EC Paediatrics

Research Article Volume 12 Issue 6 - 2023

The Influence of a Nurse's Physical Appearance on the Patient's Perception of Nurse Competence

Tracey Long*

Family Nurse Practitioner and Faculty of Nursing, Roseman University, USA

*Corresponding Author: Tracey Long, Family Nurse Practitioner and Faculty of Nursing, Roseman University, USA.
Received: March 23, 2023; Published: May 20, 2023



The image of the professional nurse has changed throughout history. Nurses have been voted the most trusted profession for decades. Many nurses, as almost 50% of the American general population, have become overweight or obese, which means they no longer completely represent the traditional heathy role model.

Many nurses who are overweight or obese admit they feel hypocritical teaching patients to lose weight [1]. The study question for this research seeks to know if the nurse’s physical appearance influences a patient’s perception about the nurse’s ability to be a role model of health. Findings demonstrated a generational and cultural difference in how a patient’s perception of the nurse’s physical appearance influenced the perceived competence of the nurse.

Keywords: Image of Nursing; Patient Perception; Perceived Competence; Nurse’s Physical Appearance; Obesity in Nursing; Nurses who Smoke; Nurses with Tattoos

  1. Brown I and Thompson J. “Primary care nurses’ attitudes, beliefs and own body size in relation to obesity management”. Journal of Advanced Nursing5 (2007): 535-543.
  2. Puhl and Brownell K. “Bias, discrimination, and obesity”. Obesity Research 12 (2001): 788-805.
  3. Shields L and Hartati, LE. “Nursing and health care in Indonesia”. Journal of Advanced Nursing 44 (2003): 209-216.
  4. Takase M., et al. “Does public image of nursing matter?” Journal of Professional Nursing4 (2002): 196-205.
  5. Turner AM., et al. “Fiction Versus Reality: Nursing Image as Portrayed by Nursing Career Novels". OJIN: The Online Journal of Issues in Nursing2 (2019): 4.
  6. Nurses keep healthy lead as most honest, ethical profession (2017).
  7. Hatfield L., et al. “The professional appearance of registered nurses: An integrated review of peer-refereed studies”. The Journal of Nursing Administration2 (2013): 108-112.
  8. Gordon S and Nelson S. “An end to angels”. American Journal of Nursing5 (2005): 62-69.
  9. Hoeve Y., et al. “The nursing profession: public image, self-concept and professional identity. A Discussion Paper”. Journal of Advanced Nursing2 (2014): 295-309.
  10. American Association of Colleges of Nursing. (AACN). “Fact sheet: Enhancing diversity in the nursing workforce”. 2nd Upper Saddle River, NJ: Pearson Education (2019).
  11. Department of Health and Human Services (DHHS,). National Sample Survey of Registered Nurses (2019).
  12. American Assembly of Men in Nursing (AAMN) (2020).
  13. McGinity AS. “Re-visioning the image of nursing”. Nursing Outlook4 (2021): 526-527.
  14. Bringsén Å., et al. “Nursing staff’s experience of appearance issues in various nursing situations”. BMC Nursing1 (2021): 1-204.
  15. Nease B., et al. “Patients' perceptions of care provided by nurses with visible tattoos”. Nursing Management3 (2021): 44-50.
  16. Mujika A., et al. “Health professionals’ personal behaviours hindering health promotion: A study of nurses who smoke”. Journal of Advanced Nursing11 (2017): 2633-2641.
  17. “Patient satisfaction: expectations and experiences of nursing care”. Contemporary Nurse 9.3-4 (2000): 275-283.
  18. Willis N., et al. “Appearance of Nurses and Perceived Professionalism”. International Journal of Studies in Nursing3 (2018): 30.
  19. Huston C. “The nursing profession’s historic struggle to increase its power base. Chapter in Professional issue in nursing: Challenges and opportunities”. Philadelphia, PA: Wolters Kluwer (2017).
  20. Kalisch P and Kalisch B. “Perspectives on improving nursing’s public image”. Nursing Education Perspectives1 (2005): 10-17.
  21. Mangum S., et al. “First impressions of the nurse and nursing care”. Journal of Nursing Care Quality5 (1997): 39-47.
  22. Nurses for a Healthier tomorrow (NHT) (2011).
  23. Tobin S. “How do you look?” American Nurse Today (2006): 38-39.

Tracey Long. The Influence of a Nurse's Physical Appearance on the Patient's Perception of Nurse Competence. EC Paediatrics 12.6 (2023): 20-27.