In: Nursing
A nurse cradling a child who is receiving treatment for asthma. A nurse holding the hand of a frail diabetic patient and encouraging him during the discharge process. A nurse’s empathetic expression for a frightened teenager facing emergency surgery.
Are these the images we leave with our patients? Do they reflect how we see ourselves? Is our image obvious only in what we do, or is it also about what we say, how we say it, and what we wear? Consider these questions:
Our changing image
Over time, nurses have had many images, ranging from the angel of
mercy to the sexual stereotype sometimes portrayed in works of
fiction. Florence Nightingale depicted the nurse as inferior to the
physician. As a child, I read every book in the popular Cherry Ames
series and dreamed that every day I worked as a nurse would be a
Cherry Ames day. This series ran from 1943 to 1968 and,
interestingly, is now back in print. Other representations and
misrepresentations that have shaped our image include Hot Lips
Houlihan in the television series MASH and some less-than-inspiring
nurses in soap operas.
In 2001, the Center for Nursing Advocacy was founded to address the nursing shortage. After deciding to focus on improving the portrayal of nurses in the media, the Center began a series of annual Golden Lamp awards for the best and worst depictions of nurses. The Center has developed letter-writing campaigns to target producers of shows that don’t show nursing in a positive light, such as ER and House. In December 2006, after 5 months of effort, the Center persuaded Coors brewery to stop using “naughty nurse” imagery in its ads.
Most honest and ethical
For many years, a Gallup poll has identified the most honest and
ethical professions in America. And for 8 years in a row, nursing
has been in the top 10. For the last 5 years, nurses have been
number one (see Most honest professions).
But is this ranking really relevant to the concern we have about
our image? What really matters to patients and their caregivers?
What do we care about and look for in our colleagues? How much
impact do these perceptions have on our image? (See Nursing’s
image: What do nurses think matters most?)
Dressing with Snoopy and Sponge Bob
As the image of nursing evolved with time and changes in healthcare
delivery, our appearance changed, too. The catalogue scrub
companies who bombard nurses with their mailings have played an
important role in this appearance change. Today, many nurses think
nothing of wearing clothing adorned with cartoon characters. What
other professions that serve the public have cartoon characters on
their uniforms? Police officers, pre-hospital staff, judges,
firefighters, and others would not be seen with Snoopy, Sponge Bob,
or animal characters covering their uniforms.
Why does nursing represent itself in this way? We let people outside of our profession influence how we present ourselves to the public. Sandy Dumont, an image consultant, makes this comment about the way we dress, “You’re the only thing between the patient and death, and you’re covered in cartoons. No wonder you have no authority.” Many organizations have started to address this issue by changing the dress codes for nurses. These changes also make it easier for the patient to identify who is a nurse.
The face of nursing
The face of nursing—that is, the overwhelmingly female face—also
affects our image. Although the number of men in nursing is
growing, we need more campaigns and targeted recruitments to draw
men into the profession. The old Cherry Ames image keeps the
profession primarily female. As more men enter the profession, they
will become role models and mentors for others. And other men will
look at nursing as they do other career options, such as being a
police officer or firefighter.
Our patients may be in the best position to answer the question, Who is the nurse? A nurse diagnosed with cancer found herself on the other side of health care. Here’s what she had to say, “I must say the majority of the time I knew who the nurses were…by the way they carried themselves and their professionalism.”
What we must do
Part of changing our image is growing as a profession, and such
growth requires a nurturing process. Our nurse leaders need to
guide this process by doing the following:
The time for us to redefine our image is now. By working together, we can help ourselves and the public see the nursing profession clearly.