporters, and oh well you get the point!

    as a nursing student (yes male) my patients preferred male nursing students for their am care, in their opinion we were more gentle and more professional.

    can we ever get past the fact that nursing is a female only profession. why are we called nurses and males nurses. can't you agree a nurse is a nurse is a nurse, is a nurse etc. male nurses have been the minority in the nursing profession from the beginning, that is changing. all patient care professionals (male) are gaining recognition as true professionals. certainly not the doctor's handmaidens as things used to be, back in the day.

    it is unfortunate that male nurses are thought of as different by their female counterparts, someone who is thought of as a male nurse not a nurse. it could be said the female majority in nursing wants to keep things where they are. continue female domination of nursing, it began as a female profession and everyone including patients want things left like they were. have you ever seen a male nursing cap or hat when male nurses graduate from school?

    i may have some bias. keep in mind my nursing experience is primarily military where nursing is more balanced between male and female nurses.

    i hope i have caused you to step outside the box and understand where some of these perceptions come from. i hope you have taken time to think about this issue. sorry if i ruffled your feathers. nurses must be thought of as professionals not male or female. are the doctors thought of as doctors not male and female. is it now true that a male nurse is viewed and treated different because that the nursing profession is stagnated unwilling to grow. why is it that nurses are limited by their sex when doing nursing care?

    so, where do we grow from here?

    “do or do not... there is no try.”- yoda
    Last edit by Dave Ray on Jun 28, '12
  10. Visit  yadi87 profile page
    #74 0
    yes its a modesty issue for the most part, i for one have no problem with a male nurse taking vitals, drawing blood, ect ect . What i am uncomfortable with is being naked (ie. exposing boobs, butt, "lady bits"...lol) in front of a man thats not my husband. Im not uptight or super religious or anything its just weird, the only other man thats seen my naked is my OB and thats becuase he is the best in miami, and i would rather have the best be my doc in that dept. taht worry about the gender, now if its a non-life threatening issue and i have to be in some state of nakedness, i would rather do it in front of a woman, then wonder if the male RN is getting off checking out my boobs, and other parts.
  11. Visit  youngguy profile page
    #75 2
    There are a lot of possible reasons for that. I think that they should just be respected, because nobody except that person knows why they feel like that.

    Suppose a female patient was abused by a male. Having a man in such close quarters and possibly seeing any exposed areas could be really stressful.
    That's not always the case, but there could always be something like that. So, I feel that it's best to just respect their request.
  12. Visit  sharkdiver profile page
    #76 2
    Personally, I don't see a problem with this type of request from either gender. As others have said, if it makes the patient more comfortable, why not? I'm sure there are extreme exceptions, but usually it usually involves situations with intimate care or exposure. Ultimately it is the patient's choice whom they will allow to care for them and we need to respect that.

    The bottom line is that it doesn't really matter why. The patient has the absolute right to refuse any specific caregiver for any reason. Note that refusing a specific caregiver is not the same as refusing care. If a female patient says "no males" or a male patient says "no females", then the facility has limited options: accommodate the patient's request if possible; discharge the patient if their condition permits, or transfer them to another facility if it doesn't. You can not legally force a caregiver on a patient over their objections.
  13. Visit  duckyluck111 profile page
    #77 5
    Quote from dave ray
    can the patient request only female physicians, female lab techs, female housekeeping, female admission clerks, female imaging techs, female ambulance drivers, female emt's, female paramedics, female hospital security, female nursing supervisors, female patient advocates, female insurance customer service, female gift shop persons, female hospital engineers, female cna's, female pca's, female or techs, female pa's, female pharmacists, female transporters, and oh well you get the point!

    as a nursing student (yes male) my patients preferred male nursing students for their am care, in their opinion we were more gentle and more professional.

    can we ever get past the fact that nursing is a female only profession. why are we called nurses and males nurses. can't you agree a nurse is a nurse is a nurse, is a nurse etc. male nurses have been the minority in the nursing profession from the beginning, that is changing. all patient care professionals (male) are gaining recognition as true professionals. certainly not the doctor's handmaidens as things used to be, back in the day.

    it is unfortunate that male nurses are thought of as different by their female counterparts, someone who is thought of as a male nurse not a nurse. it could be said the female majority in nursing wants to keep things where they are. continue female domination of nursing, it began as a female profession and everyone including patients want things left like they were. have you ever seen a male nursing cap or hat when male nurses graduate from school?

    i may have some bias. keep in mind my nursing experience is primarily military where nursing is more balanced between male and female nurses.

    i hope i have caused you to step outside the box and understand where some of these perceptions come from. i hope you have taken time to think about this issue. sorry if i ruffled your feathers. nurses must be thought of as professionals not male or female. are the doctors thought of as doctors not male and female. is it now true that a male nurse is viewed and treated different because that the nursing profession is stagnated unwilling to grow. why is it that nurses are limited by their sex when doing nursing care?

    so, where do we grow from here?

    “do or do not... there is no try.”- yoda
    first of all, female nurses earn $0.86 for every $1.00 a male nurse earns, so in that respect who cares if they don't make caps for you, you'll earn more money despite equal work. (source: monster.com)

    second of all, 1 in 5 women have been raped (source: ny times, dec 14 2011), this is a fact you are going to have to get used to and respect if you are going to provide care to women. women request female doctors, nurses and other care providers all the time because through the course of medical treatment we are placed in situations that cause us to feel vulnerable. it is ridiculous to equate requesting a female nurse with requesting a female housekeeping staff member.

close