Document Type : Original Article
Authors
1 College of Nursing, AIIMS, Jodhpur, Rajasthan, India
2 Akal College of Nursing, Eternal University, Baru Sahib, Himachal Pradesh, India
Abstract
BACKGROUND: Ancient history mentions the dominance of men in nursing; however, now nursing
has a feminine image, and globally more than 90% of nursing workforce is females. Recently, more
number of males are attracted to nursing, but there is a paucity of literature on the attitude of people
about men in nursing may be because of a lack of measurement scales available for this purpose.
The aim of this study was to develop and validate a new scale measuring attitude of people toward
men in nursing.
MATERIALS AND METHODS: The present study was conducted at a tertiary care hospital and used
an exploratory sequential design with an instrument development model. A total of 400 participants
were selected using the simple random sampling technique. The reliability, content validity, face
validity, and construct validity of this newly developed scale were computed. For data analyses SPSS
AMOS version 23 was used for performing exploratory and confirmatory factor analyses.
RESULTS: The new scale “AMnQ” consists of 15 items under three factors: (I) nursing is feministic
and professionally low, (II) higher suitability of male nurses in technical and challenging situations,
and (III) synonymy of empathy and care with a female. The final model with 15 items of AMnQ scale
was validated by confirmatory factor analysis and showed a good fit to data. The Cronbach’s α for
the overall scale was 0.87, and for Factors I, II, and III, it was 0.80, 0.88, and 0.89, respectively.
CONCLUSIONS: The “AMnQ” is a valid, reliable scale to assess the attitude of patients, nurses,
physicians, and nursing students toward men in nursing. There is an assumption that nursing is a
feminine profession; therefore, a valid and reliable scale to measure the attitude of people toward
men in nursing will help to generate pieces of evidence on this subject, so that policymakers can
make unbiased decisions on liberalizing entry of men in nursing.
Keywords
- O’Lynn EC, Tranbarger RC. Men in Nursing: History, Challenges
and Opportunities. New York: Springer Publishing Company
LLC; 2007.
2. Publications A. Men in Nursing: Why it’s okay for men to
care‑Australian College of Nursing. Australian College of
Nursing; 2019. Available from: https://www.acn.edu.au/nurse
click/men‑in‑nursing‑why‑its‑okay‑for‑men‑to‑care. [Last
accessed on 2019 Nov 21].
3. Kleinman CS. Understanding and Capitalizing on Men’s Advantages In: JONA: The Journal of Nursing Administration.
LWW; 2019. https://journals.lww.com/jonajournal/
Abstract/2004/02000/Understanding_and_Capitalizing_on_
Men. [Last accessed on 2019 Nov 14].
4. Eser I˙, Khorshid L, Denat Y. Perception of nursing profession.
J Cinar 2004;10:31‑9.
5. Adeyemi‑Adelanwa O, Barton‑Gooden A, Dawkins P, Lindo JL.
Attitudes of patients towards being cared for by male nurses in
a Jamaican hospital. Appl Nurs Res 2016;29:140‑3.
6. Buyuk ET, Rizalar S, Korkmaz M. Male Nurses: The Perspectives
of the Hospitalized Children and Mothers PDF Free Download.
Docplayer.net; 2019. Available from: https://docplayer.
net/14041205‑Male‑nurses‑the‑perspectives‑of‑thehospitalized‑
children‑s‑mothers.html. [Last accessed on 2019 Nov 14].
7. Koç Z, Sağlam Z. Determining the Attitudes of Inpatients Towards
Male Nurses; 2019. Available from: https://www.researchgate.
net/profile/Sebahat_Akbal_Ates. [Last accessed on 2020 Nov 14].
8. Fottler MD. Attitudes of female nurses toward the male nurse:
A study of occupational segregation. J Health Soc Behav
1976;17:98‑110.
9. Lo R, Brown R. Perceptions of nursing students on men entering
nursing as a career. Aust J Adv Nurs 1999;17:36‑41.
10. Abudari MO, Ibrahim AF, Aly AA. Men in nursing” as viewed by
male students in secondary schools. Clin Nurs Stud 2016;4:41‑7.
11. Damon N. The attitudes and opinions of women in turkey about
the male nurses who worked at the maternity and childbirth
service. Int J Bus Soc Sci 2012;3:2012.
12. Haigh M. Men in Nursing: A Quantitative Study from the
Perspective of West Australian Nursing Students. Mater, The
University of Western Australia, Faculty of Medicine; 2015.
13. Bartfay W, Bartfay E, Clow K, Wu T. Attitudes and perceptions
towards Men in nursing education. Internet J Allied Health Sci
Practice 2010;8:1‑7.
14. Tortumluoglu G, Akyil R, Karanlik A, Aldaç R, Turaneri E,
Yılmaz A. Individuals’ opinions and expectations about nurses
in Erzurum province. J Ataturk Univ Sch Nurs 2005;8:10‑9.
15. Coban GI, Kasikci M. Development of the attitude Scale for
nursing profession. Int J Nurs Pract 2011;17:518‑24.
16. Loughrey M. Just how male are male nurses? J Clin Nurs
2008;17:1327‑34. - 17. Baghcheghi N, Koohestani HR, Karimy M. Design and
psychometric properties of willingness to mobile learning scale
for medical sciences students: A mixed‑methods study. J Educ
Health Promot 2020;9:141.
18. Lawshe CH. A quantitative approach to content validity 1. Pers
Psychol 1975;28:563‑75.
19. Mohd Suan MA, Tan WL, Soelar SA, Ali AM. The development
and validation of the nurses’ attitude towards conducting research
questionnaire (NA2CRESQ). Ann Med Health Sci Res 2017;7:377‑82.
20. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator
of content validity? Appraisal and recommendations. Res Nurs
Health 2007;30:459‑67.
21. Zamanzadeh V, Ghahramanian A, Rassouli M, Abbaszadeh A,
Alavi‑Majd H, Nikanfar AR. Design and implementation content
validity study: Development of an instrument for measuring
patient‑centered communication. J Caring Sci 2015;4:165‑78.
22. Cicchetti DV, Sparrow SA. Developing criteria for establishing
interrater reliability of specific items: Applications to assessment
of adaptive behavior. Am J Ment Defic 1981;86:127‑37.
23. HairJF, BlackB, BabinB, AndersonRE. Multivariate Data Analysis.
7th ed. Upper Saddle River, NJ: Pearson Education; 2016. p. 900.
24. Tabachnick BG, Fidell LS. Using Multivariate Statistics. 6th ed.
Upper Saddle River, NJ: Pearson Education; 2013. p. 983.
25. Brown TA. Confirmatory Factor Analysis for Applied Research.
2nd ed. New York: Guilford Press; 2015. p. 35‑130.
26. Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J
Med Educ 2011;2:53‑5.
27. Polit DF. Assessing measurement in health: Beyond reliability
and validity. Int J Nurs Stud 2015;52:1746‑53.
28. DeVon HA, Block ME, Moyle‑Wright P, Ernst DM, Hayden SJ,
Lazzara DJ, et al. A psychometric toolbox for testing validity and
reliability. J NursScholarsh 2007;39:155‑64.