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 Emergency Department.
15 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's bad. When I did my maternity rotation (in 1986) the nurse in charge of the ward did not like men but as it was an ante and also a post natal ward it did not matter, I just got on with it and dealt with the mums and babies. Being married and a dad helped there.

In the labour suite it was totally different, the midwives did not care and were very helpful. The women would not have cared if a marching band walked through when they were giving birth. Medical students at that time were mostly male so it was just assumed if it was OK for them, it was OK for me.

One thing that did annoy me at the time was, one of the midwives was doing a study on the colour of meconium and wanted everything compared to a chart and the colour documented. She said I could not do it as there was a higher incidence of colour blindness in males. Would not listen when I pointed out that a) I was comparing colours so it did not matter and b) I had been tested for colour blindness in a previous job. Midwives are not known as madwives for nothing.

Specializes in OB.
On 12/14/2019 at 10:45 AM, GrumpyRN said:

One thing that did annoy me at the time was, one of the midwives was doing a study on the colour of meconium and wanted everything compared to a chart and the colour documented. She said I could not do it as there was a higher incidence of colour blindness in males. Would not listen when I pointed out that a) I was comparing colours so it did not matter and b) I had been tested for colour blindness in a previous job. Midwives are not known as madwives for nothing.

That's one of the oddest things I've ever heard. Signed, an American midwife who hopes she's not that "mad"!

Specializes in Emergency Room.

I have always worked with male nurses (over 15 years). I personally have not seen any mistreatment. I think that male nurses are highly respected and if anything they have a major advantage over female nurses when pursuing career advancement.

Specializes in Private Duty Pediatrics.
On ‎12‎/‎9‎/‎2019 at 6:32 PM, Biker53 said:

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.

"A patient is a person in a strange environment on an involuntary basis going through one of the most unpleasant experiences of his/her life with persons not of his own choosing."

Let's do what we can within reason to be empathetic and helpful.

12 hours ago, Kitiger said:

"A patient is a person in a strange environment on an involuntary basis going through one of the most unpleasant experiences of his/her life with persons not of his own choosing."

Let's do what we can within reason to be empathetic and helpful.

But here's why it's stupid: You need this medicine or you're going to die. Does it REALLY matter at that point if a man or woman gives it to you? Shouldn't your focus be on living vs dying?

How about we understand that in the hospital, you probably look gross and nobody has any sexual interest in you. Let's stop sexualizing patient care, and let the nurses do their jobs. Does everything really have to be about sex in this country? It's stupid. Yet these same people couldn't care less that their gynecologist is a man.

But this country keeps making nudity=sex, and nurse fetishes are a thing for some reason, so we're stuck in this mindset that the guy nurse actually wants to see you naked. But what's really going through every guy's head is "11 more hours until I can have a beer."

1 hour ago, tonyl1234 said:

But here's why it's stupid: You need this medicine or you're going to die. Does it REALLY matter at that point if a man or woman gives it to you? Shouldn't your focus be on living vs dying?

How about we understand that in the hospital, you probably look gross and nobody has any sexual interest in you. Let's stop sexualizing patient care, and let the nurses do their jobs. Does everything really have to be about sex in this country? It's stupid. Yet these same people couldn't care less that their gynecologist is a man.

But this country keeps making nudity=sex, and nurse fetishes are a thing for some reason, so we're stuck in this mindset that the guy nurse actually wants to see you naked. But what's really going through every guy's head is "11 more hours until I can have a beer."

Most nursing and related care is not life or death scenarios. Passing medicine and providing most other services are not what is at issue here. It is intimate care that some women only want female staff for and that some men only want male staff for. It is a very small piece of the staffing picture. Just because you are comfortable with patient intimate exposure doesn't mean that the patient is automatically comfortable with it. Being in a hospital or medical office setting does not somehow erase social mores that govern every other aspect of a patient's life.

I will add that while most healthcare staff act in a professional and purely clinical manner, the exceptions that don't can poison the well so to speak for patients that have had bad experiences.

Specializes in Critical Care.

I’ve honestly not had but a couple elderly women have a problem with anything like that, and I do everything but change them. ??‍♂️

While I don’t mind changing patients I SURE wasn’t complaining ?

IDK, but that guy in the pic could be my nurse any time.

Specializes in Emergency Department.
20 hours ago, LPN Retired said:

IDK, but that guy in the pic could be my nurse any time.

So it doesn't matter what he knows or how skilled he is as long as he looks good?

And it is a stock image. From crushpixel "...medical person physician smile stethoscope confident dentist friendly medicine professional surgeon nursing positive practitioner young blue handsome ..." (my bold).

Oh, good grief, I was just trying to be funny. Do you,not have a sense of humor??

Lighten up.

I have been a PCA since 2016, and an HHA since 2018. I hope to have my LPN in 2021. I am a man and that has been some stigma in my profession. The stigma comes from my senior patients, not co-workers, supervisors, etc. When I tell people my career, I am met with respect and support about going into the field, not ridicule. I have been getting much support in my nursing career. Times are changing (for the better).

Specializes in Critical Care.

Why does your name say BSN RN...?