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.

I have a full sleeve going all the way down to my knuckles... no hiding that. The artwork is black and gray and all in good taste. I didn't start it until about 7 years into my career, until I felt like I had enough experience and a good reputation that my bosses wouldn't judge me. I never checked the dress code until I got my hand done. Before that I figured I'd ask forgiveness not permission, and if anyone said anything i'd just start wearing long sleeves.

To my surprise every time I came to work with a new (sealed with tegaderm for infection prevention) piece, my leadership team and coworkers would crowd around to see what I had added. My family hates tattoos and insists they have hindered my career. You see nurses with tattoos and piercings all the time, but a female with a full sleeve is rare.

I've had mixed reviews from families. Some I can tell are looking down on me, and it takes a little while of me talking and being professional and interacting with their child before they realize tattoo ink doesn't lower my IQ. Others I have to request to allow me to assess and attend to their critically ill child before they admire my arm and get my artist's number. I have had siblings take markers and use my arm as a coloring book, and bonded with troubled teens over tattoos they wish they hadn't gotten.

Overall, I feel like it would have affected my career more had I not waited until I was more experienced. Some people are going to judge no matter what, but those are the same people who have more trust in thinner nurses, or more attractive nurses, or white nurses. Their ignorance will always find something wrong with anyone "not like them".

But there is a large population of judgemental people who can be won over with your experience and skills, they might not like what I look like, but they are still glad i'm taking care of their kid. If I was covered in tattoos when I was still a scared uncertain new grad, I don't know that those people would have been as quick to trust me.

I have many tattoos and piercings, and I have no regrets about any of them; they remind me from where I came. Despite my poor decisions in the past, I always recognized that I would never be hired for a professional job if I didn't look like a professional person, so never got anything that couldn't be covered by a long-sleeved shirt with a collar.

You can try to look as hard as you want in your street clothes, but someday you'll have to get a real job. Do you think the late pastor's wife will let you sell their house if you look like you just barely survived a mosh pit?

Regardless of what he says, I will never be able to respect a guy with a neck tattoo and stretched earlobes as a trustworthy newscaster. I've been in prison, those the last guys I'd trust unless they're in a bar or a music store.

Tiny nostril studs are usually cute. I don't care about those. They're usually tastefully done. I have no objection to subtly decorating the body...it's God's creation and it should be celebrated. But there is a line between decorating and mutalating. I just don't know where that is yet.

To play it safe and avoid any lawsuits, if I owned a business, the dress code for my employees would have to be very strict: "No visible tattoos or piercings." I know it's harsh, but as societal norms (and facial holes) get stretched, that seems to be the only option.

Please, think ahead about fleeting fashion.

I have visible tattoos, visible nose and ear piercings and blue and purple hair. I work in a hospital and am so grateful they judge by my accomplishments and work ethic, rather than by an outdated perception of worth. I have been a nurse 20 years and plan on being one another 20♥️

My preceptor had blue hair, a septal nose ring and skull tattoos xD