My Body Is Not My Resume: Exploring Nursing Dress Codes

Long gone are the days of "nursing whites", but should our dress codes be even more relaxed? Is society ready for nurses and other healthcare professionals with tattoos, colorful hair and body piercings? Let's explore the past, present and future of nurse dress codes. Nurses General Nursing Article

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Let's talk dress code. I am certain that everyone has an opinion on this topic. We can discuss nursing whites versus colors or clogs versus gym shoes, but that is just too mundane! Let's dig deeper.

Let's talk tattoos! Or, how about unnatural hair color? Oh, and piercings! That's right, let's talk about some controversial dress code topics.

The Stats

While it is difficult to find statistics on hair color, piercing and tattoo statistics for the general population is quite easy to find.

It is estimated that 42% of all adults in the U.S. have at least one tattoo. 83% of all adults have had their earlobes pierced, 72% of which are female. There is an additional 14% of the U.S. population who have a body piercing other than their earlobes.

What does this mean? Well, quite simply - it means there are a lot of people who believe that self-expression through body art is acceptable. It means that people, regardless of education, socioeconomic status or occupation, have tattoos and piercings.

Nurses are no different. Many nurses, doctors, and other healthcare personnel have tattoos, body piercings and colorful hair. But, should they?

Historical Perspective

Long gone are the days of white uniform skirts, nursing caps, hose and plain shoes. The idea was that uniformity made nurses easy to identify. Hospitals and other healthcare facilities also used the all-white nurse dress code to reflect a certain image. After all, nurses were and still are the most trusted professionals around.

However, over the years, colorful scrubs in a variety of patterns have replaced the traditional white nurse uniform. Now, in a society that supports self-expression and individuality, we are still questioning the role of the uniform for nursing professionals.

Patients' Opinions

While the research is limited, one study done in 2012 looked at how patients' perceived patient care providers with tattoos and or body piercings. In this study, patients were shown images of male and female patient care providers in uniform with and without tattoos and/or non-earlobe body piercings.

The results?

  • Patients perceived the patient care providers with visible tattoos and/or body piercings as less caring, confident, reliable, attentive, cooperative, professional, efficient and approachable.
  • Patients perceived females with tattoos to be less professional than male patient care providers with similar tattoos.
  • Patients also felt that female patient care providers with visible non-earlobe piercings were less confident, professional, efficient and approachable than females with no body piercings.

Did the patients get it right? Most of us can think of at least one tatted-up nurse who can run circles around their non-tattooed counterpart, so is there any validity in this thinking? Is this where we are today?

A New Era

Some people may feel that we are on the verge of a new era when it comes to tattoos, hair color and piercing policies for hospital staff. According to Becker Hospital Review, as of January 1, 2018, Mayo Clinic has instituted a new dress code.

Becker Hospital Review reports that under this new rule, tattoos "may be visible if the images or words do not convey violence, discrimination, profanity or sexually explicit content. Tattoos containing such messages must be covered with bandages, clothing or cosmetics. Mayo Clinic reserves the right to judge the appearance of visible tattoos".

Mayo Clinic has long been known for its professional appearance and conduct of employees. The hospital continues to stress that all employees are expected to project a professional appearance and demeanor.

Mayo Clinic is not the first or the last healthcare facility that will change their dress code policy. Industries outside of healthcare have been feeling this shift for many years. There are simply many people in healthcare that feel that allowing these forms of self-expression will make patients feel uncomfortable or less trusting of the staff in general.

How Do You Feel?

Do you have tattoos? If so, have you ever felt judged by administration, other healthcare professionals or patients because of your tattoos or piercings?

Do you believe that nurses and other healthcare professionals should not have visible tattoos or piercings or keep them covered? I would love to hear how you feel.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I feel conflicted on this. I do believe our presentation is a resume of sorts, and yes, there is a population that have a problem with multiple facial piercings and tattoos.

As a hiring manager, however, I have hired people with tats and a nose ring who present professionally and as a good fit for the position. I am not so old as not to get it and myself, am getting my first tat soon, although in an area not too noticeable by many. I agree with others, crummy, lumpy, dumpy and worn out scrubs and shoes are a bigger issue for me. It shows lack of self-awareness of appearance and hygiene to me.

But----You see, as a manager/leader I have to show somewhat of an example. A lot of my elderly or demented patients are frightened by multiple tattoos and piercings; not saying that's right, but it's a fact. I have to present the example. So I don't pierce my face and will keep tattoos conservative. But I will also keep in mind myself, to get to know the actual person with those things (and colorful hair) because I know people are people and like to express themselves differently.

I have told my own daughter who has multiple ear piercings , a nose stone, and tattoos to keep them on the conservative side. She intends to pursue an advanced practice role and I said you won't want anything like a piercing or tattoo to get in your way. Her tats are on her shoulders, back and below the bra line. She has piercings (many) but again, mostly ears and in places you can't tell they are there. Her nose piercing is a tiny stone, not too crazy. I am not that out of touch to not know this how the millennial generation likes to express itself (and increasing baby boomers too) but again, some do have issues, some who would be there to hire you and judge you according to archaic or conservative standards. That will change over some years, but not just yet.

As the older generation dies off and the millennial generation takes over, this will be less and less an issue. In less than 10 years, I see it as a real non-issue. But RIGHT NOW IT STILL IS for not just older, conservative patients, but hiring managers and HR representatives.

Be careful not to shut that door of opportunity before you even knock on it, is my saying. My daughter and son, thankfully, are taking my advice and both have multiple tats and some piercings. But they are also are gainfully employed, and doing well.

Specializes in Pediatrics.

I work in a series of pediatric group homes with six patients staffed by two nurses. Most of the kids are on hospice or PVS, nearly all of them wards of the state with little parental involvement. It's a pretty sad atmosphere where you're just caring for kids the state is waiting to die so they can upgrade abuse charges against the parents for murder. They try to make it as relaxed and low-stress as possible, and honestly, the *only* dress code rule is pretty much to be clean. Crazy tats and funky hair are totally acceptable. People come in with pajamas on, bizarre footwear, street clothes, last week during the cold snap I relieved a nurse wearing a tank top, sweatpants, and full lace-up Ugg boots. My company isn't perfect, but I appreciate that they roll with the punches in terms of redefining what "professional" means. The times are changing, and tats/hairdye/piercings will no longer be the ruler by which we measure professionalism.

I think a clean, put-together, professional appearance is important. Some people can be clean, put-together, and professional looking and have tattoos and piercings and odd-colored hair. Other people can look like absolute slobs and have no body modifications whatsoever. Coming from a military background, I find tattoos much less disruptive than piercings - body and facial jewelry can get caught on things, be grabbed, get infected, etc., so there's more of a chance of them getting in the way of the actual job. In general though, the things I notice first about people are things like is their hair well-groomed, are their clothes clean and do they fit, do they look dirty? Dyed hair only tends to be an issue if it looks old and tired and not maintained - like the color has washed out and the roots are obvious. Tattoos and piercings don't really register for me unless it's something pretty outre, like large neck/facial tattoos or gaged facial piercings. I will say that I think jewelry should be kept small and subtle at work, if it's worn at all - save your big glitteries and long danglies for date night.

And don't get me started on the "I just rolled out of bed and put my hair in a messy bun" thing. While I don't think we should be sporting french twists, looking like you just had sex or are about to play field hockey is so wrong. And no, adding a stretchy headband does not improve the look.

I have to disagree here. I wear my hair in a messy bun/simple ponytail most days for work with a stretchy headband to glam it up a bit and keep my hair out of my face and I don't feel as if I look unprofessional by any means. I actually think adding a headband is a quick fix to otherwise drab hair. Speaking for myself, I don't get much time to do my hair so I think it's perfectly acceptable to wear my hair the same way I would if I were about to play field hockey because let's face it...nursing can get just as rough! :)

No visible tattoos allowed in jail it would appear given the number of deputies wearing compression stockings on their arms. We really are not engaging in any personal chit chat so no conversation starters. Do not have any tattoos but have been pondering getting a bit of later life ink...

would make staff easier to locate, some inmates have had associates on the outside track down staff as deputies go by their last names. Policy on medical dictates no visible tats and we do not give out our last names. Then again the BON lists the city we all live in and while it does not list an address it would take someone 2-3 minutes to walk around town and find someone who knows me.

i had pink hair for about 6 months. At first my patients looked at me with a funny look. But once I began talking to them and caring for them they realized I was a good nurse who just happened to have pink hair. My patients thought my hair was fun and it made them smile. Plus they all remembered me because I was the nurse with pink hair. My management had no problem with it. They just said you are the type that can get away with that.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
I hate the whites. I don't own a scrub top that doesn't have a stain. In fact, I'd like to give a big, long throat hug to the person who decided that was a good idea at my facility.

I really don't care about hair, tats, piercings, etc. Back in the day, it was strictly a biker, outlaw, military, or fetish sort of thing. Never mainstream. It's trendy now and nothings going to change the demand for nurses in the foreseeable future.

Big, long throat hug? Not sure I understand the reference, but the mental picture is entertaining and I agree with the sentiment.

Let those who like white WEAR white, but please don't force anyone else to do so!

Specializes in Psychiatric and Mental Health NP (PMHNP).

I applied for a mental health job. After the initial phone interview went well, the employer asked me to do an interview via video conference. After that was over, I asked them why they requested that. Answer: "This is a mental health facility in a conservative area. We've flown people all the way out here for interviews and had them show up with facial tattoos and/or multiple facial piercings. That could be really upsetting to some patients. We just wanted to make sure you looked normal."

I am a tattooed nurse. Yes a few are visible..even more aren't. For the most part, I get a curious and positive reception from patients. Now there is a line to be drawn...I think multiple facial piercings and those darn ear stretching gauges are not appropriate for the floor.

Specializes in PACU, Stepdown, Trauma.

Personally, it doesn't bother me unless it's an obviously offensive tattoo (something depicting violence or racism, for instance). One of my nursing instructor had a full sleeve and colored streaks in her hair... it looked great and she had no complaints from patients. I have a tattoo and multiple piercings, although the only ones that are visible are in my ears. I've sported a pixie cut and had multi-colored hair... nobody minded!

It's technically against the dress code at the hospital where I work, but the enforcement varies wildly from unit to unit depending on the manager. Some units at the hospital where I work have a strictly enforced dress code right down to the color of your scrubs and undershirts, but the step-down ICU is pretty laid-back. I usually wear scrub pants and a long-sleeved athletic type shirt in varying colors.

I have multi-colored hair. However, I have long hair and when I had it done I stated I wanted to look professional at work and not like a clown. I always wear a bun at work, so my hair now has multi-colored streaks for the last two-thirds and at work I have a colorful bun. I have had patients ask if it is really my hair or some sort of extension.

I believe in balance. (I also work nights in an ER, so that probably helps.) Do I believe that I should be able to go to work with full sleeve tattoos (some of which I actually like), twelve visible piercings, or all green hair? Not so much.

I do happen to live in a fairly conservative area of the country.

Specializes in Private Duty Pediatrics.
I have to disagree here. I wear my hair in a messy bun/simple ponytail most days for work with a stretchy headband to glam it up a bit and keep my hair out of my face and I don't feel as if I look unprofessional by any means. I actually think adding a headband is a quick fix to otherwise drab hair. Speaking for myself, I don't get much time to do my hair so I think it's perfectly acceptable to wear my hair the same way I would if I were about to play field hockey because let's face it...nursing can get just as rough! :)

What do you see as "professional"? What impression do you want to make? Do you care?

Do you want to look harried, like someone who is so stressed that they can't even comb their hair?

First impressions do count, whether or not you think they should. If your patients see you as someone who is composed, they are more likely to see you as knowledgeable and proficient. They are more likely to trust you.