The Stigma of Men in Nursing

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.

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, med/surg.

Bottom line folks...what will it take to get more men in nursing or...are there already enough? Discuss?

Specializes in Critical Care.

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

1 hour ago, organichombre said:

Bottom line folks...what will it take to get more men in nursing or...are there already enough? Discuss?

More men means fewer women.

I think it's a weird question as is. But, its even weirder if it was phrased- "How could we have fewer women in nursing?"

Although those two questions are identical, if asked as I phrased it, I don't see the idea getting much support around here.

Specializes in Critical Care.

It’s a job that needs to be done. Whether it’s a man doing it or a woman as long as it’s satisfactorily completed who cares what the sex of the person doing it is? Same as race, sexuality, etc. Hire the best suited regardless of their identity.

Specializes in L&D, OBED, NICU, Lactation.
11 hours ago, ArmyRntoMD said:

It’s a job that needs to be done. Whether it’s a man doing it or a woman as long as it’s satisfactorily completed who cares what the sex of the person doing it is? Same as race, sexuality, etc. Hire the best suited regardless of their identity.

While I agree with you, I don't think that's what people are saying when talking about getting more men into nursing. You can't hire people if they aren't applying or trained for a position. It's the same with the idea of getting more women into STEM fields, you have to understand why they're not there in the first place. It is a perfectly legitimate question to ask as to why more men are not in this field and if we're trying to diversify, that does include trying to bring in those who are a minority which for nursing is absolutely men.

Specializes in Cardiology.

I think for a majority of men in 2019 nursing is still considered to be a feminine field but every time we have clinicals on our floor Id say a quarter of them are men, so we are slowly increasing in numbers haha. I also think nursing is not promoted as a career option for men because of old stereotypes and beliefs. I also think most people still dont understand what we do and what we are responsible for. I think a majority think we just wipe butts and give bed baths and that simply is not true.

When I say Im a nurse the reaction I get from most people is positive. A lot of them say they need more men in nursing. I will say the one stereotype that bothers me is that men aren't as caring or comforting but all female nurses are. I can say in my 4 years I have seen plenty of female nurses who lack that.

7 minutes ago, OUxPhys said:

I think for a majority of men in 2019 nursing is still considered to be a feminine field but every time we have clinicals on our floor Id say a quarter of them are men, so we are slowly increasing in numbers haha. I also think nursing is not promoted as a career option for men because of old stereotypes and beliefs. I also think most people still dont understand what we do and what we are responsible for. I think a majority think we just wipe butts and give bed baths and that simply is not true.

When I say Im a nurse the reaction I get from most people is positive. A lot of them say they need more men in nursing. I will say the one stereotype that bothers me is that men aren't as caring or comforting but all female nurses are. I can say in my 4 years I have seen plenty of female nurses who lack that.

I don't think that stereotype is all that far off the mark.

I don't think I would be described as "caring and comforting". The fact that I care is displayed in my professionalism, and families and patients are comforted by my competence.

Sure, there are men with the compassion of Mother Teresa, and women who relate as though they are robots. But, that stereotype is in line with my observations.

Specializes in Cardiology.
18 minutes ago, hherrn said:

I don't think that stereotype is all that far off the mark.

I don't think I would be described as "caring and comforting". The fact that I care is displayed in my professionalism, and families and patients are comforted by my competence.

Sure, there are men with the compassion of Mother Teresa, and women who relate as though they are robots. But, that stereotype is in line with my observations.

And that's perfectly fine! I dont baby pts like some nurses do and I think that gets misconstrued as not having compassion and empathy and that's simply not true. I will say though when pts and pt family members start crying I usually dont know what to say or do but it doesn't mean I dont care ya know?

i for sure am aware that some are not comforting nor caring as some only chose that career for the pay only

Specializes in Cardiology.
12 minutes ago, Lostsoull said:

i for sure am aware that some are not comforting nor caring as some only chose that career for the pay only

That's true but let's not act like it's just men who are like this. That was my point.

2 hours ago, labordude said:

While I agree with you, I don't think that's what people are saying when talking about getting more men into nursing. You can't hire people if they aren't applying or trained for a position. It's the same with the idea of getting more women into STEM fields, you have to understand why they're not there in the first place. It is a perfectly legitimate question to ask as to why more men are not in this field and if we're trying to diversify, that does include trying to bring in those who are a minority which for nursing is absolutely men.

This isn't based on any research it's just purely my own anecdotal observation and experiences, I think so many men are failing and dropping out of nursing school on their way into nursing because we're just treated awful. We're still passed over in clinicals for opportunities to learn, entire rotations leave us sitting at desks because "the patient only wants a female." We're not likely to be invited to be a part of the study group, especially if we're not hot.

As students, we're 1950s women trying to get into the working world. Our success and having that help with our peers to help our learning seems to depend more on if they would want to have sex with us than actually wanting us around to help each other study.

Then from working in healthcare, it doesn't seem like it stops for the male nurses who make it through. I watch them, and me as an aide, continuously have the hardest assignments, have the hardest time getting help, be the one thrown under the bus when someone messes up...

My experiences from the female nursing staff and female nursing teachers is making me regret going to school for nursing. The only reason I'm finishing (hopefully) and planning on getting a job is because I'm almost done and I've gotten this far. I'm an outcast in my school and my clinicals, and it's affecting me being able to learn what I need to learn to pass. There's only so much you can learn from youtube. Sometimes, especially for those of us who learn by doing, you need a school environment conductive to learning.

2 minutes ago, tonyl1234 said:

My experiences from the female nursing staff and female nursing teachers is making me regret going to school for nursing. 

Honest question, what about your treatment makes you think it is based entirely on your gender?