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Photo: Travana University, Unsplash.com

Recommendations

The following is a summary of the key recommendations developed by the core project team. 

1. De facto commitment to diversity

Universities and faculties must actively address diversity and gender equality by implementing specific action plans. These should focus on increasing representation of all genders among faculty teachers and achieving gender balance among students. Faculty leadership must take ownership of these efforts to foster collaboration and ensure continuous progress.

2. Support for male nursing students

Male students should be grouped for peer support in classes and mentoring should be offered, including by female mentors, to reduce dropout rates and boost well-being. Clinical practice environments should also be structured to support the retention and success of male students.

3. Tailored recruitment 

Recruitment materials should be updated to appeal to a broader audience, highlighting the meaningful aspects of nursing while considering gender, ethnicity and age diversity. Emphasizing diverse career pathways in fields like emergency and psychiatric care should be used in marketing efforts to attract male candidates, while being mindful not to enhance gender stereotypes.  

4. Diversity awareness training for all 

All university study programmes must emphasise gender equality, inclusivity and diversity education. Targeted training should be provided for faculty and students, focusing on gendered and ethnic identities. This helps all students, especially in gendered fields like nursing, better understand minority and majority group dynamics and promotes more inclusive care in the Nordic Region and beyond.

    Table of recommendations

    Below is a summary of specific, practical recommendations that can be implemented at different administrative levels, starting with the faculty level and then moving on to the university level, as well as the regional and national level. A full list of recommendations, as well as a project description, is available at: Share the Care: Strategies to Increase Diversity in Nursing Education
    Administrative level
    Recommendation
    Time frame
    Impact
    Cost/budget
    Description 
    Faculty
    Group male students (and male practitioners) together and encourage male students to participate in peer mentoring programmes and act as role models for others
    Medium-term
    (1-2 years)
    Makes male students feel that they belong to a group and builds supportive ties within the educational institution and beyond
    Low (coordination, promotion)
    It is recommended that men be grouped together in classes, provided with peer support and given access to mentoring systems (including female mentors). Through communicating with their role models, they are given the necessary support to experience feelings of belonging in the educational institution and profession or nursing in general 
    Faculty
    Revise recruitment materials and language used to ensure gender-neutral and inclusive language, removing stereotypical images and texts
    Short-term
    (6-12 months)
    Changes perception of nursing, making it more appealing to men and underrepresented groups
    Low (changes in marketing materials)
    Update department-level recruitment materials to reflect a more inclusive view of nursing, ensuring men are not excluded by traditional stereotypes. Include visuals and language that represent the diversity of the profession. Update the institution’s websites and check that there are no images that reinforce stereotypes in the venues used by the faculty 
    Faculty
    Incorporate diversity, inclusion and gender equality training into the nursing curriculum for all students
    Long-term
    (2-4 years)
    Ensures all nursing students are equipped to address diversity issues in healthcare settings
    Moderate (curriculum updates, working hours of the relevant teaching staff)
    Introduce mandatory coursework that covers gender equality, inclusion and the benefits of diversity in healthcare. This can help students of all genders to understand their role in providing inclusive care while also reflecting on their own position in the healthcare landscape. It is important that female students undertake the same exercise, thus, strengthening overall awareness of diversity
    Faculty
    Build a support system for field work placements, ensuring the work environment is welcoming for male students
    Medium-term
    (2 years)
    Improves retention of male students and enhances their learning experience during clinical practice (field work)
    Low to moderate (costs of collaboration and coordination with placement sites)
    Work with clinical placement partners to ensure a supportive and inclusive environment for male students during their fieldwork – clinical practice, which is critical since 50% of their education occurs in real-world settings. Besides targeting male nurses as cooperation partners in this clinical practice, this might also include educating clinical staff in general on gender diversity and inclusion
    University
    Appoint a gender diversity officer or committee to oversee diversity initiatives targeted at diversity among students 
    Long-term (constant)
    Increases institutional accountability for gender diversity in nursing and healthcare professions
    Moderate (salary or committee costs)
    Establish a dedicated role or committee within the university to focus on gender diversity among students. This role would ensure sustained attention is paid to the issue and help coordinate efforts across various departments and faculties. In addition, this could lead to better collaboration with industry partners, which could be instrumental in helping to reach the diversity goals at the university
    University
    Develop and implement a university-wide action plan on diversity and gender equality in health education and care programmes
    Medium-term
    High impact on increasing diversity and gender balance in line with national goals
    Moderate (depending on the scale)
    The plan should address gender imbalance among students, referring to the existing national/official reports on men and gender equality. It should link with national diversity and gender equality goals. Central management involvement and ownership is essential
    Ministry of Education/National Level
    Push for funding in nursing education similar to that provided for STEM programmes to support gender diversity initiatives
    Long-term
    (3+ years)
    Increases funding for initiatives aimed at improving male participation in nursing, making long-term projects more viable through co-financing or support platforms involving industry partners 
    High (government funding allocation)
    Advocate for national-level funding for gender diversity in nursing education. This would provide the financial backing for long-term initiatives and help universities and colleges develop sustainable programmes, as is the case in STEM fields
    Ministry of Education/National Level
    Quotas for the underrepresented genders in nursing and other unbalanced fields of studies
    Long-term
    (3+ years)
    Provides an advantage to underrepresented genders in admissions 
    Moderate (depending on resistance)
    While this measure was not implemented in this project, research shows that gender quotas of around 20% for the underrepresented genders can help improve gender balance. This approach is set to be implemented at institutions in Norway in the future. We recommend adopting the same measure across the rest of the Nordic countries.
    International (Nordic Collaboration)
    Continue international collaboration across Nordic countries to gather data, analyse trends and promote gender diversity
    Long-term
    (5+ years)
    Provides valuable insights into how gender diversity can be improved across multiple healthcare systems, leading to more effective strategies
    High (international research projects, data collection, analysis)
    Build on existing Nordic collaboration projects to conduct in-depth research into gender diversity in nursing and healthcare. Pool resources and data to understand the barriers to male participation better and develop actionable insights that can inform national policies and international best practices. Collaboration could include joint research projects, conferences and shared funding proposals