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.

Just now, Wuzzie said:

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

The fact that literally everyone I see in the same situation as me are conveniently all guys. And that I see the HUGE difference between how the fatter, less attractive guys are treated than the 6'2 mixed, perfectly fit guy. I'm not here to date anyone, so I really couldn't care less if they're attracted to me, but that shouldn't be the deciding factor on if I have other people to study with.

To be fair, I live in a very backwards city, but seeing it this much doesn't make me too confident in what I'm going to see outside of this area.

Specializes in Cardiology.

Sounds like your school and clinical group is awful. I didnt see any of that in my school or clinical, however, there was one clinical instructor who didnt hide the fact she didnt care for men in nursing...but outside if that there were no issues.

The only times I had a female refuse a male nurse was either in OB or if they were really old, which is understandable.

In regards to the women treating the good looking men differently that happens in every job setting, just like men treat better looking women differently.

1 minute ago, OUxPhys said:

In regards to the women treating the good looking men differently that happens in every job setting, just like men treat better looking women differently.

True, but there's a stereotype that's true about men that kind of tips the balance a lot...

While the older female nurses are probably not insanely superficial, the younger generation of girls getting into nursing, a lot of them only want to deal with the hot guys, and being hot today means bordering on physical perfection.

The roles have kind of changed, it's not the guys who everything is about sex anymore. If you really pay attention to the people in their early 20s, the girls have taken that over. And unfortunately, that's what's flooding nursing right now, these girls in their 20s, that want to wear scrubs that barely fit over their curves so that they can attract a doctor. (Not saying it's all girls in their 20s that are like that, just they're what's becoming the more common group to think like that (again, purely anecdotal, I don't know what's happening outside of my city)). But regardless, I have seen girls in scrubs all over the country, you can't deny how overly sexualized it's become. I've seen more cleavage in nursing than I'd see in a strip club. If anywhere else is like where I live, it's no mystery why so many guys struggle.

17 minutes ago, tonyl1234 said:

The fact that literally everyone I see in the same situation as me are conveniently all guys. And that I see the HUGE difference between how the fatter, less attractive guys are treated than the 6'2 mixed, perfectly fit guy. I'm not here to date anyone, so I really couldn't care less if they're attracted to me, but that shouldn't be the deciding factor on if I have other people to study with.

To be fair, I live in a very backwards city, but seeing it this much doesn't make me too confident in what I'm going to see outside of this area.

It just seems strange that your experience is counter to pretty much everyone else's who have responded to this post. I'm sorry you are having that difficulty but welcome to our world. This has been an issue for women for as long as anyone can remember. FTR I don't care what my nursing colleagues look like as long as they are hard workers and have good personal hygiene.

4 minutes ago, tonyl1234 said:

But regardless, I have seen girls in scrubs all over the country, you can't deny how overly sexualized it's become. I've seen more cleavage in nursing than I'd see in a strip club. If anywhere else is like where I live, it's no mystery why so many guys struggle.

Nursing has ALWAYS been over-sexualized.

Specializes in L&D, OBED, NICU, Lactation.
23 minutes ago, tonyl1234 said:

The fact that literally everyone I see in the same situation as me are conveniently all guys. And that I see the HUGE difference between how the fatter, less attractive guys are treated than the 6'2 mixed, perfectly fit guy. I'm not here to date anyone, so I really couldn't care less if they're attracted to me, but that shouldn't be the deciding factor on if I have other people to study with.

To be fair, I live in a very backwards city, but seeing it this much doesn't make me too confident in what I'm going to see outside of this area.

If you are saying you fit into the "fatter, less attractive guy" part and that you are aware there is a difference in treatment, then you my friend know what to do. This is one of those things that is absolutely within your control.

6 minutes ago, tonyl1234 said:

True, but there's a stereotype that's true about men that kind of tips the balance a lot...

While the older female nurses are probably not insanely superficial, the younger generation of girls getting into nursing, a lot of them only want to deal with the hot guys, and being hot today means bordering on physical perfection.

The roles have kind of changed, it's not the guys who everything is about sex anymore. If you really pay attention to the people in their early 20s, the girls have taken that over. And unfortunately, that's what's flooding nursing right now, these girls in their 20s, that want to wear scrubs that barely fit over their curves so that they can attract a doctor. (Not saying it's all girls in their 20s that are like that, just they're what's becoming the more common group to think like that (again, purely anecdotal, I don't know what's happening outside of my city)). But regardless, I have seen girls in scrubs all over the country, you can't deny how overly sexualized it's become. I've seen more cleavage in nursing than I'd see in a strip club. If anywhere else is like where I live, it's no mystery why so many guys struggle.

My co-workers and I all wear the exact same formless hospital scrubs that we get out of a machine at work. You have mentioned several times about being fit/hot. If you know that the girls around you think fitness is attractive and you want to be attractive to said girls, hop on the fitness train. Actually it's a good idea anyway, it pays dividends in all aspects of your life. I'm in better shape in my late 30's than I've ever been in my entire life and I am watching my younger siblings struggle to play with their kids. Being healthy and fit and being perceived as attractive because of those things will influence some people's thoughts on you so why not make sure you have an advantage in that area?

8 minutes ago, Wuzzie said:

It just seems strange that your experience is counter to pretty much everyone else's who have responded to this post. I'm sorry you are having that difficulty but welcome to our world. This has been an issue for women for as long as anyone can remember. FTR I don't care what my nursing colleagues look like as long as they are hard workers and have good personal hygiene.

There's always one @Wuzzie isn't there!

Specializes in Cardiology.
16 minutes ago, tonyl1234 said:

True, but there's a stereotype that's true about men that kind of tips the balance a lot...

While the older female nurses are probably not insanely superficial, the younger generation of girls getting into nursing, a lot of them only want to deal with the hot guys, and being hot today means bordering on physical perfection.

The roles have kind of changed, it's not the guys who everything is about sex anymore. If you really pay attention to the people in their early 20s, the girls have taken that over. And unfortunately, that's what's flooding nursing right now, these girls in their 20s, that want to wear scrubs that barely fit over their curves so that they can attract a doctor. (Not saying it's all girls in their 20s that are like that, just they're what's becoming the more common group to think like that (again, purely anecdotal, I don't know what's happening outside of my city)). But regardless, I have seen girls in scrubs all over the country, you can't deny how overly sexualized it's become. I've seen more cleavage in nursing than I'd see in a strip club. If anywhere else is like where I live, it's no mystery why so many guys struggle.

Oh yeah, I saw it all the time at my previous job. Not all the young nurses did this but there were a fair share who did this and they knew what they were doing and it worked, especially in the ICUs.

There was a point where the higher ups sent a hospital wide email regarding what to wear and not wear at work. It wasn’t coincidental lol.

Honestly though, with social media and influencers, its no surprise that younger people (early 20’s) put emphasis on looks. However, most grow out of that.

34 minutes ago, labordude said:

You have mentioned several times about being fit/hot. If you know that the girls around you think fitness is attractive and you want to be attractive to said girls, hop on the fitness train. Actually it's a good idea anyway, it pays dividends in all aspects of your life. I'm in better shape in my late 30's than I've ever been in my entire life and I am watching my younger siblings struggle to play with their kids.

But I'm around the same age as you. I do want to lose weight for my health, but I don't care if girls in their early 20s are attracted to me or not. I'm just annoyed that reading and going over what we learned depends more on that attractiveness than knowledge. Again, I'm not in nursing school to get laid. Why should I have to make myself more attractive for some kids just to have people to help study?

Specializes in Midwife, OBGYN.
34 minutes ago, tonyl1234 said:

But I'm around the same age as you. I do want to lose weight for my health, but I don't care if girls in their early 20s are attracted to me or not. I'm just annoyed that reading and going over what we learned depends more on that attractiveness than knowledge. Again, I'm not in nursing school to get laid. Why should I have to make myself more attractive for some kids just to have people to help study?

It is a fact of life that taller, hotter, and fitter individuals are going to desired and that they are the ones that other people will want to be around. There is research that taller people earn more and command more respect in the workplace. Appearance is a tool much like any other if used properly just like knowing how to dress is another. If appearance is not your area of strength then perhaps you can enhance other areas like how you speak, your ability to relate to others etc. There are many ways to win people over.

I'm also around the same age as both you and labordude and in part this is generational and it definitely has to do with age. It takes time for people to learn that the substance of an individual is often not associated with nor correlated with outward physical appearance/charm/charisma. It looks like the people in your program will have a hard lesson to learn when they come out into the workplace. This is true in nursing school as it is in any other field. But if you are older, perhaps you can be a mentor? Share some of your knowledge with others that you have learned being an older student etc.

I have hired my fair share of people in my other life working in a different field and if I have two resumes in front of me, it is the one with good work experiences and relevant licenses and certifications that I want to invite to interview, looks have nothing to do with it. Will this change if a person is invited into interview and they can see what you look like? Maybe, but with all organizations, we have rubrics that we use to decide if someone is a good candidate and there are skills that we are looking for when we hire and if you have reached the level where you are hiring someone into your organization you can generally tell if a person is all false charm and superficiality with no substance based upon the questions that are asked during the interview. Physical appearance might be a pleasant surprise but most hiring managers are more interested in your skillset, good communication skills, and your ability to relate and integrate into a team.

At the end of the day, it is a waste of energy to be annoyed because you look a certain way. If you are happy with the way you and are confident this will be conveyed to other people and they are more likely to approach you.

Specializes in Critical Care.

I didn’t have your experience. In my class of 35, 4 of us were male, and we got treated better in general. One of my instructors would say she trusted me and didn’t need to check my meds, and scrutinize other female students that were good students. Female nurses have told me they perceive a lack of drama that comes with more males.

I tell my male friends nursing is the career for a man. We get treated very well from what I’ve seen. I’ve had female nurses at their last straw, who will ask me “can you PLEASE try to get my patient to take his meds?! He won’t take them and they’re important!”

I walk in and hand him the pills and say “take these pills. You need them” and they give me no complaint. The nurse will ask “oh did he tell you to F off too?”

“No he took his pills” “WHAT?! I’ve been trying an hour!”

??‍♂️

Tony you’ve mentioned your weight. And I agree, more fit people get treated better. I strongly recommend getting in shape. Before the army I was 5’7” 275 lbs with a 55” waist. Fitness (especially powerlifting) is now a daily part of my life and I am now 5’11 240 lbs with a 35” waist.

It does affect how people treat you.

Specializes in BSN, RN, CVRN-BC.

What we need to pass on to our young sons is that the most masculine thing they can do is learn to act like responsible adults. I've been a RN for over 20 years. In a class of 80 there were 4 of us. Most people welcomed me into the profession.

Do I make more than my female colleagues? I'm not sure. Perhaps I've pursued opportunities to make more money with more vigor. My wife has a PhD in Science and I still bring in the lion's share of our income. Why? Because I have no choice. It would be nice to take a part-time job or an agency position with more relaxed hours. It would be nice to have time to keep our house neat and clean, but I have no choice. Perhaps other men have felt the same pressure and have more vigorously sought positions in management and advanced education.

I'm surprised that not a single study cited in this article is more recent than 15 years. From an evidence based practice perspective those articles are far out of date.

I've never had my masculinity questioned. The lack of nurturing, comforting, and empathy is not masculine. Men who have these qualities are in high demand as these men make excellent partners in just about anything.

I work hard and provide for my family. What could be more masculine?

7 hours ago, tonyl1234 said:

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.

Man up.

I just asked my wife how she would feel about a male nursing student observing a gyno exam. "It would be pretty gross, but I guess I'd allow it." I am pretty sure the "I guess I'd allow it" comes from her background as a professional educator. The fact that many women are uncomfortable with you, or me, in a gyno exam or similar is not discrimination, its reality.

As far as being discriminated against in the workplace: Your observations and experience are yours. Most of us don't find this to be the case.

Good luck with your education, and I hope you find your niche. If you are having challenges, I really think you shouldn't immediately assume it's cause you are a guy. Most of us are thriving.

22 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.

In an ideal world nobody would care but it's not an ideal world. Some patients do care. Some women don't want male staff for certain intimate procedures. Some men don't want women for certain intimate procedures. Thus having a mix of male & female staff is better than not. It's not just about the comfort and qualifications of the staff treating both men and women.