Appearance and masculinity in nursing: perception about the outfit of male nurses in Costa Rica

Main Article Content

A. López-Badilla
https://orcid.org/0000-0002-4787-7411

Abstract

Introduction: Historically, the white uniform has characterized the nursing profession. Nevertheless, currently, there is a wide variety of nursing outfit styles which are transforming the perception about the profession, including aspects related to the organization and social image.


Objective: To analyze the impact of appearance in the construction of the social image of nursing from the perception of male nurses regarding their uniform. Methods: An in-depth interview was conducted on 8 male nurses from Costa Rica in order, from an interpretative phenomenological frame, to better understand the meaning of the male nurses' lived experiences in the profession. These interpretative inferences based on nursing theoretical frames allowed an organization of the nurses' experiences into thematic units.


Results: Diverse themes emerged including: nurses dress in white; the variations in the nursing outfit denote social hierarchies; male nurse add elements to their outfits in order to be specifically identified and attributed with a masculine image of higher social prestige.


Conclusions: Male nurses accept the use of a white, or colored uniform for those subordinated staff; however, higher rank male nurses prefer wearing regular civil outfit, considering it as a reinforcement of their status or position of power and authority which should imply a higher social status.

Publication Facts

Metric
This article
Other articles
Peer reviewers 
2
2.4

Reviewer profiles  N/A

Author statements

Author statements
This article
Other articles
Data availability 
N/A
16%
External funding 
No
32%
Competing interests 
N/A
11%
Metric
This journal
Other journals
Articles accepted 
21%
33%
Days to publication 
467
145

Indexed in

Editor & editorial board
profiles
Academic society 
N/A
Publisher 
Universidad Nacional Autónoma de México

PFL

1 2 3 4 5
Not useful Very useful

Article Details

MÉTRICAS

  • Usage
  • SciELO - Full Text Views: 74
  • Captures
  • Mendeley - Readers: 6
 

References

1. King IM. Enfermería como profesión: filosofía, principios y objetivos. México: Limusa; 1984.

2. Kalisch B, Kalisch P. Dressing for success. Am J Nurs. 1985; 85(8): 887-93. https://bit.ly/3hHirc9

3. Skorupski VJ, Rea RE. Patients’ perceptions of today’s nursing attire. J Nurs Adm. 2006; 36(9): 393-401. https://doi.org/10.1097/00005110-200609000-00005

4. Lennon SJ, Davis LL. Clothing and human behavior from a social cognitive framework part I: Theoretical perspectives. Cloth Text Res J. 1989; 7(4): 41-8. https://doi.org/10.1177/0887302X8900700406

5. Clavelle JT, Goodwin M, Tivis LJ. Nursing professional attire. J Nurs Adm. 2013; 43(3): 172-7. https://doi.org/10.1097/NNA.0b013e318283dc78

6. Timmons S, East L. Uniforms, status and professional boundaries in hospital. Sociol Health Illn. 2011; 33(7): 1035-49. https://doi.org/10.1111/j.1467-9566.2011.01357.x

7. León-Román CA. El uniforme y su influencia en la imagen social. Rev Cubana Enfermer. 2006; 22(1): 1-6. https://bit.ly/3fBbTJG

8. Miller T, Mann N, Grim RD. Clothes encounter: Patient perception of nursing attire in a behavioral health unit. J Am Psychiatr Nurses Assoc. 2010; 16(3): 178-83. https://doi.org/10.1177/1078390310370621

9. Thomas CM, Ehret A, Ellis B, Colon-Shoop S, Linton J, Metz S. Perception of nurse caring, skills, and knowledge based on appearance. J Nurs Adm. 2010; 40(11): 489-97. https://doi.org/10.1097/NNA.0b013e3181f88b48

10. Solano-López AL. La imagen social de la enfermería en Costa Rica y su construcción desde la autoimagen profesional. Enferm. actual Costa Rica. 2012; 33(2): 54-6. https://bit.ly/3hImOUk

11. Alvarado-Quijano G, Alvarado-Rodríguez E, Barboza-Picado A, Castro-González É, León-Morales S, Matarrita-Matarrita A, et al. Definición de enfermería en el tercer nivel de atención según los acompañantes de los usuarios de un hospital costarricense. Enferm. actual Costa Rica. 2008; (14):1-10. https://bit.ly/2QHuY4w

12 Retana C. Las artimañas de la moda: una genealogía del poder vestimentario. San José, Costa Rica: Arlekín; 2015.

13. Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. 9th ed. Philadelphia: Lippincot Williams & Wilkins; 2012.

14 Packer MJ. La ciencia de la investigación cualitativa. Bogotá: Uniandes; 2013.

15. Tuohy D, Cooney A, Dowling M, Murphy K, Sixsmith J. An overview of interpretive phenomenology as a research methodology. Nurse Res. 2013; 20(6): 17-20. https://n9.cl/18lmf

16. Cisterna-Cabrera F. Categorización y triangulación como procesos de validación del conocimiento en investigación cualitativa. Theoria. 2005; 14(1): 61-71. https://bit.ly/3vbfO6C

17. Martínez-Miguelez M. Comportamiento Humano. Nuevos mátodos de investigación. 2ª ed. México: Trillas; 1996.

18. Connell RW. Masculinities. 2nd ed. California: University of California Press; 2005.

19 Connell R, Pearse R. Género desde una perspectiva global. Valencia: Universitat de València; 2018.

20. Connell RW, Messerschmidt JW. Masculinidade hegemônica: Repensando o conceito. Rev. Estud. Fem. 2013; 21(1): 241-82. https://doi.org/10.1590/S0104-026X2013000100014

21. Messerschmidt JW. Engendering gendered knowledge: Assessing the academic appropriation of hegemonic masculinity. Men Masc. 2012; 15(1): 56-76. https://doi.org/10.1177/1097184X11428384

22. Tennent E. Book Reviews. The fashioned body: Fashion, dress & modern social theory Joanne Entwistle. Fem Psychol. 2018; 28(2): 292-306. https://doi.org/10.1177/0959353516682662

23. Ruetzler T, Taylor J, Reynolds D, Baker W, Killen C. What is professional attire today? A conjoint analysis of personal presentation attributes. Int J Hosp Manag. 2012; 31(3): 937-43. https://doi.org/10.1016/j.ijhm.2011.11.001

24. Petrilli CM, Mack M, Petrilli JJ, Hickner A, Saint S, Chopra V. Understanding the role of physician attire on patient perceptions: A systematic review of the literature-targeting attire to improve likelihood of rapport (TAILOR) investigators. BMJ Open. 2015; 5(1): 1-18. https://doi.org/10.1136/bmjopen-2014-006578

25 Clow KA, Ricciardelli R, Bartfay WJ. Are you man enough to be a nurse? The impact of ambivalent sexism and role congruity on perceptions of men and women in nursing advertisements. Sex Roles. 2015; 72: 363-76. https://doi.org/10.1007/s11199-014-0418-0

26. Porr C, Dawe D, Lewis N, Meadus RJ, Snow N, Didham P. Patient perception of contemporary nurse attire: A pilot study. Int J Nurs Pract. 2014; 20(20): 149-55. https://doi.org/10.1111/ijn.12160