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

Updated:  

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.

Specializes in L&D, OBED, NICU, Lactation.
17 hours ago, Fly Guy JB said:

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.

The number of men as OB/GYNs is rapidly dropping. As of 2018, 82% of the residents in the specialty were female. It will probably settle out somewhere around 80/20 (F/M) once everything is said and done and men are considered diversity picks in some programs. There is no way to compare the two directly (number of male OBs vs number of male nurses in OB) simply because they are so different to begin with. A male going into OB/GYN as a physician doesn't face nearly the same uphill battle as a male who wants to do obstetric nursing. It's better than it was 10 years ago for nurses though.

Specializes in critical care, med/surg.

"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. "

Absolutely Fly Guy!

I see a lot of people coming into nursing school (for profit) and I see a lot of people not making it. For some, nursing school isn't that hard if you've had a good science background or you just test well. Others, make great grades in college but nursing school blows their minds! Many kids are not prepared in high school for the demands of nursing school. While nursing is not necessarily a calling to most, there is that aspect of nursing that still perseveres. And how do you explain the answer: "I just like taking care of people"?

On 12/7/2019 at 4:24 PM, ArmyRntoMD said:

They won’t hire men for L&D at the hospitals near where I live, because they say women request a female nurse and it’s a logistical headache. Interesting that they have male doctors though ??‍♂️?

Some people are illogical. Shutting my brain down when I smell it.?

Specializes in L&D, OBED, NICU, Lactation.
On 12/9/2019 at 7:02 PM, labordude said:

And as it turns out, not only do I MORE than surpass their requirements for the position, since LA is a compact state I am already authorized to practice there.

But..it's Baton Rouge man... I'm still gonna apply though ?

Submitted my app today (finally) I'll let you know what comes of it haha

1 hour ago, Megarline said:

Some people are illogical. Shutting my brain down when I smell it.?

Oh hospitals definitely try to come up with excuses...they don't last long in my world

On 12/24/2019 at 11:40 AM, ArmyRntoMD said:

*Thinks back to grabbing his ankles butt-*** naked along with 20 other guys while a doctor looked up his butthole*

?

I hate me for having a vivid imagination. ??

Specializes in Oncology, Home Health, Patient Safety.
On 12/13/2019 at 9:29 PM, labordude said:

That is 100% not how that should be going and not beneficial to your learning experience. We don't do that to our students, they are all treated the same. If I have student X, it's hey this is X, they're a student working with me today. IF patient objects, then we go from there. Typically doesn't happen. By asking in the way they are, they are creating the mindset that something must be different or weird about it because they asked about it in the first place.

The charge nurse or previous shift nurse doesn't ask every patient if it's okay if I take care of them, they assign me a patient and I go about my day. We have male students with me and other nurses all the time without issues. Your instructors are subpar, the nurses clearly aren't helping you out, and that makes me frustrated for you. The truth is that many guys have great OB rotations even if they have no interest in the area. I did and that's how I fell in love with the specialty.

If you are interested in learning more about gender bias in healthcare education, you might check out my article:

Specializes in ICU, trauma, neuro.

To the extent there is a stigma in nursing against men it does convey at least "some" advantages. Consider, that if even 50% of men who would otherwise consider nursing as a career "self eliminate" due to a perceived or real stigma. What would happen if this perception were reduced by say 50%? One might expect an increase of 25% of men who might enter into nursing as a career. This would further strain what many already perceive as a challenging job market (especially for newer grads) and allow employers to maintain lower wages than would otherwise be the case (as dictated by the law of supply and demand). So as a man in nursing I will live with some stigma if it means that I get to keep working with better pay (at least until I pay down my student loans).

It's ironic how we are all talking about the unique barriers men faces in Nursing compared to women. But yet forget about the uphill battle women faces everyday in the medical field as a physician. For instance, when a men nurse walk into a patient's room, the patient automatic think you're a physician whereas women doctors are more likely to be consider to be a nurse first by their patients. At the end of the day, there might be some barriers to men getting certain job but that's life and women faces that everyday. And if you happen to get the impossible job, do it well so other men don't face the same uphill battle.

Specializes in L&D, OBED, NICU, Lactation.
27 minutes ago, MaleNP said:

It's ironic how we are all talking about the unique barriers men faces in Nursing

None of the rest of your post matters in this thread, we are not comparing one to the other. It's a very specific topic. Talking about issues men face in this profession doesn't diminish or impact anything anyone else may deal within another profession.

Specializes in L&D, OBED, NICU, Lactation.
2 hours ago, MaleNP said:

@labordude lol....you mad?

If online forum posts made me mad, I'd have vastly different issues. I'm making sure that we're still on topic here because it's very common during this type of discussion for people to say "X group has it worse" or "Y group deals with this every day." That doesn't really help move the conversation forward at all.

On 12/6/2019 at 1:58 PM, Nurse Beth said:

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

I totally agree with this!