Healing by Leaps and Gowns: A Novel Patient Gowning System to the Rescue

Frankel, Robyn; Peyser, Alexandra; Farner, Katherine; Rabin, Jill M.

doi:10.1177/23743735211033152

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…The partnership with and perspectives of the participants in this study confirm previous research findings from other settings 2,[7][8][9][10][11]25,26,20 indicating that the patient and carer experience may be improved through focused redesign and creation of this vital item of patient clothing.…”

Section: Discussionsupporting

confidence: 82%

New Zealand hospice staff perspectives on ‘Xcellent Gowns’ for big bodied palliative care patients: a qualitative study

Phillips

Wood

Loveard³

et al. 2023

J. Prim. Health Care

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Introduction A handful of reports detail efforts to redesign traditional hospital gowns to address common concerns related to patient comfort and privacy for big bodied patients. Results suggest that improving gown design has the potential to improve both the patient and carer experience and satisfaction of care. Aim This study aimed to ascertain the utility of gowns purposely designed for big bodied patients (named Xcellent Gowns) from a staff perspective. Methods Qualitative semi-structured interviews were conducted in 2022 with 14 hospice staff members. Interview transcripts were uploaded to DedooseTM. Data were analysed utilising reflexive thematic analysis according to a six-phase process including data familiarisation, iterative data coding, and theme development and refinement. Results The qualitative analysis of the interview data identified four main themes: (1) the gown experience, (2) fit-for-purpose, (3) love and dignity, (4) design principles. Each theme is presented and discussed with illustrative quotes from participants’ interview transcripts. Discussion The perspectives of the staff participants in this study confirm research findings from other healthcare settings, that the patient and carer experience may be improved through focused redesign of this vital item of patient clothing.

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Section: Discussionsupporting

confidence: 82%

New Zealand hospice staff perspectives on ‘Xcellent Gowns’ for big bodied palliative care patients: a qualitative study

Phillips

Wood

Loveard³

et al. 2023

J. Prim. Health Care

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“…While a minority of the participants were of the view that the gown was necessary and/or required no modifications, the majority reported the need for alternatives such as patients having the option to bring their own patient wear, reducing the use of the gown to occasions when it is medically necessary or modifying its existing design to reduce patients' exposure and to increase dignity through adopting a patient-centred approach to its design and use (Oliver, 2017). Efforts to create new hospital attire that begins to address these needs is underway (Frankel et al, 2021). Despite such developments, many of the healthcare workers in the current study pointed to resource implications, institutional acceptance of the gown and barriers to challenging hospital policies and practices; this is likely due to wider issues relating to resistance to change within healthcare systems (Robinson, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…In turn, this may contribute to an increased risk of developing post-traumatic stress in response to medically traumatic experiences (Frankel et al, 2021, Morton, 2020Morton et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

When patients wear backless gowns, they take on the “sick role” and become dependent’: Exploring the perspectives of healthcare professionals

Cogan¹,

Morton²,

Johnstone³

et al. 2023

Preprint

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The tenets of dignity, safety and privacy are potentially challenged when patients are required to remove their own clothes and wear the hospital gown for medical procedures. The current study aimed to explore healthcare workers’ views (n = 3371) on the utility of the hospital gown and its perceived impact on patient wellbeing using a cross-sectional online survey with closed and open-ended questions. Findings suggested that the gown was often used when it was not medically necessary and that it was perceived to negatively impact on patient wellbeing (leaving patients feeling uncomfortable, vulnerable, cold, exposed and self-conscious). The majority of healthcare workers suggested alternatives and/or modifications to the hospital gown in order for it to be more patient centred. Barriers and practical challenges in promoting patients wearing their own clothing were identified with recommendations for improving choice, quality, safety and dignity in patent clothing across diverse healthcare settings.

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“…Furthermore, wearing professional attire increased mental abstraction (Douse et al, 2004 ), problem-solving (Frankel et al, 2021 ), and prosocial behaviors in medical students (Adam and Galinsky, 2012 ; Lopez-Perez et al, 2016 ). It was observed in a study that medical students who wore a white lab coat displayed higher attentional control toward problem-solving (Adam and Galinsky, 2019 ).…”

Section: The Enclothed Cognition Theorymentioning

confidence: 99%

What do physicians think about the white coat, about patients' view of the white coat, and how empathetic are physicians toward patients in hospital gowns? An enclothed cognition view

Gabay,

Ornoy,

Deeb

2024

Front. Psychol.

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The receipt of the white coat by medical students is a significant milestone. Extensive research has focused on the white coat, its purity, representation of authority and professionalism, its role in consolidating a medical hierarchy, and the professional status attributed to physicians wearing it. Studies suggest that the white coat is a symbol of medical competence, and patients expect physicians to wear it. Research, however, has paid little attention to what physicians think about their white coat, how they perceive the patient's view of the white coat and the hospital gown, within the patient–physician power asymmetry, which is the focus of the current study. In total, 85 physicians from three Israeli medical centers completed a questionnaire (62% Muslims, 33% Jewish, and 5% Christians; 68% men, ages ranging from 21 to 73 years). Employing the enclothed cognition theory and adopting a within-person approach, we found that the more physicians perceived the white coat as important, the more they attributed a positive view of the white coat to patients and the more they perceived the patient's view of the hospital gown as positive. In addition, the higher the perceived importance of the white coat, the higher the reported empathy of physicians toward inpatients, which is consistent with the hospital's values of care. Interestingly, although medicine is a symbol of protection and care for others, the symbolic meaning of the white coat was potent enough to elicit empathy only when physicians perceived it as important. This study extends the theoretical knowledge on the theory of enclothed cognition in healthcare regarding self-perceptions and professional conduct.

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Healing by Leaps and Gowns: A Novel Patient Gowning System to the Rescue

Cited by 9 publications

References 17 publications

New Zealand hospice staff perspectives on ‘Xcellent Gowns’ for big bodied palliative care patients: a qualitative study

New Zealand hospice staff perspectives on ‘Xcellent Gowns’ for big bodied palliative care patients: a qualitative study

When patients wear backless gowns, they take on the “sick role” and become dependent’: Exploring the perspectives of healthcare professionals

What do physicians think about the white coat, about patients' view of the white coat, and how empathetic are physicians toward patients in hospital gowns? An enclothed cognition view

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