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The reflections of these participants emphasize the emotional load of practice and a sensitivity on their part to the male stereotype of being able to cope with such pressures. It is suggested therefore that those providing and managing clinical supervision take into account the possible reluctance of male nurses to seek such support. Issues of gender should be emphasized in nurse education, as these nurses were sensitive to the impact of gender on their practice, both with patient/clients and their significant others, and with colleagues.

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Raising a concern with the quality of practice carries an emotional burden for the student as it may lead to sanctions from staff. Further research is required into the experiences of students to further understand the mechanisms that would enhance reporting and support them in the reporting process.