Is this typical of a nursing school? Arbitrary failings, and discrimination

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In my school a fairly large number of students, including me, have been failed in our clinical courses by arbitrary decisions made by instructors. By "arbitrary decisions" I mean that the instructors are given unrestricted power to fail students without the use of predetermined standards.

In addition, these decisions seem to affect males disproportionately. This is just based on my observations, not statistics, but males appear to make up 10-20% of the students at the school while more than 90% of those failed in these arbitrary decisions are men.

I'm pretty sure gender discrimination is at work here, particularly considering that this school decides which students to admit purely based on academic standards (meaning that the disproportionate number of men being failed cannot be explained away by suggesting that men are simply weaker than women, academically speaking.) All students at this school have about a 4.0 GPA at the start of the program.

In my own experience, the instructor who failed me was very unprofessional, rude, and nasty towards me. This behavior started literally on day one, which I think disproves any possible claim that her ill will towards me was based on anything other than some sort of prejudice. She proceeded to seek out opportunities to misrepresent events in order to make me look bad, presumably so she could build a case against me to fail me.

As an example, on the paperwork with which she officially failed me in the course she vaguely stated that she had a conversation with the RN I was working with that led her to the conclusion that I "lacked initiative." What is interesting is that she made that same accusation to me in person moments after the conversation in question (which I estimate lasted about 15 seconds.) When she made the accusation to me in person, I asked her to clarify what exactly she was basing this assumption on, and she stated that the conclusion that I "lacked initiative" was based on the fact that it had come up in this conversation with the RN that a procedure had been done on my patient and that the RN had done the procedure instead of me.

I only had one RN that I was working with that day, I only had one patient that day, and my patient only had one procedure. At the time of that procedure, the RN asked the patient, "Would you rather have a female [the RN] perform this procedure instead of a male [me]?" And the patient said, "Sure. I guess I'd prefer a female." So this was an example of explicit gender discrimination that was actually cited as a reason for my instructor failing me.

I find the arbitrary nature of these decisions strange. These decisions are made against people who have invested years of their time and thousands of dollars of their money and against people who have succeeded at every step of the way in their educational career, and it is odd to me that all of their hard work can be thrown away purely based upon what appears to be an individual's personal dislike of them.

Can anyone relate to these kinds of experiences? Is this typical of nursing schools?


I wouldn't assume that they kicked you out just because you are male. Was it just that one incident that the teacher had a problem with? I have seen people get ousted from nursing school yes, but it was over more than one incident and it was viewed as being justified.Do you have proof it was because you are male? Failing students is not arbitrary or discriminatory in my experience.

Did you have any previous issues with this instructor or was this the very first time she had a problem with your performance in clinical?

I'm not sure if the prejudice against me was based purely on my gender. I don't really care. It is possible the instructor didn't like me because of my personality. It is possible my instructor didn't like me because of my face. I don't care in the slightest. Gender is just on aspect of this issue, which is that students (at least in my school) can have all their hard work taken from them without any real justification besides the fact that an instructor doesn't like them.

kissmyasn, that is more what I'm curious about: the arbitrary nature of these things. The discrimination aspect is just a small part of what appears to me to be a bigger problem. I know of one female from my school who was failed in the final month of the program by an instructor whom she says did not like her personally, and, based on my other experiences with this school, it never occurred to me to assume that there was some detail that she failed to disclose that justified the action against her.

I guess my basic perspective is that it is wrong to to be so casual about screwing up a person's education and career without applying some sort of standard.

This is exactly how everyone at our school felt, that we were basically in danger of being failed (in a clinical course) at any time, for any reason, just because a teacher felt like it. Of course there were legitimate reasons as well, but I would say it was 50/50 between major errors or incomplete paperwork versus the teacher's just deciding the student "didn't have what it takes."

It would be equally ridiculous.

So if a female medical student you knew was kicked out of medical school because a male patient refused to work with a female, you would tell her that was totally justified and she shouldn't be a doctor?

Specializes in Acute Care, Rehab, Palliative.

So did you have just one incident with this instructor and you were failed?

Specializes in critical care.

Love, you've been a bit snippy and dismissive on this thread to those of us who have tried to answer your questions with an open mind. I know that you are upset, but your attitude isn't helping.

On another note - A patient preferring a specific gender for certain procedures is not discrimination.

Specializes in Adult Internal Medicine.
So if a female medical student you knew was kicked out of medical school because a male patient refused to work with a female you would tell her that was totally justified and she shouldn't be a doctor?[/quote']

To think that this is the reason is ridiculous. You are doing yourself a great disservice by using gender as the rationale for your failure. This can be an experience you grow from or one that will haunt you your whole career.

Love, you've been a bit snippy and dismissive on this thread to those of us who have tried to answer your questions with an open mind. I know that you are upset, but your attitude isn't helping.

On another note - A patient preferring a specific gender for certain procedures is not discrimination.

I have not been "snippy." I am merely trying to bring the conversation back to the question that was originally asked, which is regarding the general practices in nursing schools and whether or not it is normal for clinical instructors to fail students based on arbitrary decisions rather than based on actual standards.

Also, I don't understand the relevance of, "A patient preferring a specific gender for certain procedures is not discrimination." I'm not making any sort of complaint against my patient. For all I know my patient is the executive of a corporation that refuses to hire African Americans. That is irrelevant to my job as a nurse. My patient didn't fail me; my problem is with an instructor that failed me because of a procedure that I didn't perform because I wasn't allowed to based on my gender.

Saying that it is okay to fail a nursing student if a patient refuses to work with them in any capacity because of their gender or race is the same as saying that certain races or genders should simply not be nurses. As a practicing nurse I've seen patients state preferences for particular races with regards to aids. Does that mean that if I were an instructor in those cases I should have failed the black students?

That is ridiculous to me. I have no idea how you could justify that.

I know the go-to answer if for most people to think that people in this situation are in denial of their own short comings, and that is possible in this case because we don't know you OP or anything about your story other than what you've shared. But honestly, it's not impossible OP is justified. There are crappy people in this world and some of these crappy people are nursing school instructors.

It reminds me of how people get so fired up on this site when anyone mentions NETY. Of course most of the time it is new nurses being indignant, or too sensitive, or just paranoid. But SOMETIMES some of these people are experiencing real issues. We just really never know.

Specializes in Acute Care, Rehab, Palliative.

Did you just have this ONE incident with this instructor?

Specializes in critical care.
I have not been "snippy." I am merely trying to bring the conversation back to the question that was originally asked which is regarding the general practices in nursing schools and whether or not it is normal for clinical instructors to fail students based on arbitrary decisions rather than based on actual standards. Also, I don't understand the relevance of, "A patient preferring a specific gender for certain procedures is not discrimination." I'm not making any sort of complaint against my patient. For all I know my patient is the executive of a corporation that refuses to hire African Americans. That is irrelevant to my job as a nurse. My patient didn't fail me; my problem is with an instructor that failed me because of a procedure that I didn't perform because I wasn't allowed to based on my gender. Saying that it is okay to fail a nursing student if a patient refuses to work with them in any capacity because of their gender or race is the same as saying that certain races or genders should simply not be nurses. As a practicing nurse I've seen patients state preferences for particular races with regards to aids. Does that mean that if I were an instructor in those cases I should have failed the black students? That is ridiculous to me. I have no idea how you could justify that.[/quote']

I haven't said any of what you are insinuating I said. This is actually part of the point I was making. Please step back, cool off, and then come back when you are less upset. Your responses to us indicate you are taking most of what is being said the wrong way.

Specializes in Cath/EP lab, CCU, Cardiac stepdown.

I will agree with others that you should not find fault in the gender issue, because as you said your instructor claims that you lack initiative being the reason as to why you were failed. I will side with you, that is if it is exactly as you said, then it is indeed unfair for your instructor to fail you based on not performing 1 procedure when the patient chose not to have you do it.

In my experience, even though there is some discrimination from the instructor, as long as you practice within your scope, perform to the best of your abilities, make no serious mistake (like medication error or any other practice that will endanger the patient), and is not disrespectful, the instructor will be hard pressed to fail you regardless of how much they don't like you.

Any serious issues will/at least should be documented by your instructors, so if they are failing you just because they don't like you, you can bring this up to a committee in your school and talk to the head of the nursing department and appeal it.

However as none of us were there, we really can't consider whether your clinical skills were to the best of your abilities, if there were any other factors or even if your assignments were adequate.

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