Brothers By Birth, Colleagues by Choice: Twins Work Side by Side at The Ulster Hospital

13th May 2026

From the same family to the same profession, twin brothers, Jack and Sam Strain are at the heart of patient care at the Ulster Hospital, as the South Eastern Trust marks International Nurses Day.

Jack, a Band 6 Deputy Charge Nurse in Ward 4D, the Stroke Unit, is also part of the hospital’s Thrombolysis Team, supporting rapid assessment and treatment for patients presenting with symptoms of acute Stroke.

Sam works as a Charge Nurse in the Emergency Department (ED), where he plays a key role in managing patient flow in a fast-paced and highly acute environment, while leading and supporting the Nursing Team. His role has enabled him to develop a wide range of clinical skills, including triage, wound care, casting and advanced life support.

Explaining what inspired him to become a Nurse, Jack said: “I have always liked putting other people’s needs before myself. When I was about 16, Sam and I went on a missionary trip to Uganda and being able to help those in need was a big part of why I wanted to go into nursing.

“Even though Sam and myself have shared the same interests and passions, I never thought we would go into the same profession, but it is something I would never want to change. Our mum and dad were always supportive and encouraged us to do our best in everything.

“Nursing has allowed me to grow and develop my maturity. It has helped me become a leader in the workplace, improving my communication with patients, families and colleagues, while also developing important assertive qualities.”

Jack added with a smile, “Apart from getting called the wrong name quite a lot and causing some confusion, it is definitely an enjoyable part of my career!”

Working in the Stroke Unit has given Jack the opportunity to build relationships with patients and their families. Jack explained, “Patients who have suffered a Stroke can have a lengthy hospital stay, so you really get to know them. I enjoy seeing their rehabilitation journeys and the effort they put in despite difficult circumstances.

“At the most difficult times, when patients are nearing the end of life, it is a privilege to ensure they are comfortable and that their families feel supported. That is when Nursing really shows its value.”

Sam said his decision to become a Nurse was also deeply influenced by his faith and early experiences.  “Our missionary trip to Uganda had a huge impact on both of us. Shortly after returning, we worked in a Nursing Home and found real fulfilment in caring for others.

“Growing up, we did almost everything together, so it feels very special to now share the same profession. It is something unique that I would not change.”

Sam credits Nursing with helping him grow his confidence and resilience, “Working in ED has strengthened my leadership, decision-making and ability to stay calm under pressure. It has reinforced the importance of teamwork, communication and compassion, especially when supporting patients and families during emotional situations.”

Reflecting on working alongside his twin, Sam said: “Not many people get the opportunity to work alongside their twin in a profession we are both so passionate about. It allows us to support each other through the challenges of healthcare.

“Even with different uniforms, we still get mixed up regularly. There have definitely been times I have carried on conversations while being mistaken for Jack, it always gives us a good laugh!”

Sam also highlighted the rewarding role of Emergency Nursing, “In ED, we are often the first point of contact for patients. Being able to provide reassurance and care during what can be a frightening time is incredibly rewarding. Knowing you are helping someone start their recovery journey is a great feeling.

“There is no greater feeling than knowing you have made a meaningful difference in someone’s life. Nursing can be challenging, but the reward of helping others makes it all worthwhile. It is a career full of purpose, opportunity and impact.”

Jack added, “I love Nursing and could not imagine doing anything else. It is a career where you are constantly learning and developing. I would not dream of doing anything else.”