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 CCU, SICU, CVSICU, Precepting & Teaching.
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.

The post you quoted -- where the poster defended sporting the "Just rolled out of bed" look floored me. I don't care if someone is wearing a full face of make-up or has their hair in an elaborate updo, but please comb the danged hair and put it up neatly. Someone who looks professional and put-together inspires a lot more respect (and trust) than someone who hasn't bothered.

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.

Obviously I comb my hair, but nursing is all about practicality. Keeping it pulled back and out of your face is neat enough for me. I do care about my appearance, but the great thing about nursing is that it isn't a beauty pageant, so I can wear my loose ponytails and messy buns with pride and confidence that I still project the appearance of someone who puts patients above vanity.

Most days, my look consists of a ponytail, clean scrubs (no time to press them usually), and a smile. Maybe a bit of makeup if I feel up to it. But I am not at work to impress my patients, colleagues, doctors--anyone. I'm there to help heal. Doesn't matter whether I do it with a fancy updo or a messy bun!

As I said before I have no issue at all with tattoos so long as they aren't hateful or explicitly sexual. However, the acid test for this I think should be what the patients think. Patient's have preferences and prejudices. I think some should not be entertained for example if they are racist or homophobic. I do not put the personal expression of body art in that same category. Anyway, I'm not King of the Nursing Universe but that's my opinion on this rainy morning in Pittsburgh. Be well all & root against the hated Patsies.

Logic and human emotions are so crazy. I think I could accept a health care professional with tattoos, facial jewelry etc. since I'd have the knowledge to know if they were competent, and overlook their "body.....resume".

However I have two pit bulls and sometimes watch Pitbulls and Paroles. I love that they advocate for pit bulls and parolees. But their just rolled out of bed, tattoos, piercings, etc., really bother me!

I think, just what pit bills need as their spokesperson, someone who looks like they belong to a street gang!

Specializes in Workforce Development, Education, Advancement.
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.

SmilingBlueEyes - Thanks for your thoughts. Yes, as managers, it can be a bit more difficult. I think the first thing every manager must do is recognize that you do have biases. And, if tattoos or facial piercings is one of them, you are likely going to have to work on that even more in the coming years as the Millennials and GenerationI begin to make their way into the workforce.

Thanks again for sharing. ~Melissa

Specializes in Workforce Development, Education, Advancement.
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."

Thanks for sharing! This is exactly why we need to have these conversations. Is this right? Is it fair? Probably not, but there is technically no laws be broken, right??

Specializes in Neuro/Trauma Critical Care.

I definitely agree that policies vary greatly depending on region. In the Pacific NW every major hospital system allows visible tattoos, piercings, and unnatural hair colors. I think it's just because that's how the culture here is. Almost every person you run into the street, as well as patients in the hospital, have at least 1 tattoo, many have multiple. I personally have almost a full sleeve and just recently took out my septum ring. I found that it was a wonderful ice breaker for most patients, and I haven't encountered issues with them yet! As time goes on I believe more policies will flip to allow tattoos as the attitude that they are unprofessional seems to be dying out.

Specializes in ER & M/S.

I think for our patients, perception is everything, like it or not. I will just say this much, the people I have the most respect for, appear respectful, with no attention-grabbing body piercings and tattoos. And conversely, the least respectable people I know of, do happen to have tattoos and some have unusual piercings. I think that speaks for itself. Personally, I don't want people to unjustly judge me so I choose the clean look.

I think that employers are changing a little bit on the dress code. I personally don't mind tattoos on a person, but if you have a tattoo on your neck and many piercings... people will judge. Even if its not right, where the person has a tattoo and could be the hardest worker with good ethics. However, the tattoo over shadows all those qualities of the person. So case by case, I think it should be determined if its okay. I do not like the white scrubs as it does not look good on everyone as we have different body types and shapes, etc. That change I am happy about and more choices for scrubs/ uniform is really nice to have.

I personally think tattoos are trashy and I fight against an automatic bias when I interact with someone who has tattoos as I'm very aware of my bias and that it's not really reality based. I was secretly disappointed when my niece and nephew began getting tats because they're not "the type". To me having tattoos sends a negative connotation, but I don't know where that comes from. Same with smoking. Once we were at a restaurant and our waiter had so many tats, piercings plus gauges that I was grossed out and lost interest in my food. I'm glad my organization has a pretty conservative stance re: tats, piercings, etc. It's more professional and frankly, looks more hygienic in a healthcare setting, whether or not that's reality.

Specializes in Outpatient/Clinic, ClinDoc.

I was a teen in the 80's so yes, I have a few tattoos. None of them are noticeable, but I do have four earrings in each ear so there's that. As a patient, I would not care if my nurse had cool colored hair, tats, or piercings - although I think there's a limit on that. If you have 20 holes in your nose, giant barbells hanging off your eyelids and a giant half dollar size 'window' in your cheek that's pushing it.

My last hospital allowed colored scrubs and colored hair (on halloween I saw nurses in the ICU wearing cat pajamas, tail and all!), but my current hospital color codes everyone and I see no colored hair. (I'm admin so I hide in an office all day in street clothes).

Specializes in Pediatrics.
Obviously I comb my hair, but nursing is all about practicality. Keeping it pulled back and out of your face is neat enough for me. I do care about my appearance, but the great thing about nursing is that it isn't a beauty pageant, so I can wear my loose ponytails and messy buns with pride and confidence that I still project the appearance of someone who puts patients above vanity.

Most days, my look consists of a ponytail, clean scrubs (no time to press them usually), and a smile. Maybe a bit of makeup if I feel up to it. But I am not at work to impress my patients, colleagues, doctors--anyone. I'm there to help heal. Doesn't matter whether I do it with a fancy updo or a messy bun!

Yes, I do not understand the idea that a ponytail or bun is "unprofessional". I have thick curly hair and that is the best way to keep it "tamed" while at my job. Even then, because it is so curly, little "strands" tend to frizz out at my temples no matter what I use to keep it smooth, and I don't like that it does that at work, but, just can't help it. I have worked with lots of nurses with their hair up in ponytails or buns; it never crossed my mind that some would see it as unprofessional. I guess something to think about for me? I'm not sure what else to do with my hair at work besides a ponytail or bun, any suggestions?

Also I do like tattoos when they are well done; they can be so beautiful. I don't think I could pull one off, but I love the look of them, and the kids where I work think they are pretty "cool".