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.

Specializes in ICU/ER.

Indeed, a lot of the assumptions are dated. While a student in my BSN program, we few males were never taught to cath females and were limited in every day care scenarios (beds and baths). Later in grad school trying to do research on Males in Nursing, I was heavily criticized for looking into this subject. I did find states where males were not allowed by law in labor and delivery, "the woman chooses her doctor, but not her nurse". Further on in my career, I worked with a large municipal fire department teaching paramedics and EMTs. Many of the paramedics voiced interest or actually completed a nursing program with no concern for gender issues. The one issue that seems to remain is concerns about touching patients in appropriate ways. Female nurses tend to be allowed much more freedom to use compassionate touch than males. I find this more pervasive in the "Me too" era and seemingly based on some sort of inherent distrust of males in general. Just my two cents from a retired old RN proud of his profession.

Specializes in Tele, ICU, Staff Development.

Dear Readers, thank you for the comments. Your feedback is right on. I went back and added a paragraph at the beginning of the article thanks to your input. I hope you’ll read it- Nurse Beth

Specializes in LTC & Teaching.

I firmly believe that one of the biggest reasons why Nurses experience such abuse in their professions is because it's a female dominated profession. Do I agree with this, absolutely not. But the reality is that far too many employers view nurses as nothing more than a bunch of women, therefore not a priority.

Here locally, there was the issue of paramedics who experience violence on the job and it was litterally front page news about a month ago. Paramedics here are male dominated. Yet, for Nurses, it's almost a daily occurance with regards to experiencing violence on the job.

Unfortunately, I believe that the only way Nursese are going to be taken more seriously and respected is if there is more men in Nursing. Nurses need to be more assertive, yet most employers take advantage of the fact that women tend to be more passive and exploit Nurses.

Specializes in L&D, OBED, NICU, Lactation.
5 hours ago, mfdteacher said:

Indeed, a lot of the assumptions are dated. While a student in my BSN program, we few males were never taught to cath females and were limited in every day care scenarios (beds and baths). Later in grad school trying to do research on Males in Nursing, I was heavily criticized for looking into this subject. I did find states where males were not allowed by law in labor and delivery, "the woman chooses her doctor, but not her nurse". Further on in my career, I worked with a large municipal fire department teaching paramedics and EMTs. Many of the paramedics voiced interest or actually completed a nursing program with no concern for gender issues. The one issue that seems to remain is concerns about touching patients in appropriate ways. Female nurses tend to be allowed much more freedom to use compassionate touch than males. I find this more pervasive in the "Me too" era and seemingly based on some sort of inherent distrust of males in general. Just my two cents from a retired old RN proud of his profession.

I'd love to see where you found this. As a labordude and someone whose thesis was on men in obstetrical nursing, I'm insanely curious.

Specializes in ICU/ER.

Labordude, I believe one of the states was Alabama but I was in grad school in the 80's. I couldn't cite the reference now if you paid me but I assure you it's true and I was flabbergasted to say the least. And there were a few more states. Personally, I always hated floating to any other unit but my own but even if it was "my turn" I was NEVER floated to OB.

In regards to the preamble added to the article, I too was frequently mistaken for the doctor and questioned as to why I would be "only" a nurse. I agree that there is some degree of male privilege and was consequently treated better than my female colleagues except in my academic programs. There was always a hint of "you don't belong here", sometimes subtle and sometimes quite overt.

as a male nursing is the last role id be interested in...i dont want to deal with female cliques ever besides i view it as a feminine.role too

Specializes in Critical Care.

I have not had that experience. I’ve been told by several hirers that they liked having men because were strong and can move patients easily.

The feminine cliques are indeed annoying but the pay is great, it easily supports me while I pursue premed as well as giving me sought after medical experience

Specializes in Midwife, OBGYN.

I appreciate everyone's comments. I am going to follow along and see what other people's thoughts are on this topic. My own experience has been mixed 1.5 years into my midwifery program. I have had great experiences with the faculty in my program and with the nurses that I have had in my clinical rotation though they haven't had a male nurse recently on the two L&D floors that are in my hospital system. I keep asking but it seems either no one has applied or they are not hiring them for another reason. Surprisingly, it is the other midwifery students in my program that I have been having some difficulty with. Will update further as I go into my IP rotation.

Yes, I have also been mistaken for the MD a few times during my clinical rotation even though the 25+ year NP was in the room with me. Or they call me doc which I have to correct when I am in clinic.

Specializes in Critical Care.

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 ??‍♂️?

Specializes in L&D, OBED, NICU, Lactation.
48 minutes ago, Lostsoull said:

as a male nursing is the last role id be interested in...i dont want to deal with female cliques ever besides i view it as a feminine.role too

So...what brings you to a nursing forum if you aren't a nurse and don't want to be one?

Masculine vs feminine role, these thoughts literally never enter my mind.

Specializes in Critical Care.

I was wondering the same. He’s previously said he left healthcare altogether.

Did you wash out and are jaded as a result?

Specializes in L&D, OBED, NICU, Lactation.
4 minutes ago, 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 ??‍♂️?

Such a cop-out on their part. It's incredibly, incredibly rare that I ever have to change a patient assignment and I have patients who from all over the world and a huge range of cultural/religious backgrounds.

35 minutes ago, ArmyRntoMD said:

The feminine cliques are indeed annoying but the pay is great, it easily supports me while I pursue premed as well as giving me sought after medical experience

When are you applying? I think we might have talked about this before. I'm finishing up my postbac now with MCAT in May 2020 then applying for Fall 2021. @ArmyRntoMD