Only girls aloud and why boys don’t care

Guest blog post from Dr Andrew Clifton, Senior Lecturer in Health and Social Care at Leicester De Montfort University.

Women now account for around 15 percent of people working in all STEM industries and encouragingly these figures are on an upward trajectory from previous years (WISE 2015). However, campaigning groups such as WISE and Fawcett have a way to go before we attain a 30 percent critical mass or 50:50 target of achieving gender equality in non-traditional roles. The case for having more women in science, technology and engineering is both convincing and well made, but there appears to be an anomaly in the ‘traditional roles’ discussion, which concerns encouraging men into job roles which have traditionally been seen as female.

Image reproduced with kind permission from the artist, Jacquie Hughes.
Image reproduced with kind permission from the artist, Jacquie Hughes.

Currently there are 680,858 active nurses and midwives registered to practice in the UK (NMC 2015). Only 10 percent are male and these figures have remained static for twenty years, and actually, the percentage is slowly moving backwards to single figures. Clearly nursing in the UK is not a traditional role for boys and men. Without making claims of a correlation, surely it’s legitimate to suggest that if we can get more women into STEM industries, we must be able to get more boys and males into careers such as nursing, and thus break down these out-dated gender-specific job roles? Decoupling women from their constructed role as professional and family carers means we have to make a concerted effort to encourage and attract males into these roles, such as nursing, and expect males take on an equal share of caring within families.

As we can see from the STEM industries reversing years of gender inequality and gender stereotyping in the workplace, it is a challenge. A national and sustained campaign to attract boys and men into non-traditional roles is needed. Schools and universities could do much more to encourage boys to apply for nursing, allied health courses, and caring roles. Fundamentally we need a shift in public attitudes and employment practices which ‘lock-in’ women as professional workers for the state and personal carers for their families, and don’t encourage men into caring roles enough.

This is an issue of gender equality. The NHS and nursing in particular is a highly gendered profession and because of government cut backs careers prospects and conditions of employment are being seriously eroded for hundreds of thousands of women working in the caring professions. Why should women have to accept this? A realignment of gender roles in the workforce is required and part of that solution is getting boys and males to work as professional carers in non-traditional roles such as nursing.

© Dr Andrew Clifton, Senior Lecturer Health and Social Care:

Illustration ©Jacquie Hughes:, instagram: jacquie_hughes

Quick guide to the EU Referendum for nurses.

How important is the EU Referendum for nurses?  In a nutshell?  Very.

Nursing could arguably be one of the professions most affected by the outcome,  and the NHS is certainly being used as a key battle ground for both sides of the argument.

Vote Leave argue that the £350 million we ‘send to Brussels’ every week could be spent on the NHS.  Britain Stronger in Europe suggest we will face £40bn of budget cuts if we leave, hitting the NHS hard.


Image ©Jacquie Hughes and kindly reproduced with permission from the artist.

Why will the referendum affect nursing?

The Royal College of Nursing states it does not have a position on the referendum, but it does detail the role of the EU in shaping our profession.

EU policies and legislation have had a major impact on policy issues that directly impact on nurses’ working lives, such as employment rights; equal opportunities; health and safety at work; environmental and consumer protection. (Royal College of Nursing)

Often derided, EU health and safety initiatives have undoubtedly improved the health and wellbeing of health professionals and patients, including many we now take for granted. For example:

  • Manual handling
  • Prevention of SHARPS injuries
  • Biohazard management

In addition, working conditions for nurses have significantly improved with the introduction of the EU working time directive.

Common minimum requirements in nurse education mean that EU nurses (including UK) can move freely between countries and practice to an agreed standard.  NHS Trusts have been actively targeting our european colleagues to fill the 10,000 unfilled nursing posts across the UK.  Over 20% of UK nurses are born abroad.

Similarly, the UK is the biggest exporter of nurses, with 50,000 of us working abroad, including in the EU.

Women and Europe

As 90% of the nursing workforce is female, it is important to consider the impact EU employment laws have had on women.

  • Equal rights for part-time workers and those on fixed term contracts.
  • Maternity leave
  • Equal pay
  • Anti-discrimination laws

It’s unclear what the impact of leaving the EU might be on these issues.


Or Transatlantic Trade and Investment Partnership Agreement.  Read more about it here.

This has caused a great deal of concern in relation to the NHS, which it’s feared could essentially be privatised and sold to the US.  There is a counter argument however, that the EU is negotiating safeguards within TTIP to protect the NHS.

Key figures in the field argue that the real threat to the NHS comes from domestic legislation in the shape of the 2012 Health & Social Care Act. (For an example of this, here is a recent article in the Financial Times regarding US ‘investment’ in the NHS.)

Decisions, decisions.

It can be hard to tell fact from fiction in this debate, but there are some organisations who are trying to do just that.

38 Degrees have taken a neutral stance on the referendum, instead fact-checking what both sides of the argument are saying.  You can visit their facebook page here.

The RCN has a really detailed and balanced article on the relationship between nursing and the EU.  Read it here.

Another group worth checking out (although clearly not neutral) is Healthier In Europe. Run by and for health professionals who wish to remain in the EU, they outline a number of key issues relating to healthcare and Europe.

As a nurse, a woman, a mother, for me it’s a no brainer.  I’ll be voting to stay in. There is no doubt that I have benefited from the policies and directives introduced by the EU.  If we were to leave, I don’t feel there have been adequate reassurances and safeguards that these rights would be extended.

But whatever you do, don’t do nothing.  This is a huge decision which will impact on our working and family lives for years to come.  The worst thing any of us can do is sleepwalk into a future we didn’t play a part in shaping.

And because I rarely get an excuse to include The Clash in my blog, here’s some referendum inspiration.

©Jo Higman

Jacquie Hughes is a Nottingham based professional illustrator.  You can find more examples of her work on Instagram: jacquie_hughes, or email her at:

Nurses and social media: where do we go from here?

I recently attended an in-the-flesh meeting of tweeting healthcare professionals, organised by the ‘We Community’.  It was a vibrant day, with lively conversations around the role of social media in healthcare.

The subject that interested me the most, was this:


©We Communities

This question generated a lot of debate around my table, largely as it raises a number of issues around the role of nurses in social media.

We asked:

  1. Should we be trying to improve peoples’ lives through social media?
  2. Do people want healthcare professionals to try and improve their lives via social media?
  3. Where do nurses stand in terms of duty and accountability?

Needless to say, we didn’t necessarily answer the question!

I recently wrote about the value of social media, especially twitter, for nurses.  It is an excellent space for engaging with the healthcare community and maintaining professional development.  But what about beyond that?

Should we be trying to improve peoples’ lives through social media?

As a nurse, I have a tendency to try and help others wherever possible.  Twitter is an amazing platform to communicate health information, share knowledge and demonstrate our value as a profession.

But what about beyond that?  Given the small number of nurses (compared to the number of UK registered nurses) who actively engage with twitter, is there scope to do more?  Or are we indirectly improving lives by being engaged professionals, passionate about nursing?

Do people want healthcare professionals to try and improve their lives via social media?

Writing in Forbes recently, Reenita Das talked about disruptive influences in healthcare. She reports that a key element of contemporary healthcare is patient to patient, or peer support.  It could be argued that patients and service users are ahead of the game when it comes to technology.

From the early days of the internet, self-help forums and online communities have flourished, providing the public with unprecedented access to information and support. This extends to social media where tweet chats are numerous and hashtags for every disease or illness imaginable connect people in an instant.

Are we being presumptuous in thinking we have a potential role in improving peoples lives via social media?  How can we add value in this space?

Where do nurses stand in terms of duty and accountability?

A recent We Community tweet chat on professional boundaries provides a great summary of some of the issues nurses need to consider when using twitter.  Several nurses have been the subject of NMC conduct hearings in recent years, in relation to social media.

It would be a brave nurse indeed who used social media to offer individual advice and support to the public.  I would consider it an accountability minefield.  However, the NMC Code stipulates that we are to “act in the best interests of people at all times.”  So where does that leave us?

If we go back to the original question, how can we improve peoples lives and services through social media?  The Code may actually provide us with some of the answers.  Take these three points:

  • “Share your skills, knowledge and experience for the benefit of people receiving care and your colleagues”
  • “Always practise in line with the best available evidence”
  • “Uphold the reputation of your profession at all times”

Any nurse engaged with social media in a professional capacity will know that these three elements make up the core of what we do in the digital world.  Are we then already improving peoples lives and services through social media?  If we are, where do we go from here?

As I pointed out earlier, the vast majority of registered nurses don’t appear to be actively engaged with social media in a professional capacity.  Maybe what we should be asking is ‘how do we engage our non-digital colleagues in improving peoples lives and services through social media?’

Clearly it’s a personal choice and a contentious issue.  I’ll be the first person to advocate switching off after a busy shift.  But what do you think?  Should more nurses engage with social media or is it too much to expect given the challenges they face day-to-day?  

©Jo Higman

How Twitter can boost your nursing mojo

As Revalidation bites, we’re all on the look out for ways to fill those 35 hours of CPD, especially the 20 hours of participatory learning.  Did you know that taking part in professional conversations on Twitter can be used?  If you’ve never considered the professional benefits of social media, you may think Twitter is all about cats:


Aww, he’s so cute.

And there is no denying that cats own the internet.

But there is so much more to Twitter for nurses and health professionals, something which the NMC recognise.  We even have our own dedicated community space in the form of @WeNurses and the We Communities.  But before we go any further, let’s remind ourselves of the key elements of ‘Participatory Learning’ for Revalidation:

“To meet the participatory learning requirement, you simply have to undertake activity that involves interaction with one or more other professionals. This can be in a physical environment or a virtual one – you don’t have to be in the same room as the people you undertake the activity with.”

I clarified with the NMC (via Twitter, of course) that professional Twitter chats could be included:


OK, so now we know we can use Twitter to support CPD.  But why bother?  There are plenty of other ways to get your hours in, aren’t there?   If you’re unfamiliar with the platform, it may be difficult to see how this global conversation and cat gallery can have anything to offer nurses.

I spoke to Teresa Chinn MBE, founder of the WeNurses community and asked her why she first took to twitter.

I started WeNurses because I was an isolated agency nurse and wanted to reach out and discuss nursing issues and best practice with a few other nurses.  Social media gives nurses a world of expertise and opportunities in the palm of their hand.”

With nearly 48,000 followers, WeNurses has spawned similar communities across the board of healthcare professionals, including paramedics, pharmacists, midwives and many more.  Hosting regular twitter ‘chats’, it offers an unprecedented opportunity to discuss a broad range of clinical issues with peers.

There are benefits to twitter beyond Revalidation, as Teresa points out:

Social media is immensely valuable for nurses not only for what it can offer us in terms of CPD, learning and support but also with how it helps us to shape our digital identities as individuals and as a profession.”  

But what is a digital identity and why does it matter?  Consider the recent junior doctors strike.  Junior doctors presented a professional, vast, visible, united front on social media. Everything that we respect and admire in our medical colleagues was encapsulated in their digital identity.  Twitter is a public platform for us to showcase our professional identity and demonstrate to the world that we are a credible, educated, compassionate, dedicated, connected workforce.     

Like anything new, twitter may seem scary and deter those who are unfamiliar with it, something Teresa recognises:

“Sometimes its about showing [nurses] the possibilities and how it can help them in terms of learning or CPD.  Sometimes its about allaying fears around connecting in such a wide open space as a nurse and talking those through.”

For the new generation of nurses, the majority of whom will be ‘digital natives’, social media is likely to be a far less daunting professional space.  Indeed, they will play a fundamental role in shaping nurses digital identity.

Second year student nurse, Zoe Butler is a blogger and active member of the WeNurses twitter community.  I asked her how social media had benefited her professionally:

“Twitter has vastly increased my ability to network, develop and learn with not only fellow students, but also health professionals who I would not have had the opportunity to meet.”

Zoe talked of the opportunity to discuss clinical issues, challenging her practice and perceptions, stating this has “allowed me to be a more confident and considerate practitioner.”  Her engagement in social media has led to opportunities in her professional life which she argues she simply would not have been exposed to otherwise.

As Zoe points out however, it’s essential that we abide by the NMC Code and our employers social media policy when taking to social media.  A recent investigation by the Nursing Standard found that twenty nurses had faced Fitness to Practice proceedings between 2012 and 2015 for improper conduct on social media.  Social media platforms are public spaces, regardless of our privacy settings.

As Zoe points out though,

“If we portray a positive message that shows care, compassion and a love of nursing, this surely is allowing patients to see how passionate we are about their health and well-being.”

It is fantastic to hear the next generation of nurses speak with such passion about our profession, something Teresa echoed when i asked her how to engage nurse colleagues with twitter:

 “It can be hard at times to get nurses to see the value, however I have always gone with the mantra that if I can show just one nurse the difference it can make to them then I would have made a difference.”  

Spoken like a true nurse.

So, are you ready to take the plunge and boost your nursing mojo?  The WeCommunities site has a fantastic ‘Twitterversity’ for everyone; from absolute beginner to advanced tweeter.  Find it here.

©Jo Higman