Finding common threads: How patients, physicians and nurses perceive the patient gown

Evidence-based care is standard practice in medicine, but the patient gown has fallen outside the scope of scholarly research. The current gown renders a patient vulnerable, diminishing patients’ sense of identity, agency, and dignity with its one-size-fits-none design. The impact on providers is si...

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Autores principales:	Christy Lucas, Cheryl Dellasega
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2020
Materias:	patient experience patient-centered care patient engagement patient satisfaction qualitative methods medical humanities nurse-patient relationship doctor-patient relationship healthcare patient gown hospital gown Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/534ee47c32954d98b9c0d84e113c66f9
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spelling	oai:doaj.org-article:534ee47c32954d98b9c0d84e113c66f92021-11-15T04:31:12ZFinding common threads: How patients, physicians and nurses perceive the patient gown2372-0247https://doaj.org/article/534ee47c32954d98b9c0d84e113c66f92020-04-01T00:00:00Zhttps://pxjournal.org/journal/vol7/iss1/8https://doaj.org/toc/2372-0247Evidence-based care is standard practice in medicine, but the patient gown has fallen outside the scope of scholarly research. The current gown renders a patient vulnerable, diminishing patients’ sense of identity, agency, and dignity with its one-size-fits-none design. The impact on providers is similarly neglected. Our objective was to explore how patients and providers derive meaning from patient gowns. A convenience sample at an academic medical center was interviewed utilizing a standardized framework developed by a medical student and two PhD-prepared researchers with experience in qualitative methods. The study was inductive in nature, seeking to understand perceptions of the patient gown through thematic analysis of transcripts within and across interviews. Participants were ten patients (5 women, 5 men; mean (SD) age = 56.4 (19.1)) years, ten nurses (9 women, 1 man; mean (SD) age = 36.5 (13.4)) years, and ten physicians (6 women, 4 men; mean (SD) age = 48.6 (14.4)) years. Themes within patients’ interviews suggest gowns are provider-driven, the design is problematic, gowns reduce self-esteem, and color options would be empowering. Themes within providers’ interviews addressed gowns theoretically vs. practically, attire biases, and distress from seeing patients in gowns. Common themes among groups included: negative first impressions of gowns, ideas for improvement, and barriers to change. This is the first study to ascertain how patients and providers perceive patient gowns and offer the opportunity to describe and sketch an “ideal” alternative. The current gown satisfies neither patients nor providers, and flaws must be addressed to improve patient and provider experiences. <strong>Experience Framework</strong> This article is associated with the Environment & Hospitality lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Environment%20%26%20Hospitality%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-EnvironmentHospitality">Access other resources</a> related to this lens.</li> </ul>Christy LucasCheryl DellasegaThe Beryl Institutearticlepatient experiencepatient-centered carepatient engagementpatient satisfactionqualitative methodsmedical humanitiesnurse-patient relationshipdoctor-patient relationshiphealthcarepatient gownhospital gownMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient experience patient-centered care patient engagement patient satisfaction qualitative methods medical humanities nurse-patient relationship doctor-patient relationship healthcare patient gown hospital gown Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient experience patient-centered care patient engagement patient satisfaction qualitative methods medical humanities nurse-patient relationship doctor-patient relationship healthcare patient gown hospital gown Medicine (General) R5-920 Public aspects of medicine RA1-1270 Christy Lucas Cheryl Dellasega Finding common threads: How patients, physicians and nurses perceive the patient gown
description	Evidence-based care is standard practice in medicine, but the patient gown has fallen outside the scope of scholarly research. The current gown renders a patient vulnerable, diminishing patients’ sense of identity, agency, and dignity with its one-size-fits-none design. The impact on providers is similarly neglected. Our objective was to explore how patients and providers derive meaning from patient gowns. A convenience sample at an academic medical center was interviewed utilizing a standardized framework developed by a medical student and two PhD-prepared researchers with experience in qualitative methods. The study was inductive in nature, seeking to understand perceptions of the patient gown through thematic analysis of transcripts within and across interviews. Participants were ten patients (5 women, 5 men; mean (SD) age = 56.4 (19.1)) years, ten nurses (9 women, 1 man; mean (SD) age = 36.5 (13.4)) years, and ten physicians (6 women, 4 men; mean (SD) age = 48.6 (14.4)) years. Themes within patients’ interviews suggest gowns are provider-driven, the design is problematic, gowns reduce self-esteem, and color options would be empowering. Themes within providers’ interviews addressed gowns theoretically vs. practically, attire biases, and distress from seeing patients in gowns. Common themes among groups included: negative first impressions of gowns, ideas for improvement, and barriers to change. This is the first study to ascertain how patients and providers perceive patient gowns and offer the opportunity to describe and sketch an “ideal” alternative. The current gown satisfies neither patients nor providers, and flaws must be addressed to improve patient and provider experiences. <strong>Experience Framework</strong> This article is associated with the Environment & Hospitality lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Environment%20%26%20Hospitality%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-EnvironmentHospitality">Access other resources</a> related to this lens.</li> </ul>
format	article
author	Christy Lucas Cheryl Dellasega
author_facet	Christy Lucas Cheryl Dellasega
author_sort	Christy Lucas
title	Finding common threads: How patients, physicians and nurses perceive the patient gown
title_short	Finding common threads: How patients, physicians and nurses perceive the patient gown
title_full	Finding common threads: How patients, physicians and nurses perceive the patient gown
title_fullStr	Finding common threads: How patients, physicians and nurses perceive the patient gown
title_full_unstemmed	Finding common threads: How patients, physicians and nurses perceive the patient gown
title_sort	finding common threads: how patients, physicians and nurses perceive the patient gown
publisher	The Beryl Institute
publishDate	2020
url	https://doaj.org/article/534ee47c32954d98b9c0d84e113c66f9
work_keys_str_mv	AT christylucas findingcommonthreadshowpatientsphysiciansandnursesperceivethepatientgown AT cheryldellasega findingcommonthreadshowpatientsphysiciansandnursesperceivethepatientgown
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Finding common threads: How patients, physicians and nurses perceive the patient gown

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