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.

10 minutes ago, carti said:

It shouldn't be that way, nor should it be normalized. Saying " I don't want a male nurse" is the same as saying you don't want a certain nurse based on their religion, sexuality, race, ethnicity, etc. It's extremely pathetic.

No, what's pathetic are healthcare staff that don't care how embarrassed or uncomfortable their patients are when forced to have certain exams or procedures done by opposite gender staff. Male patients bear most of the brunt of that kind of thinking given how easily female patients are accommodated in most situations. More male nurses and other non-physician staff are needed.

1 minute ago, Biker53 said:

No, what's pathetic are healthcare staff that don't care how embarrassed or uncomfortable their patients are when forced to have certain exams or procedures done by opposite gender staff. Male patients bear most of the brunt of that kind of thinking given how easily female patients are accommodated in most situations. More male nurses and other non-physician staff are needed.

Being embarrassed because a capable health professional is a different gender is bogus. Try actually being a marginalized person of color or ethnicity/religion that gets treated differently...that is REAL embarrassment. More male nurses are needed but not because we need to "please" patients from being embarrassed. The best person should do the job and if a patient doesn't want male/female nurse, then they are pretty much refusing care. It's pathetic that is normal to tell a male nursing student " Hey bud, patient in 1332 doesn't want a male nurse, you need to sit this one out ok champ"

4 minutes ago, carti said:

Being embarrassed because a capable health professional is a different gender is bogus. Try actually being a marginalized person of color or ethnicity/religion that gets treated differently...that is REAL embarrassment. More male nurses are needed but not because we need to "please" patients from being embarrassed. The best person should do the job and if a patient doesn't want male/female nurse, then they are pretty much refusing care. It's pathetic that is normal to tell a male nursing student " Hey bud, patient in 1332 doesn't want a male nurse, you need to sit this one out ok champ"

I haven't walked in your shoes and suffered your embarrassment or discomfort and I suspect you've not had a female nurse make what was supposed to be a purely clinical encounter into something not entirely clinical. You've earned your anger at being rejected and I've earned my right to ask for male staff.

Specializes in LTC & Teaching.

It's been commented with regards to female patients not being comfortable with male nurses, especially if it involves very personal assessments. The same holds true with male patients not being comfortable with female nurses.

Back in 2004 and 2005 I was taking a series of full length courses in Forensic Studies. I had the option of going for additional courses after graduation, followed by the testing to get my certification as a Sexual Assault Nurse Examiner (SANE). Being Male I decided not to go that route. For me it would not be appropriate to be doing assessments/examinations on a woman who had been sexually assaulted. For this woman it's all about getting that control and dignity back in her life.

Granted I could still have gone for my SANE certifiaction to assess/examine male victims of sexual assault. Still, it's likely that a male victim of sexual assault was probaly assualted by another male.

For me it shouldn't be such an issue whether the Nurse is Male or Female as they are equally required to conduct them selves professionally. Having said that I do believe that there are circumstaces where it's far better for the patient if there is a choice.

Specializes in Critical Care.

Eh why would a male feel uncomfortable just because his nurse was female?

I remember my pre nursing physical. Nurse said “strip down”.

she comes back and I’m standing buck naked. “WHYD YOU TAKE ALL YOUR CLOTHES OFF?!?”

“I said strip down! You know, take your shirt off”

”Ma’am where I’m from strip down means something else”

22 minutes ago, carti said:

Being embarrassed because a capable health professional is a different gender is bogus. Try actually being a marginalized person of color or ethnicity/religion that gets treated differently...that is REAL embarrassment. More male nurses are needed but not because we need to "please" patients from being embarrassed. The best person should do the job and if a patient doesn't want male/female nurse, then they are pretty much refusing care. It's pathetic that is normal to tell a male nursing student " Hey bud, patient in 1332 doesn't want a male nurse, you need to sit this one out ok champ"

carti,

Being embarrassed because a health professional is of a different gender is not bogus. It is human nature. Trust is not based on logic and rational choices, but rather on gut instincts. Comfort level is definitely a deciding factor. That is why people will "shop around" (as much as they can) for a provider they feel comfortable with. Why shouldn't hospital care be any different?

Yes, current staffing ratio certainly penalize male patients but, again, my dense brain tells me increasing the number of male nurses would fix that dilemma.

Dany

Specializes in Critical Care.

Maybe that insecurity with their bodies is the problem, and not the gender of the nurse.

We need the best nurses possible- not fitting some quota of race, sex, etc.

Army, pretty sure patients who were/are victims of sexual abuse, assault or rape (male or female) would disagree with you. I have no issue with my male patient asking for another male to place a catheter or some other intimate procedure because their comfort is my priority and I don’t know their story. It is not my right to tell them, in effect, to “man up and take it” if their request can reasonably be accommodated.

Specializes in Critical Care.

I wouldn’t tell them that. I don’t mind accommodating them as long as we aren’t pushing to fit some kind of quota. If there are no male nurses on a floor??‍♂️ sorry. Somehow we made it before male nursing was even really a thing.

On 12/9/2019 at 6:24 PM, hherrn said:

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.

I said my experience is purely anecdotal, but for me, yes, it's 100% because I'm a guy. It's being in my OB rotation and having the nurse ask every single patient if I can work with the nurses in their rooms, without even seeing me, every one of them said no. My entire OB rotation was spent in the breakroom studying and doing homework. But when an opportunity to learn something comes up, they're perfectly OK letting 7 other girls go in and watch.

Specializes in Critical Care.

That didn’t happen to me. Must just be bad luck. They asked but no one had a problem.

Trust me there are many ways our sex works in our favor. I’ve always gotten my work done super early and wondered where the hell the female nurses were. They’re arguing with the patients, and trying to get them to listen. I say something and the patients listen. The psych patients are miraculously sane when I’m talking to them. It’s like magic.

Specializes in L&D, OBED, NICU, Lactation.
2 hours ago, tonyl1234 said:

I said my experience is purely anecdotal, but for me, yes, it's 100% because I'm a guy. It's being in my OB rotation and having the nurse ask every single patient if I can work with the nurses in their rooms, without even seeing me, every one of them said no. My entire OB rotation was spent in the breakroom studying and doing homework. But when an opportunity to learn something comes up, they're perfectly OK letting 7 other girls go in and watch.

That is 100% not how that should be going and not beneficial to your learning experience. We don't do that to our students, they are all treated the same. If I have student X, it's hey this is X, they're a student working with me today. IF patient objects, then we go from there. Typically doesn't happen. By asking in the way they are, they are creating the mindset that something must be different or weird about it because they asked about it in the first place.

The charge nurse or previous shift nurse doesn't ask every patient if it's okay if I take care of them, they assign me a patient and I go about my day. We have male students with me and other nurses all the time without issues. Your instructors are subpar, the nurses clearly aren't helping you out, and that makes me frustrated for you. The truth is that many guys have great OB rotations even if they have no interest in the area. I did and that's how I fell in love with the specialty.