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Tuesday, August 13, 2013

Men Daring To Care: A Challenging Culture Stereotype in Nursing


 

Warda A. Al Amri

Oman Nursing Institute

 

 


There are many jobs that tend to draw men to them and there are others which attract more women. It has been noted that men face more challenging roles than females in caring jobs such as teaching and nursing. In the past men who go into nursing realize that it’s a profession that has been dominated by women for such a long time, so if they don’t get along with women well, it’s not a good profession for them. A lot of men were not able to deal with situations in which women were their supervisors and because men are sometimes stronger than women they often got stuck more with turning patients. At present there are changes in the health care work force than was in the olden days and both genders share the domination of the profession (McMurry 2011).
The image of men in nursing is actually not well addressed in the media. Culture stereotype has always feminized nursing as a result of media influence. “Meet the Parents” is a movie that exemplifies this. In the movie a guy was asked about his occupation by the parents of his wife-to-be and when he said he was working in a hospital they thought he was a doctor and were shocked when he told them that he was a nurse! The parents thought that the guy was weird for choosing nursing as a currier. The reasons behind choosing nursing as a currier are most of the time multifactorial.  Feeling the call for duty to serve others and to advocate for patients’ care is one of the factors that influence men into becoming nurses. Actually the guy in this movie joined nursing because he liked and wanted it though his high school scores were high enough to get him in a medicine college. Male nurses are interested in not only self- and patient empowerment but also the empowerment of the nursing profession. Literature gives a sense that male nurses feel unhappy because they are a minority in a predominantly feminine profession (Brown 2009).

There is not much basic difference between men and women when it comes to nursing and the important thing to focus on is the challenges they both face in this currier. Nursing shortage is a critical issue worldwide placing the profession in crisis. More than 581,500 new RN positions will be created through 2018 as a projected by workforce analysts with the Bureau of Labor Statistics (BLS) stated in December 2009 (aacn, 2010).

A national sample survey in 2008 by the Health Resources and Service Administration stated that 7.1 percent of the estimated 2,596,599 registered nurses in the United States men. According to health report statistics in Oman as of 31 Dec 2009 the nursing manpower in the Ministry of Health was 9,753 out of which 6,449 are Omani (66%). The total percentage of male nurses in Oman (10.2%) have slightly decreased compared to the year 2000 when it was 11.2% but the percentage of Omani male nurses have increased from 60.3% in 2000 and 78.3% in 2009 (Table 2). The ratio of distribution is on the average of 30.7 nurses for every 10,000 of the population and this is still not considered sufficient if we looked at the total population of the country which is 3,173,917 (MOH, 2009).

           

Table 1: Nursing manpower in the Ministry of Health 2009
Omanis
 
Non-Omanis
 
Total
Male
Female
Total
 
Male
Female
Total
 
Male
Female
Total
780
5,669
6,449
 
216
3,088
3,304
 
996
8,757
9,753

 

Table 2: MOH Male Nurse by Nationality
2000
 
2009
Omani
Non-Omanis
Total
 
Omani
Non-Omanis
Total
449
295
744
 
780
216
996

 
One of the problems faced by masculinity in nursing is actually the hiring process and opportunities provided to the male nurse while on the job. The dissatisfaction caused by this issue may lead to increased resignation from the profession. There is a need for strategies to increase the retention rates of nurses in this profession. According to Analysis of the 1992–2000 National Sample Surveys of Registered Nurses by Sochalski (2002) on rates of nurses leaving nursing there was a significant difference between men and women dropping out within only 4 years after graduation with a percentage of 7.5 for men nurses. Nursing Management Aging Workforce Survey by the Bernard Hodes Group reported that 55% of surveyed nurses intends to retire between 2011 and 2020 and the majority of them were Nurse Managers (aacn, 2010).

In Oman nurses graduating from MOH’s nursing institutions do not face a problem in recruitment because they are guaranteed a position once they enrolled in the nursing program. The author conducted a survey on the intended length of stay in the profession after graduation. Participants were third year nursing students (final year) in the academic Year 2009-2010 at Oman Nursing Institute. The survey didn’t require revealing any identity except the gender and it showed significant findings.  The total number of students involved in the survey was 82; the actual total is 85 but 3 students were absent.  Out of the 82 student 14 were male and 68 were female. For the male student 50% of them intend to stay in nursing for a maximum of 5 years only whereas 22.1%  of the female students wanted to remain for more than 20 years in the profession. Some of the factors that influenced the decisions of these students were better salaries in other jobs, looking for working hours that are more convenient to them and their families, and disappointment in that nursing lacks opportunities for promotions and leadership (especially for men). Under these circumstances the revitalization plan of any nursing workforce should have strategies that focus on retention and working conditions (Rajapaksa, 2009)

 

Table 3: The Period of Time That Third Year Students Intend to Stay in Nursing After Graduation 
Year
Female (n=68)
Male (n=14)
Both Gender (n=82)
2-5 Years
20.6%
50%
26%
6-10 Years
34 %
7.13%
30%
15 Years
10.3%
-
9%
20 Years
6%
21.43%
10%
Over 20
22.1%
14.3%
21%
Didn’t Know
6 %
7.14%
5%

 
In many countries male nurses are denied the opportunity to work in some areas in hospitals, such as labor, delivery, or nursery units and the same is in Oman. The influence behind such a regulation is not related to the trustworthy of male nurses’ care, capabilities or ethics but it is mainly due to religious and cultural limitations. In Islam, women are not supposed to be exposed to the opposite gender for medical reasons except if there was no female available. It intended to preserve the integrity, dignity of women and maintain their personal zones intact.  All female units (medical, surgical and maternity) in hospitals in Oman are under the care of female nurses therefore the presence of a male in those areas is seldom. Even areas of high demand for critical and immediate care where both genders actually work together such as the Intensive Care Unit (ICU) and the Accident & Emergency (A&E) are also subjective to these roles except for cases of insufficient female nurses on a duty.

Effective profile of the nursing profession can be advanced as a whole if there would be a genuinely advanced interest of both genders toward the profession. Male nurses are advices to find strength in numbers, for example joining national or international organizations that support men in nursing. Interacting with others allows sharing of experiences and concerns while bringing hope and motivation for a bright, professional and successful future.  Some examples of these organizations are the Nursing and Midwifery Council (Oman), the American Assembly of Men in Nursing, Sigma Theta Tau International and many others. Another way of advancing the non-biased nursing profile is to find support from one’s own fellow workers; both female and male.

One of the factors placing masculinity nursing image with challenges is the thought that male nurses are not given equal opportunity to move up in the ranks or are being denied equal employment opportunities. In Oman there are many examples of male figures that have accelerated and defeated this meth; they have accelerated through the concrete ceiling of promotion even held leadership and managerial positions. They were the pioneers of male nurses in Oman such as Mr. Hamood Al Kharusi; furmer Dean of Oman Nursing Institute and Chair of the Council of Nursing Institutes currently officiates as the director of the Directorate General of Education and Training (DGET), Mr. Abdullah Al Rubaiey, Dean of Oman Specialized Nursing Institute, and Mr. Mohammed Al Riyami; former Dean of Muscat Nursing Institute and currently a Consultant of Nursing Education at the (DGET). In addition, there are also the young Omani male nurses who were also successful in holding leadership positions such as Mr. Majid Al Muqbali; Director of Nursing and Midwifery Affairs at the MOH, and many others.

The traditional stereotype can be broke through projecting a good and efficient advertisement of the image of nursing in the different types of media. There is a need to recruit more male nurses to the profession due to the shortage of male nurses in the clinical setting as presented earlier. It is recommended to encourage more men/ to advertise for the profession among the male students/ community/ school (Advertising, Promoting the benefit of nursing to men, showing examples of role models). And having said that nursing institutions should have a goal set to attract more men into nursing, for example it should be one of the infrastructure plans that “in 3 Years we will have 30% of our intake to be male” and once the goal is set an action plan could be prepared to address the specific goal and achievement strategies (Gorgos 2002).

On the other hand, decision makers, manager and leaders should be working toward improving or increasing job satisfaction. Every nurse should to be concerned about their basic human labor rights and empowering not only themselves or their patients but also the profession. If this is to be accomplished successfully nursing shortage would not be a critical issue as it is today.  Last but not least, male nurses can overcome negative perceptions by addressing them, therefore; there is a need for further researches addressing gender inequalities and gender-based reservations.

References:

1.      American Association of Colleges of Nursing (2010).  Nursing Shortage. Retrieved April 11, 2011, from http://www.aacn.nche.edu/media/factsheets/nursingshortage.htm

2.      Brown, B. (2009). Men in Nursing: Re-evaluating Masculinities, Re-evaluating gender. Journal of Contimp Nurse, 33(2):120-9.

3.      Gorgos, D. (2002). Why Are There So Few Male Nurses? Journal of Dermatology Nursing, 14(5): 340-341.

4.      McMurry, T. (2011). The Image of Male Nurses and Nursing Leadership Mobility. Nursing Forum, 46(1): 22-28.

5.      Ministry of Health (2009). Annual Health Report 2009. Retrieved March 29, 2011, from http://www.moh.gov.om/nv_menu.php?fNm=mgl/mgl.html

6.      Rajapaksa, S & Rothstein, W. (2009). Factors That Influence the Decisions of Men and Women Nurses to Leave Nursing. Nursing Forum, 44 (3): 195-206.

7.      Sochalski, J. (2002). Trends: Nursing shortage redux: Turning the corner on an enduring problem. Health Affairs, 12 (4): 157-164.

8.      U.S. Department of Health and Human Services; Health Resources and Services Administration. The Registered Nurse Population: Findings from the 2008 National Sample Survey of Registered Nurses. Retrieved on April 11, 2011, from http://bhpr.hrsa.gov/healthworkforce/rnsurvey/2008/

 

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