Shedding the white coat to reclaim nursing's identity beyond medical mimicry

The white coat has become a contested symbol in nursing-a garment once exclusive to medicine that now reflects deeper tensions about professional identity, legitimacy, and visual authority. Although some nurses wear it out of practicality or institutional policy, its broader adoption risks reinforcing hierarchies that devalue nursing's distinct epistemology, which emphasizes relational, experiential, and embodied care. Drawing from critical theory, poststructuralism, and postmodernism, this essay explores how the white coat perpetuates colonial mimicry and epistemic violence by aligning nursing with a model of clinical detachment and scientific supremacy. Through both historical analysis and personal reflection, the author examines how uniform symbolism affects nurse-patient dynamics, role clarity, and self-perception. Practical counterarguments-including hygiene, patient trust, and professional image-are acknowledged and addressed. The essay ultimately advocates for context-specific attire and meaningful professional rituals, such as pinning ceremonies and value-based tokens. These alternatives better align with nursing's pluralistic philosophy and can empower nurses to define their visual and symbolic identity on their own terms. Letting go of the white coat is not a dismissal of professionalism but an invitation to reimagine it through the lens of care, justice, and authenticity.

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Publication Details

Journal
Journal of the American Association of Nurse Practitioners
Published
2025-10-01
DOI
https://doi.org/10.1097/jxx.0000000000001188
Primary Topic
Empathy and Medical Education
Type
article
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article

Shedding the white coat to reclaim nursing's identity beyond medical mimicry

Trae Stewart
Journal of the American Association of Nurse Practitioners
Empathy and Medical Education
article

Shedding the white coat to reclaim nursing's identity beyond medical mimicry

Trae Stewart
article en

Abstract

The white coat has become a contested symbol in nursing-a garment once exclusive to medicine that now reflects deeper tensions about professional identity, legitimacy, and visual authority. Although some nurses wear it out of practicality or institutional policy, its broader adoption risks reinforcing hierarchies that devalue nursing's distinct epistemology, which emphasizes relational, experiential, and embodied care. Drawing from critical theory, poststructuralism, and postmodernism, this essay explores how the white coat perpetuates colonial mimicry and epistemic violence by aligning nursing with a model of clinical detachment and scientific supremacy. Through both historical analysis and personal reflection, the author examines how uniform symbolism affects nurse-patient dynamics, role clarity, and self-perception. Practical counterarguments-including hygiene, patient trust, and professional image-are acknowledged and addressed. The essay ultimately advocates for context-specific attire and meaningful professional rituals, such as pinning ceremonies and value-based tokens. These alternatives better align with nursing's pluralistic philosophy and can empower nurses to define their visual and symbolic identity on their own terms. Letting go of the white coat is not a dismissal of professionalism but an invitation to reimagine it through the lens of care, justice, and authenticity.

Journal of the American Association of Nurse PractitionersVol. 37(10)
Massachusetts College of Pharmacy and Health Sciences (US), MSD (Switzerland) (CH)
Openalex Percentile: Top 67%
Empathy and Medical Education
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Shedding the white coat to reclaim nursing's identity beyond medical mimicry — Trae Stewart · Journal of the American Association of Nurse Practitioners (2025) | TGRS Research Map | TGRS