Barriers and stereotypes of male nurses are discussed. Males who choose nursing as a career face unique barriers.
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.
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.
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
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.
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?
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.
1 hour ago, Truth66 said:The Instructor did acknowledge that the film didn't take into account men being Nurses.
When I trained (early 80's, you're right, time does fly) the film for training for urinary catheterisation was a female having the procedure done. In the UK males did not do anything remotely intimate with females. The other guy and myself thanked the instructors very nicely for showing us what was basically Mediaography. ?
In 35+ years I have NEVER inserted a urinary catheter into a female.
19 minutes ago, GrumpyRN said:When I trained (early 80's, you're right, time does fly) the film for training for urinary catheterisation was a female having the procedure done. In the UK males did not do anything remotely intimate with females. The other guy and myself thanked the instructors very nicely for showing us what was basically Mediaography. ?
In 35+ years I have NEVER inserted a urinary catheter into a female.
Times, they are a-changing. Books, training videos, and other materials now show males and females in the role of the nurse caring for all types of patients. I suppose in the ER I can understand how you haven't done a cath on a female in that much time. I cathed a guy once during nursing school and that was the only time ever, but I do those on females nearly daily.
Early 80's was also when they finally removed the restriction in the UK on men being midwives so it's likely that thoughts, actions, and training materials have also changed there as well.
2 hours ago, GrumpyRN said:In 35+ years I have NEVER inserted a urinary catheter into a female.
I don't catheterized females either, although I can't say I never do. I do have to have a female escort in the room, so I just ask them if I can do anything for them while they do it because if I have to bother them to be in the room as a witness, they might as well do it. LOL
On 1/19/2020 at 9:06 AM, Tweety said:I don't catheterized females either, although I can't say I never do. I do have to have a female escort in the room
Because as men, we don't get to be trusted as professionals... Forgetting that women can be just as sexually inappropriate as men are. Make it about a doctor and they're bigger pervs than any guy I've ever talked to.
1 hour ago, tonyl1234 said:Because as men, we don't get to be trusted as professionals... Forgetting that women can be just as
Quotesexually inappropriate as men are
. Make it about a doctor and they're bigger pervs than any guy I've ever talked to.
I couldn't void, so someone had to insert a catheter. It was painful as hell. I had a man do it. He had no escort. When women came in, they told me that I didn't look sick. ? One of them asked, "Wow, you have a nice body."
I have no history of men and women doing bad things on me in medical field. I did have a male singer came down to my dance floor and hugged me and kissed my cheeks.?. It was fast that I had no time to react. ? Not gonna mention who. Then again, some men really find me irresistible.?. Even females would slap or grab my butt.? . I'm not doing anything or not wearing provocative dresses.
Sauna for females? It was where I learned about nice body. Women were telling me about wanting to have a nice body. They boosted my ego.?
Then again, I don't want to be that girl cannot be trusted with my male counterparts as I have been working among them. We have a decent number of male nurses and CNAs and other fields in the same umbrella. We have a coworker who lied about someone, so she is definitely needs more than one in her presence. I watched her lied. I knew she lied because her story changed quickly.
13 hours ago, Megarline said:I couldn't void, so someone had to insert a catheter. It was painful as hell. I had a man do it. He had no escort. When women came in, they told me that I didn't look sick. ? One of them asked, "Wow, you have a nice body."
I have no history of men and women doing bad things on me in medical field. I did have a male singer came down to my dance floor and hugged me and kissed my cheeks.?. It was fast that I had no time to react. ? Not gonna mention who. Then again, some men really find me irresistible.?. Even females would slap or grab my butt.? . I'm not doing anything or not wearing provocative dresses.
Sauna for females? It was where I learned about nice body. Women were telling me about wanting to have a nice body. They boosted my ego.?
Then again, I don't want to be that girl cannot be trusted with my male counterparts as I have been working among them. We have a decent number of male nurses and CNAs and other fields in the same umbrella. We have a coworker who lied about someone, so she is definitely needs more than one in her presence. I watched her lied. I knew she lied because her story changed quickly.
?
On 1/19/2020 at 12:23 PM, labordude said:I suppose in the ER I can understand how you haven't done a cath on a female in that much time. I cathed a guy once during nursing school and that was the only time ever, but I do those on females nearly daily.
Early 80's was also when they finally removed the restriction in the UK on men being midwives so it's likely that thoughts, actions, and training materials have also changed there as well.
On 1/19/2020 at 2:06 PM, Tweety said:I don't catheterized females either, although I can't say I never do. I do have to have a female escort in the room, so I just ask them if I can do anything for them while they do it because if I have to bother them to be in the room as a witness, they might as well do it. LOL
I have catheterised plenty of males, when a male needed a catheter in the ED the girls came to me. When a female needed catheterised the girls did it. To give it a recent idiom, "the quid pro qo."
I know how to catheterise females I just refuse to do it - there are plenty of female nurses and doctors around to do it.
6 hours ago, GrumpyRN said:I have catheterised plenty of males, when a male needed a catheter in the ED the girls came to me. When a female needed catheterised the girls did it. To give it a recent idiom, "the quid pro qo."
I know how to catheterise females I just refuse to do it - there are plenty of female nurses and doctors around to do it.
That is the best bet, especially living in a high litigious society where people are accuse of sexual harassment in HC industry.
Where I had my catheter, it was in my mother land. Maybe it's different in the US. If possible, I don't want a Foley whether done by girl or boy. It's unpleasant and embarrassing.
Health Care needs more male nurses. Female nurses and techs do not intentionally embarrass their male patients. They’re just doing their job how they’ve been trained. The problem is that training all too often starts with the premise that men have no modesty. Better training is needed. Here’s a start. If he jokes about his exposure, he’s trying to hide his embarrassment from you. If he maintains a tense silence, he’s just plain embarrassed.
1 hour ago, RNMikeMiller said:Health Care needs more male nurses. Female nurses and techs do not intentionally embarrass their male patients. They’re just doing their job how they’ve been trained. The problem is that training all too often starts with the premise that men have no modesty. Better training is needed. Here’s a start. If he jokes about his exposure, he’s trying to hide his embarrassment from you. If he maintains a tense silence, he’s just plain embarrassed.
So . . . if he jokes about it, what is my best response?
I work private duty, so bringing in a male nurse isn't usually possible. I tell him what needs to be done, and - as long as he doesn't object - I calmly and efficiently do it.
40 minutes ago, Kitiger said:So . . . if he jokes about it, what is my best response?
I work private duty, so bringing in a male nurse isn't usually possible. I tell him what needs to be done, and - as long as he doesn't object - I calmly and efficiently do it.
Usually when a patient makes a joke means he is embarrassed and trying to hide the embarrassment. You should point blank ask the patient if he is embarrassed and would prefer a same gender or different nurse next time. What can you do to make him more comfortable? Reserved the roles... what if you was the patient and you had a different gender nurse doing the same thing with you. How do you feel?
Private duty is different. Did the patient or family hire you or did the health care facility assign you? If you were assigned then I would ask your manager to give that patient a same gender nurse if that is what he would prefer.
Truth66
122 Posts
This is completely true with regards to male Nurses having to be very careful with touch.
I remember when I was in the Nursing Program back in the mid 90's (how time flies) and we watched a film on the importance of touch, comforting, etc. with the patients. This older film would periodically show the stereotypical female Nurses giving patients hugs, holding their hands, etc. When the film was over I imediately challenged the content of the film and indicated that if a male Nurse did half of the things that are portrayed in that film, they would likely be charged. The Instructor did acknowledge that the film didn't take into account men being Nurses.