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 Critical Care.

We have not. I am hopefully matriculating 2021.

Specializes in L&D, OBED, NICU, Lactation.
Just now, ArmyRntoMD said:

We have not. I am hopefully matriculating 2021.

Good luck to you!

Specializes in Midwife, OBGYN.
6 minutes ago, labordude said:

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.

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

What!???

Specializes in L&D, OBED, NICU, Lactation.
3 minutes ago, Ohm108 said:

What!???

Yeah, I started the CNM program, then withdrew to head on this path. Was always in the back of my mind and some pieces fell into place to allow me to take the leap.

Specializes in Midwife, OBGYN.
Just now, labordude said:

Yeah, I started the CNM program, then withdrew to head on this path. Was always in the back of my mind and some pieces fell into place to allow me to take the leap.

Congratulations! As much as I wish for more men in midwifery, I am also excited to see a person follow the path that works for them. Even though it is still early days on your MD journey, do you still plan on going into OBGYN or are you headed to another specialty entirely?

Specializes in L&D, OBED, NICU, Lactation.
6 minutes ago, Ohm108 said:

Congratulations! As much as I wish for more men in midwifery, I am also excited to see a person follow the path that works for them. Even though it is still early days on your MD journey, do you still plan on going into OBGYN or are you headed to another specialty entirely?

Of course that's my biggest interest, though who knows if something else comes along that really catches my attention. I maintain an open mind, but also the realism of knowing what specialty areas I'm most passionate about.

Specializes in TCU, Dementia care, nurse manager.

As a 2nd career, I worked as an RN for 3.5 years, 1.5 as a nurse manager on a dementia floor and TCU, and 3 years as a CNA in dementia and TCU. (Got sidelined with a blood cancer and hope to get back to work soon.) I did not experience hostility or obstacles because I was a man. My masculinity did not take a beating and, in fact, I felt like hot @#$@ because I was a nurse/healthcare/dealing with stuff that others don't want to deal with. Some patients were a little taken aback at first, but they were usually pretty happy after a couple days. As a nurse manager, it took the staff - a lot of women of various ages and experience - a little time to warm up to me, and then we became quite a team - I miss them and they have said that they miss me. Often female nurses said that they liked having male colleagues.

4 hours ago, labordude said:

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.

i used to work in healthcare but not as a nurse and from my observations and well even as a personal decision it was something id never become.helping ppl can seem nice on paper but in reality is far more different..its something which should be inside you not something you choose to be

Specializes in Critical Care.

So what do you do exactly?

Specializes in L&D, OBED, NICU, Lactation.
8 hours ago, Lostsoull said:

i used to work in healthcare but not as a nurse and from my observations and well even as a personal decision it was something id never become.helping ppl can seem nice on paper but in reality is far more different..its something which should be inside you not something you choose to be

Interesting, so you view nursing as a calling? That is definitely a traditionally feminine view of it. I must be a real enigma to you then. A man without a call to nursing who works in the most "no-male zone" of all specialties (OB) and has become basically a rock star. I'm curious how close to nursing you were when you were in healthcare to gather your observations. At the end of the day, your views are what they are, it just seems they are also altered by the worldview that is coming across in your posts.

People go into nursing for all kinds of reasons and thrive in it, regardless of their inner caring nature or "call" to the nursing arena. I never felt called to nursing, it does allow me take advantage of some of my strengths, but so will medicine. We had this conversation in one my seminar courses the other day about the reasons people go into medicine/nursing/healthcare/etc, it was pretty fascinating.

Specializes in SRNA CEN CCRN-CMC.

I know this has already been pointed out, but the sources used in this posting are almost over 20 years old. Can we get some updated sources before we make broad over sweeping generalizations about how men in the nursing field caring for other men is seen as 'homosexual'?

Specializes in EMS, ED, Trauma, CEN, CPEN, TCRN.
20 hours ago, labordude said:

Of course that's my biggest interest, though who knows if something else comes along that really catches my attention. I maintain an open mind, but also the realism of knowing what specialty areas I'm most passionate about.

This is the perfect approach. My husband graduates in May (but I am most eager for Match Day 2020!) and while he had a background in emergency medicine as an Army medic, he kept his options open. He was very interested in general surgery and he had the board scores to choose it, but in the end, he declared for emergency medicine. But it was definitely an informed decision! Funny - his first year as an Army medic was spent working in L&D. ?