Uniforms in dementia care: A barrier or a necessity?

Mitchell, Gary

doi:10.1177/0969733015626713

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Research has shown that when Elders see people in uniforms, they act sicker and more dependent. 17,18,19,20 Rebecca and her team witnessed their residents behaving more independently when the care team began wearing professional attire. The residents were more likely to try to move out to the garden or go into the kitchen for a snack on their own.…”

Section: Uniformsmentioning

confidence: 99%

Person-Centered Long-Term Care

Galiana

Haseltine

2019

Aging Well

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Person-Centered Long-Term Care The number of older adults in the world in need of long-term care is expected to reach 277 million by 2050. 1 In 2014, approximately nine million people in the US received long-term care services from adult daycare programs, home health agencies, hospice organizations, nursing homes, and senior living communities. 2 As of July 2014, there were 15,600 long-term care residences that were home to 1.4 million people. 3 The number of people needing long-term care will continue to grow as the aging population increases and people live longer with more chronic conditions and cognitive and functional limitations. From 2000 to 2050, the number of people in need of long-term care is projected to more than double from 13 to 27 million. 4 Person-Centered Long-Term Care Long-term care organizations are moving away from a traditional model of care to what is referred to as person-centered or person-directed care. Thomas Kitwood, a psychologist from the United Kingdom, spearheaded this movement approximately 20 years ago. 5 The traditional long-term

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Section: Uniformsmentioning

confidence: 99%

Person-Centered Long-Term Care

Galiana

Haseltine

2019

Aging Well

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“…Some caregivers believe that not wearing a uniform would have a detrimental effect on residents. They think this practice may lead to a greater level of distress due to disorientation and the inability of the resident to identify caregivers when needed (Mitchell, 2018). The questions of hygiene, infection and also financial considerations (cleaning clothes) are further arguments for those against the suppression of uniform.…”

Section: Discussionmentioning

confidence: 99%

“…Environmental factors have been recognised as important elements in the care of people with dementia (Brawley, 2001). Among these factors, the importance of the caregivers’ appearance and more particularly their street clothes has been raised (Charras & Gzil, 2013; Mitchell, 2018; Newton & Chaney, 1996). Indeed, a nursing home is not a hospital and residents should feel at home.…”

Section: Introductionmentioning

confidence: 99%

The impact of street clothes among caregivers on residents with dementia in special care units: The STRECLO study

Bailly

Sanchez

Ferrand

et al. 2020

Journal of Clinical Nursing

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Aims and objectives:To examine the impact of caregivers' street clothes on people living in special care units (SCUs). We hypothesised that caregivers wearing street clothes would improve residents' relationships with other residents and caregivers and, as a consequence, would improve their quality of life.Background: Environmental factors have been recognised as important elements in the care of people with dementia. Among these factors, the importance of the caregivers' appearance and more particularly their street clothes has been raised.Design: The Street Clothes study (STRECLO) was designed as a multicentre crossover observational study. Method:This study was conducted in two volunteer nursing homes. It involved videotaping residents (N = 24) over a 6-month period: caregivers wore uniform and then street clothes for two consecutive three-month periods. Three outcome measures were observed as follows: (a) behaviours of residents, (b) contents of conversations and (c) proximal interactions between residents and caregivers. The STROBE checklist was used to ensure quality reporting during this observational study.Results: When caregivers wore street clothes, we observed the following: (a) greater solicitation and less anxiety in residents, (b) content of conversations between residents and caregivers included more personal and less health information, and (c) more proximal interaction between caregivers and residents. Conclusion:To our knowledge, this is the first study which investigated the long-term effects on residents of SCU caregivers wearing street clothes. Our study demonstrated the potential benefit of not wearing uniform on the quality of life of institutionalised people with dementia.Relevance to clinical practice: Given the budgetary constraints faced by nursing homes, wearing street clothes for caregivers could be readily applied to clinical practice and represents a promising way to increase the quality of life of dementia residents and their families.

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Reflections of the uniformed clinical psychologist

Forshaw¹

2021

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Uniforms in dementia care: A barrier or a necessity?

Cited by 4 publications

References 6 publications

Person-Centered Long-Term Care

Person-Centered Long-Term Care

The impact of street clothes among caregivers on residents with dementia in special care units: The STRECLO study

Reflections of the uniformed clinical psychologist

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