The Power of Mass Media and Feminism in the Evolution of Nursing’s Image: A Critical Review of the Literature and Implications for Nursing Practice
Abstract
Nursing has evolved, yet media representation has arguably failed to keep up. This work explores why representation has been slow in accurately depicting nurses' responsibilities, impacts on public perceptions and professional identity. A critical realist review was employed as this method enables in-depth exploration into why something exists. A multidisciplinary approach was adopted, drawing from feminist, psychological and sociological theories to provide insightful understanding and recommendations. One main feminist lens has been implemented, using Laura Mulvey’s ‘Male-Gaze’ framework for content analysis of three nurse-related advertisements to explore how the profession's female status influences representation, public perception and how this might impact nursing. Nurse representation has important real-world consequences. It is essential to improve unnecessary negative portrayals and contest ingrained stereotypes as there are costs to public opinion and nursing's self-identity. Nursing's female status has an impact within a male-dominated media industry, with a leisurely approach adopted toward changing representation. Media images become societally ingrained, this reiterates the significance of accurate/positive depictions. Social media is an instant method of communication with the public to combat stereotypes and maintain engagement to provide better understanding of what nurses do.
Keywords
Nurse Media Representation ImageNotes
References
- 24 Hours in A&E. 2011. Channel 4. 11 May. London: The Garden Productions Ltd.Google Scholar
- Archer, Margaret. 1995. Realist Social Theory: The Morphogenetic Approach. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
- Bandura, Albert. 2001. “Social Cognitive Theory of Mass Communication.” Media Psychology 3 (3): 265-299.CrossRefGoogle Scholar
- BBC News – British Broadcasting Corporation. 2015. “#ImInWorkJeremy: NHS Staff Post Weekend Working Photos.” Accessed 1 September 2017. http://www.bbc.co.uk/news/uk-33578990.
- Bhaskar, Roy. 1998. The Possibility of Naturalism. 3rd edition. London: Routledge.Google Scholar
- _____. 2008. A Realist Theory of Science. London: Verso.Google Scholar
- Bright, Jim. 1997. “Carry On Remembering.” Classic Television 1: 25-33.Google Scholar
- Broadcasters’ Audience Research Board. 2017. Viewing Data. Accessed 4 June 2017. http://www.barb.co.uk/viewing-data/.
- Brodie, David A., Gavin J. Andrews, Justin P. Andrews, Gail B. Thomas, Josephine Wong, and Lorna Rixon. 2004. “Perceptions of Nursing: Confirmation, Change and the Student Experience.” International Journal of Nursing Studies 41 (7): 721-733.CrossRefGoogle Scholar
- Bronner, Gila, Chava Peretz and Mally Ehrenfeld. 2003. “Sexual Harassment of Nurses and Nursing Students.” Journal of Advanced Nursing 42 (6): 637-644.CrossRefGoogle Scholar
- Bryman, A. 2016. Social Research Methods. 5th edition. Oxford: Oxford University Press.Google Scholar
- Byerly, Carolyn M. 2013. “Women and the Concentration of Media Ownership.” In Seeking Equity for Women in Journalism and Mass Communication Education, edited by Ramona R. Rush, Carol E. Oukrop and Pamela J. Creedon, 245. Mahwah: Taylor and Francis.Google Scholar
- Cabaniss, Reitha. 2011. “Educating Nurses to Impact Change in Nursing's Image.” Teaching and Learning in Nursing 6 (3): 112-118.CrossRefGoogle Scholar
- Carroll, Stacey M. and Katherine C. Rosa. 2016. “Role and Image of Nursing in Children's Literature: A Qualitative Media Analysis.” Journal of Pediatric Nursing 31 (2): 141-151.CrossRefGoogle Scholar
- Carry On Doctor. 1967. Directed by Gerald Thomas. United Kingdom. Rank Organisation.Google Scholar
- Carry On Matron. 1972. Directed by Gerald Thomas. United Kingdom. The Rank Organisation.Google Scholar
- Carry On Nurse. 1959. Directed by Gerald Thomas. United Kingdom. Anglo-Amalgamated.Google Scholar
- Carter, Cynthia., Linda Steiner, and Lisa McLaughlin. 2014. The Routledge Companion to Media and Gender. London: Routledge.Google Scholar
- Ceulemans, Mieke and Guido Fauconnier. 1979. “Mass Media: The Image, Role and Social Conditions of Women: A Collection and Analysis of Research Materials.” Reports and Papers on Mass Communication 84:26-27.Google Scholar
- Cohen, Shelley and Kathleen Bartholomew. 2009. The Image of Nursing: Perspectives on Shaping, Empowering, and Elevating the Nursing Profession. Danvers: HCPro.Google Scholar
- Connell, Barbara. 2011. Exploring the Media: Text, Industry, Audience. New York: Columbia University Press.Google Scholar
- Crenshaw, Kimberle. 1989. “Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Antidiscrimination Doctrine, Feminist Theory and Antiracist Politics.” University of Chicago Legal Forum 140: 139–167.Google Scholar
- Darbyshire, Philip. 2014. “Heroines, Hookers and Harridans: Exploring Popular Images and Representations of Nurses and Nursing.” In Contexts of Nursing: An Introduction, edited by J. Daly, S. Speedy, D. Jackson, 51-64. Sydney: Elsevier.Google Scholar
- Dean, Erin. 2014. “Lancet Commission to Tackle the Poor Perception of UK Nursing.” Nursing Standard 28 (21): 10.CrossRefGoogle Scholar
- Deep Throat. 1972. Directed by Jerry Gerald. Florida, United States. Bryanston Pictures.Google Scholar
- Doyle, Gillian. 2002. Media Ownership: The Economics and Politics of Convergence and Concentration in the UK and European Media. London: SAGE Publications.CrossRefGoogle Scholar
- Dyer, Richard. 2013. The Matter of Images: Essays on Representation. 2nd edition. London: Routledge.CrossRefGoogle Scholar
- Edgley, Alison, Theodore Stickley, Stephen Timmons, and Andy Meal. 2014. “Critical Realist Review: Exploring the Real, Beyond the Empirical.” Journal of Further and Higher Education 40 (3): 316–330.CrossRefGoogle Scholar
- Ehrenreich, Barbara and Deirdre English. 2010. Witches, Midwives, and Nurses: A History of Women Healers. 2nd edition. New York: The Feminist Press.Google Scholar
- Fagin, Claire M. 2000. Essays on Nursing Leadership. New York: Springer.Google Scholar
- Finlayson, Belinda, Jennifer Dixon, Sandra Meadows, and George Blair. 2002. “Mind the Gap: The Extent of the NHS Nursing Shortage.” BMJ 325 (7363): 538-541.CrossRefGoogle Scholar
- Ford, Steve. 2017a. “Trust Backtracks on Job Ad Dubbed ‘Disrespectful’ to Nurses.” Nursing Times. Accessed 22 July 2017. https://www.nursingtimes.net/news/hospital/trust-backtracks-on-job-ad-dubbed-disrespectful-to-nurses/7017390.article.
- _____. 2017b. “'Sexist’ Nurse Job Ads Were Used by Mistake, Says Trust.” Nursing Times. Accessed 25 July 2017. https://www.nursingtimes.net/news/hospital/sexist-nurse-job-ads-were-used-by-mistake-says-trust/7018256.article.
- Fraenkel, Jack R. and Wallen, Norman E. 2006. How to Design and Evaluate Research in Education. 6th edition. Boston: McGraw-Hill Education (ISE Editions).Google Scholar
- Gill, R. 2007. Gender and the Media. Cambridge: Polity Press.Google Scholar
- Gillett, Karen. 2014. “Nostalgic Constructions of Nurse Education in British National Newspapers.” Journal of Advanced Nursing 70 (11): 2495-2505.CrossRefGoogle Scholar
- Girvin, June. 2015. “Editorial: The Public Understanding of Nursing - Time for A Step Change?” Journal of Clinical Nursing 24 (23-24): 3341-3342.CrossRefGoogle Scholar
- _____. 2017. “#50shadesofHey (acknowledgement of the # to P Darbyshire.” Still Learning About Leadership. Accessed 4 June 2017. https://junegirvin2.wordpress.com/2017/05/17/50shadesofhey-acknowledgment-of-the-to-p-darbyshire/.
- Girvin, June, D. Jackson, and M. Hutchinson, M. 2016. “Contemporary Public Perceptions of Nursing: A Systematic Review and Narrative Synthesis of The International Research Evidence.” Journal of Nursing Management 24: 994–1006.CrossRefGoogle Scholar
- Grant, Maria J. and Andrew Booth. 2009. “A Typology of Reviews: An Analysis of 14 Review Types and Associated Methodologies.” Health Information & Libraries Journal 26 (2): 91–108.CrossRefGoogle Scholar
- Hall, Stuart. 1973. Encoding and Decoding in the Television Discourse. Birmingham: University of Birmingham Centre for Contemporary Cultural Studies.Google Scholar
- Hallam, Julia. 2000. Nursing the Image: Media, Culture and Professional Identity. London: Routledge.Google Scholar
- Happer, Catherina and Greg Philo. 2013. “The Role of the Media in the Construction of Public Belief and Social Change.” Journal of Social and Political Psychology 1 (1): 321-336.CrossRefGoogle Scholar
- Hart, Andrew. 2013. Teaching the Media: International Perspectives. London: Routledge.CrossRefGoogle Scholar
- Heilemann, Mary-Sue V. 2012. “Media Images and Screen Representations of Nurses.” Nursing Outlook 60 (5): 1-3.CrossRefGoogle Scholar
- Hsieh, Hsiu-Fang and Sarah E. Shannon. 2005. “Three Approaches to Qualitative Content Analysis.” Qualitative Health Research 15 (9): 1277-1288.CrossRefGoogle Scholar
- Hudson-Jones, Anne. 1988. Images of Nurses: Perspectives from History, Art and Literature. Philadelphia: University of Pennsylvania Press.Google Scholar
- Huston, Carol J. 2014. Professional Issues in Nursing. Third edition. Philadelphia: Lippincott Williams & Wilkins.Google Scholar
- Jones-Berry, S. 2017. “Nursing Now! Campaign To Support and Empower Nurses.” Nursing Standard, 31 (51): 7-8.CrossRefGoogle Scholar
- Joseph, Ammu. 2013. “Media Pluralism and Gender: Not Just a Question of Numbers.” Waccglobal. Accessed 3 September 2017. http://www.waccglobal.org/articles/media-pluralism-and-gender-not-just-a-question-of-numbers.
- Kalisch, Philip A. and Beatrice J. Kalisch. 1987. The Changing Image of the Nurse. California: Addison-Wesley Publishing Company.Google Scholar
- Knapton, Sarah. 2015. “#ImInWorkJeremy: NHS Staff Post Weekend Working Pictures on Twitter.” Telegraph. Accessed 1 September 2017. http://www.telegraph.co.uk/news/health/news/11749289/ImInWorkJeremy-NHS-staff-post-weekend-working-pictures-on-Twitter.html.
- Lippmann, Walter. 1956. Public Opinion. New York: Macmillan.Google Scholar
- Long, Paul and Tim Wall. 2014. Media Studies: Texts, Production, Context. 2nd edition. London: Routledge.CrossRefGoogle Scholar
- Madison, Jean and Victor Minichiello. 2000. “Recognizing and Labelling Sex Based and Sexual Harassment in the Health Care Workplace.” Journal of Nursing Scholarships 4 (32): 405–410.CrossRefGoogle Scholar
- Matos, Carolina. 2017. Globalization, Gender Politics and the Media. London: Lexington Books.Google Scholar
- McAllister, Margaret, Terri Downer, Julie Hanson, and Florin Oprescu. 2014. “Transformers: Changing the Face of Nursing and Midwifery in the Media.” Nurse Education in Practice 14 (2): 148-153.CrossRefGoogle Scholar
- McNab, Christine. 2009. “What Social Media Offers to Health Professionals and Citizens.” Bulletin of the World Health Organization 87 (8): 566.CrossRefGoogle Scholar
- Media Reform Coalition. 2015. “Who Owns the UK Media?” Accessed 3 September 2017. http://www.mediareform.org.uk/wp-content/uploads/2015/10/Who_owns_the_UK_media-report_plus_appendix1.pdf.
- Monaghan, Thomas. 2015. “A Critical Analysis of the Literature and Theoretical Perspectives on Theory–Practice Gap amongst Newly Qualified Nurses Within the United Kingdom.” Nurse Education Today 35 (8): 1-7.CrossRefGoogle Scholar
- Muehlbauer, Paula M. 2012. “How Can We Improve the Way the Media Portrays the Nursing Profession?” ONS Voice. Accessed 1 September 2017. https://voice.ons.org/news-and-views/how-can-we-improve-the-way-the-media-portrays-the-nursing-profession.
- Muff, Janet. 1988. Socialization, Sexism, and Stereotyping: Women's Issues in Nursing. Prospect Heights, Ill.: Waveland Press.Google Scholar
- Mulvey, Laura. 1975. “Visual Pleasure and Narrative Cinema.” Screen 16 (3): 6-18.CrossRefGoogle Scholar
- _____. 1989. “Afterthoughts on ‘Visual Pleasure and Narrative Cinema’ inspired by King Vidor’s Duel in the Sun (1946).” In Visual and Other Pleasures, edited by Stephen Heath, Colin MacCabe, and Denise Riley, 29-38. Language, Discourse, Society. Palgrave Macmillan, London.Google Scholar
- _____. 2013. Fetishism and Curiosity. Basingstoke: Palgrave Macmillan.Google Scholar
- Munn, Flavia. 2016. “Nursing the Most Trusted Profession in the UK.” Nursing Standard. Accessed 21 May 2017. https://rcni.com/nursing-standard/newsroom/news/nursing-most-trusted-profession-uk-72621.
- NMC – Nursing & Midwifery Council. 2015. “Guidance on Using Social Media Responsibly.” Accessed 1 September 2017. https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/social-media-guidance.pdf.
- NMC – Nursing & Midwifery Council. 2016. “Annual Equality and Diversity Report.” Accessed 11 August 2017. https://www.nmc.org.uk/globalassets/sitedocuments/annual_reports_and_accounts/equality-and-diversity-report-2015-16.pdf.
- Norman, Jim. 2016. “Americans Rate Healthcare Providers High on Honesty, Ethics.” Gallup. Accessed 20 May 2017. http://www.gallup.com/poll/200057/americans-rate-healthcare-providers-high-honesty-ethics.aspx.
- Ott, Brian L. and Robert L. Mack. 2014. Critical Media Studies: An Introduction. 2nd edition. Oxford: John Wiley & Sons.Google Scholar
- Pawson, Ray. 2006. Evidence-Based Policy: A Realist Perspective. London: Sage.CrossRefGoogle Scholar
- Pawson, Ray and Nicholas Tilley. 1997. Realistic Evaluation. London: Sage.Google Scholar
- Peate, Ian. 2015. “The Lancet—Commission or Condescension?” British Journal of Nursing 24 (8): 429.CrossRefGoogle Scholar
- Press Association, The. 2014. “Media Coverage ‘Idealises Nursing from the Past.”’ Nursing Times. Accessed 26 Jun 2017. https://www.nursingtimes.net/media-coverage-idealises-nursing-from-the-past/5071086.article.
- Ross, Karen and Claudia Padovani. 2017. Gender Equality and the Media. Basingstoke: Taylor & Francis Limited.Google Scholar
- RCN – Royal College of Nursing. 2015. “This is Nursing in the South West.” Accessed 27 May 2017. https://www.rcn.org.uk/-/media/royal-college-of-nursing/documents/publications/2015/july/pub-004873.pdf.
- RCN – Royal College of Nursing. 2017. “Campaigns.” Accessed 27 May 2017. https://www2.rcn.org.uk/newsevents/campaigns.
- Sayer, Andrew. 2000. Realism and Social Science. London: Sage.Google Scholar
- Seago, Jean Anne, Joanne Spetz, Andrew Alvarado, Dennis Kean, et al. 2006. “The Nursing Shortage: Is It Really About Image?” Journal of Healthcare Management 51 (2): 96-110.CrossRefGoogle Scholar
- Sephel, Alysse. 2011. “Digging Deeper: Nurse Excess or Shortage?” Journal of Professional Nursing 27 (6): 390-393.CrossRefGoogle Scholar
- Shelton, Anthony. 1995. Fetishism: Visualising Power and Desire. London: Lund Humphries.Google Scholar
- Silva, Michelle and Julie Freischlag. 2017. “Challenge Accepted: Social Media as a Stereotype Change Agent.” The Journal of Thoracic and Cardiovascular Surgery 154 (4): 1354-1355.CrossRefGoogle Scholar
- Simpkin, Victoria L. and Elias Mossialos. 2017. “Brexit and the NHS: Challenges, Uncertainties and Opportunities.” Health Policy 121 (5): 477-480.CrossRefGoogle Scholar
- Skeggs, Beverley. 1997. Formations of Class and Gender: Becoming Respectable. Thousand Oaks, CA: SAGE Publications.Google Scholar
- Soothill, Keith, Christine Henry, and Kevin Kendrick. 1992. Themes and Perspectives in Nursing. London: Chapman & Hall.CrossRefGoogle Scholar
- Spector, Paul E., Zhiqing E. Zhou, and Xin Xuan Chen. 2014. “Nurse Exposure to Physical and Nonphysical Violence, Bullying, and Sexual Harassment: A Quantitative review.” International Journal of Nursing Studies 51 (1): 72-84.CrossRefGoogle Scholar
- Stange, Mary Zeiss, Carol Oyster, and Jane Sloan. 2013. The Multimedia Encyclopedia of Women in Today's World. London: SAGE Publications Inc.CrossRefGoogle Scholar
- Summers, Sandy. 2010. “The Image of Nursing: The Naughty Nurse.” Nursing Times. Accessed 26 April 2017. https://www.nursingtimes.net/roles/nurse-educators/the-image-of-nursing-the-naughty-nurse/5020678.article.
- Summers, Sandy and Harry Jacobs Summers. 2015. Saving Lives: Why the Media’s Portrayal of Nursing Puts Us All at Risk. 2nd edition. New York: Oxford University Press.Google Scholar
- Takase, Miyuki, Esme Kershaw, and Lorraine Burt. 2002. “Does Public Image of Nurses Matter?” Journal of Professional Nursing 18 (4): 196-205.CrossRefGoogle Scholar
- Takase, Miyuki., Philip Maude, and Elizabeth Manias. 2006. “Impact of the Perceived Public Image of Nursing on Nurses' Work Behaviour.” Journal of Advanced Nursing 53 (3): 333-343.CrossRefGoogle Scholar
- The Prime Minister’s Commission on the Future of Nursing and Midwifery in England. 2010. “Front Line Care: The Future of Nursing and Midwifery in England.” Accessed 27 May 2017. http://webarchive.nationalarchives.gov.uk/20100331110400/http:/cnm.independent.gov.uk/wp-content/uploads/2010/03/front_line_care.pdf.
- The Times. 2017. “Storm over ‘Sexist’ Poster Campaign to Recruit Nurses.” Accessed 20 July 2017. https://www.thetimes.co.uk/article/storm-over-sexist-poster-campaign-to-recruit-nurses-d7w5zd6b2.
- Thio, Alex and Jim Taylor. 2012. Social Problems. Sudbury: Jones & Bartlett Learning.Google Scholar
- Thompson, Victoria. 2010. “Ad Campaign Attacked as 'Gratuitous Sexualisation of Nursing.” Nursing Times. Accessed 17 July 2017. https://www.nursingtimes.net/roles/nurse-managers/ad-campaign-attacked-as-gratuitous-sexualisation-of-nursing/5012644.article.
- Thornham, Sue. 2007. Women, Feminism and media. Edinburgh: Edinburgh University Press.Google Scholar
- Thorpe, Charles. 2016. Necroculture. New York: Palgrave Macmillan.CrossRefGoogle Scholar
- Tuchman, Gaye. 1979. “Women's Depiction by the Mass Media.” Signs: Journal of Women in Culture and Society 4 (3): 528-542.CrossRefGoogle Scholar
- Ulmer, Brenda. 2000. “The Image of Nursing.” AORN Journal 71 (6): 1124-1127.CrossRefGoogle Scholar
- Ramsay, G. 2019. “Who Owns the UK Media?” Accessed 12 May 2019. https://www.mediareform.org.uk/wp-content/uploads/2019/03/FINALonline2.pdf.
- Walter, D. 2013. “Nurse Past, Present and Future: The Making of Modern Nursing.” AORN Journal 97 (3): 383-384.CrossRefGoogle Scholar
- Willis, Phil. 2012. “Quality with Compassion: The Future of Nursing Education: Report of the Willis Commission 2012.” Accessed 27 May 2017. http://www.williscommission.org.uk/__data/.../Willis_Commission_executive_summary.pdf.
- Yar, Mohammed, David Dix, and Madhavi Bajekal. 2006. “Socio-demographic Characteristics of the Healthcare Workforce in England and Wales--Results from the 2001 Census.” Health Stat Q 32:44-56.Google Scholar