The Stigma of Men in Nursing

Barriers and stereotypes of male nurses are discussed. Males who choose nursing as a career face unique barriers. Nurses General Nursing Article Video

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Here is a prelude which is actually a prologue.

I am writing this edit after the article below was published, based on the well -written feedback. While I pinged off a recent article and point of view written by a nursing student at Penn State, my sources, as pointed out, are old, and don't reflect the current state. As a writer, I intend to bring forward more well-researched info, and this article missed the mark.

There is far less stereotyping, especially at the clinical level, where male nurses are often embraced, than at the social level. One reader did say, however, that more often that not, he is asked if he's the MD or if he's going to become an MD.

I don't believe that men in nursing is a non-issue. Perhaps at the individual experience level at the bedside...but the bigger picture to me is how the slow but steady influx of males will influence the profession. I think more men will benefit the profession in many ways, and I also think gains will be made that a feminized profession was unable to accomplish. As one reader said, male privilege does exist.

The comments so far have been well-thought out and respectful. I appreciate the feedback.

"Caring, nurturing, comforting...healing touch. Women's work.” These are words and feminine imagery used to describe nursing, a profession so strongly identified as female that it's odd to realize, in ancient times, nurses were men. However, since the time of Florence Nightingale, males have been a minuscule minority in nursing.

What holds men back from becoming nurses, even in this modern day? One reason is the fear of almost certain stigma. Taking on a feminine role affords men an ambiguous social status. Family and friends may disapprove.

As a result of stigma, role strain, and isolation, very few men join the profession. Of those that do, more than 85% as compared to 35% of women drop out or fail (Poliafico,1998).

Men in nursing are at once advantaged and disadvantaged. While nurses are considered subordinate to doctors, male physicians treat male nurses better than females or at least with more respect. Ironically, male nurses command higher salaries than their female counterparts and hold proportionately more prestigious positions (Evans, J., & Frank, B. 2003). This may partially be due to the fact that males gravitate to the highest-paid specialties, such as nurse anesthetist.

Stereotypes and Barriers

In healthcare, men are expected to be doctors. Not only is nursing female-identified, but it is also considered by many to be gender-inappropriate for males. Hiring male nurses in labor and delivery and nursery is close to taboo in many places. Male nurses are expected to work ED and highly technical or high-acuity areas such as ICU.

Men who choose nursing face questionable social status as many people do not consider nursing a respectable role for males. Some believe male nurses are misfits who aren't successful or capable in any other career.

Media portrayal perpetuates the image of nurses as exclusively female. Male nurses are non-existent or ridiculed, as in the movie Meet the Parents with Ben Stiller. Male nurses may be subjected to curiosity and even suspicion as to why they are a nurse from their patients. They may feel they have to defend their masculinity and may distance from their female colleagues in order to do so.

Homosexual

Even though men choose nursing for career opportunity, salary, and job security, they can be categorized as homosexual based on their career choice. The excerpt below is taken from a study of men in nursing.

Robin: "There's sometimes I'll go in and see a large male that's used to looking after himself and he has a cardiac problem. I'm not going to go in and wash his back...it comes back to this whole homophobic thing" Evans, J., & Frank, B. (2003).p. 282

Touch

Touching is an accepted form of caring, but men are stereotyped as sexual aggressors and fear being accused of sexual misconduct. Unlike female nurses, who are free to touch and show emotion, male nurses have to be careful with touch. Nursing school does not equip males to negotiate such gender conflict, and trains them from a completely female perspective.

Acceptance by Female Nurses

Male presence in a female-identified profession creates tension between the sexes on the job. This is partly handled by the women expecting traditional behaviors from the men- help with physical tasks such as lifting, and acknowledging them as leaders.

But whether or not female nurses are ready to accept large numbers of men into the profession is unclear (O'Lynn, C. E. 2004). Would men take over the only feminine stronghold in the paternalistic field of healthcare, climbing the career ladder at a fast pace, on the backs of females?

Would the nursing profession benefit from more males and do female nurses expect men to improve the status of nursing? Will it bring respect and gains that have been lacking because nursing is a female profession? And if so, is that not a sad commentary?

Future of Men in Nursing

The United States Census Bureau in 2016 reported 11% of the nation's 3 million nurses to be male. While a small percent, it's a significant increase from the 1970 statistics where only 2.7% of nurses were male. The American Assembly for Men in Nursing, together with the IOM, has set a goal of 20% male enrollment in U.S. nursing programs by the year 2020.

To help encourage men into nursing, it's important to speak up about negative media portrayals and make nursing education truly male-friendly, addressing their needs. Men need role models and mentors. High school guidance counselors have a part to play in introducing nursing to all young people.

In the end, men bring a different and enriching perspective. Perceptions take a long time to change but will change by sheer numbers of males in the field as it did with female doctors. The presence of male nurses is no doubt increasing, and patients benefit from the increased balance.

References

Evans, J., & Frank, B. (2003). Contradictions and tensions: Exploring relations of masculinities in the numerically female-dominated nursing profession. The Journal of Men's Studies, 11(3), 277-292.

O'Lynn, C. E. (2004). Gender-based barriers for male students in nursing education programs: Prevalence and perceived importance. Journal of Nursing Education, 43(5), 229-236.

Poliafico, J. K. (1998). Nursing's gender gap. RN, 61(10), 39-43.

Ryan, S., & Porter, S. (1993). Men in nursing: a cautionary comparative critique. Nursing Outlook, 44(6), 262-67.

My doctor told me that he had to do that in the army. Guess he was lying, eh?

Specializes in Critical Care.

Had to do what? Look up peoples bootyholes? Yeah I wasn’t kidding. That’s like day one, along with duck walk in your underwear with 20 other dudes.

I've never really cared what others think about what I choose to do as a profession. That being said, I am 54 years old and have grown wiser. (I hope)

I also enjoy figure skating but I am not gay. I think people getting all uptight about who can do whatever for whatever reasons is just plain silly. Nursing is a higher calling than being worried about what others think of you. If you can't sleep at night because you think nursing will diminish your manhood somehow, then you best not be a nurse. I believe men and women are equal in all things except our physical strength.

At my community college there are a large number of male students going into nursing. If I had to guess it would be a 1 to 4 ratio, I don't see much of a problem with that. It is nice for the pt to be able to pick who will do their Foley.

Specializes in Critical Care.

It’s funny, people think male nurses are “feminine” yet many of us are combat veterans and several of my coworkers shoot in competitions with me. We literally sit here and talk about hunting and guns.

Specializes in Emergency, Critical Care, Pre-Hospital,.
On 12/8/2019 at 6:11 PM, ArmyRntoMD said:

I don’t see why it matters how many men are in nursing.

It’s interesting that you pose the question this way in the same month the Washington Post provides this headline:

https://www.google.com/amp/s/www.washingtonpost.com/health/the-big-number-women-now-outnumber-men-in-medical-schools/2019/12/20/8b9eddea-2277-11ea-bed5-880264cc91a9_story.html%3FoutputType%3Damp

Women outnumbering men in medical school is a big headline, <20% men in nursing, who cares?

Should we be seeking something near equal parts, or as you assert, who cares?

Specializes in Critical Care.

I don’t really sit around and think of myself as being male any more than I think of myself as being white.

I just try to beat challenge after challenge. When I was 20 I deployed and kicked some hadji ***, got out of the Army and my friends all said nursing was hard- it wasn’t. Now I’m trying to conquer med school. It’s just about the challenge to me. I don’t care if the person to my left or right is white black Hispanic man woman gay straight whatever. I’m just in it to win it.

The task force 714 is BS though. It was actually TF134, but our “strategic debrief” activities were NDAA until 2015. Love how they make it sound all nice “strategic debrief”.. you know what that really means..

1422D245-FA16-4681-8BF1-CFFB49924956.jpeg7DE09401-2CAB-44DB-823A-99F6D0B0A8C4.jpeg
40 minutes ago, Fly Guy JB said:

"It’s interesting that you pose the question this way in the same month the Washington Post provides this headline...

Should we be seeking something near equal parts, or as you assert, who cares?"

Do you imply this is a crisis? People should do what they want as a career. Perhaps the schools can give men preferential status when applying. But that would not be fair either. Not trying to make anyone angry here ,just want to know what you think.

5 minutes ago, ArmyRntoMD said:

I don’t really sit around and think of myself as being male any more than I think of myself as being white.

I just try to beat challenge after challenge. When I was 20 I deployed and kicked some hadji ***, got out of the Army and my friends all said nursing was hard- it wasn’t. Now I’m trying to conquer med school. It’s just about the challenge to me. I don’t care if the person to my left or right is white black Hispanic man woman gay straight whatever. I’m just in it to win it.

The task force 714 is BS though. It was actually TF134, but our “strategic debrief” activities were NDAA until 2015. Love how they make it sound all nice “strategic debrief”.. you know what that really means..

1422D245-FA16-4681-8BF1-CFFB49924956.jpeg 7DE09401-2CAB-44DB-823A-99F6D0B0A8C4.jpeg

I was also an MP. (Was 95B back in 84-87) Nice to see another and in a nursing forum as well. Who'd a thunk it.

Specializes in Critical Care.

Yeah I hated it lol. Dog and pony show bunch of BS. It’s 31B now. And all of the basics moved to Leonardwood from McLellan

Specializes in Emergency, Critical Care, Pre-Hospital,.

Do we want nursing to be less female-centric? It doesn’t feel like it.

Few men teaching in nursing schools. Despite the experience of nurses above, there is a certain amount of discrimination in OB sections in school, interestingly, as someone pointed out the percentage of male physicians in OBGYN has no correlation with the amount of male nurses in the same specialty.

Though I will be excoriated, the name isn’t inviting for men (please don’t try to make the argument that “nursing” isn’t a female signaling title), though I knew what I was getting into it isn’t inviting for many men as evidenced by men staying away in droves. Policemen, firemen, etc were forced to change their titles and their female ranks swelled.

I may be part of the problem, I have often described myself as, “not that kind of nurse.” I have always been in areas that are, as described by others, male friendly areas (administration, emergency, flight, CCT). I didn’t go there because I was excluded elsewhere, I just felt more comfortable in these areas.

What do we do to make the profession more attractive to men (and women) as we are short of nurses in many areas with the projection that the shortage will only get worse. Emphasize the valuable nature of the work, stop referring to it as a calling (we aren’t priests and nuns), emphasize the good schedules and pay, the transportability of the profession, and the ability to change specialties and advance into leadership, education, or advanced practice specialties if one desires.

Disclaimer: My opinions are my own and do not reflect the opinions of my current or previous employers.

Specializes in Critical Care.

I mean if that’s your perrogatative, go for it, I just have bigger concerns.

15 minutes ago, Fly Guy JB said:


"What do we do to make the profession more attractive to men (and women) as we are short of nurses in many areas with the projection that the shortage will only get worse. Emphasize the valuable nature of the work, stop referring to it as a calling (we aren’t priests and nuns), emphasize the good schedules and pay, the transportability of the profession, and the ability to change specialties and advance into leadership, education, or advanced practice specialties if one desires."

A great deal of this comes down to the schools. The process of choosing candidates, and how the interviews are conducted. There is a huge lack of clinical sites, and most nurses do not want to teach. The problem will get much worse if these issues are not addressed. There is most definitely NOT a lack of interest by potential students. everyone wishes to become a nurse.