Nurse image may affect patient and visitor trust and satisfaction with nursing care. Fitted white dresses have been replaced by loose-fitting or scrub white, colored, or patterned pant sets. We also examined if uniform preference is congruent with nurse image traits. Subjects viewed photographs of the same registered nurse identically posed in eight uniforms and rated each by image traits. Kruskal-Wallis, Steel-Dwass multiple comparison method, and Wilcoxon signed-rank sum tests were used to test for differences in the Nurse Image Scale NIS score by uniform style and color and subject demographics.
We recommend considering a variety of approaches to conducting the survey, including surveying nurses and patients, or just nurses rather than just surveying patients. The white pant uniform with cap, dress with cap, Research on nurses wearing white uniforms suit, and dress with June printable diaper coupons scored closely in a second place grouping. Special information for nursing program applicants. Additionally, wearing the uniform can foster a strong self image and professional identity which can lead to greater confidence and better performance by the wearer [ 2 — 4 ]. Nursing uniforms are frequently subject to spills and stains and should be easy to launder. Before the 19th century, nuns were the primary care takers of patients, essentially serving as the present day nurse. Nurs Times. Dumont, C. These nurses feel attire that is too casual can have a negative effect on the healing relationship. The Health Care Manager, 33 4
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Keywords Students, Uniform, Professional identity, Self image This article has been double-blind peer reviewed. The article also includes reflections from the study team about challenges and next steps in the process, Ephebophilia porn offers recommendations based on their experiences. Staff nurses and nurse managers decided to evaluate evidence on this topic to inform and update the policy to reflect an evidence-based standard. Many participants highlighted that it was important to be able to distinguish between professions and level of experience. Women's Research on nurses wearing white uniforms Drawstring Scrub Pant. Results showed it is not simply uniform color or style that influences the image of nurses. Time to get dressed! All participants thought uniform was an extremely important issue and that it directly affected practice and therefore needed attention. The data was organised into codes and then these were categorised into common themes Green and Thorogood, The study team also reflects on challengesnext steps in the process, and offers recommendations based on their experiences.
National Nurses Week is May , and nurses at St.
- NursingCenter Blog.
- Nurses wear white to distinguish themselves from the myriad of other health care professionals in a hospital, according to American Nurse Today.
- Nurses often have strong feelings about their uniforms.
- F3 Fundamentals Affordable Fashion scrubs that are great for groups.
- The public image of nurse professionalism is important.
A unified, professional style for nursing with a unique identity was the norm for decades. From the early s until the s, attire for the female centric profession was a white dress, cap, and hose.
So, if the evidence is clear that appearance is inseparable from our professional image, why are nursing dress codes so hard to develop and sustain? With the shift to value-based healthcare and strong consumer preferences determining where patients go for care, the greater significance of this question is more important now than ever before.
Nurses, technicians, housekeeping staff—everyone dresses in scrubs. Studies have shed light on the difficulty that patients and families can have singling out registered nurses from other hospital staff. This confusion is a real problem when patients want to talk to a nurse about their care.
For example, in a given organization, all nurses might wear navy blue; nursing assistants, burgundy; and respiratory therapists, khaki.
Research shows patients who are actively involved in their own care and communicate with their healthcare team have a safer, more satisfactory care experience—a goal we all want. How we personally use that dress code at work to represent ourselves is up to each one of us. How we dress reflects our personal approach to professionalism. By the way, expect more emphasis on stricter dress codes as more research comes to light about infection rates and the consequences of home-laundered scrubs.
Yes, dress codes matter. Read the research, understand the evidence, and embrace being the professional you are.
I work at a charter school and though we are not required to wear nursing gear, I have opted to wear nursing gear and as I explained to the CEO, students and staff have to spot the nurse when an emergency ensues. If I dressed in everyday wardrobe I would be mistaken as a student. As a professional nurse, I want to stand out in a crowd. A dress code does matter!!!
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One photo illustrated a layered look for the tops and hospital blue scrub bottoms. The next steps to fulfill our goal of providing the best possible patient experience involves the tedious work of operationalizing this significant change for our nursing team members by working with the vendor described above. Participants were anonymised at transcription. The interview schedule was derived mainly from the literature, with some questions added based on our experience. A major consideration was to determine whether to conduct the study at the hospital versus the system level. Nursing professional attire, The Journal of Nursing Administration, 43 3 , Then they gave each participant on an information letter explaining the survey and an invitation to participate.
Research on nurses wearing white uniforms. Announcements
Dress codes matter! - American Nurse Today
The public image of nurse professionalism is important. Attributes of a professional nurse, such as caring, attentive, empathetic, efficient, knowledgeable, competent, and approachable, or lack thereof, can contribute positively or negatively to the patient experience. Nurses at a hospital in central northeast Pennsylvania offer their story as they considered the impact of a wide variety of individual uniform and dress choices.
This article describes an evidence based practice project and survey created to increase understanding of patient perceptions regarding the professional image of nurses in this facility. Exploring patient perception of nurse image provided insight into what patients view as important. A team approach included the voice of nurses at different levels in the process. Ultimately, this work informed a revision of the health system nursing dress code. The study team also reflects on challenges , next steps in the process, and offers recommendations based on their experiences.
Citation: West, M. Key words: Professionalism, nurse image, patient experience, patient perceptions, dress code, nursing uniforms, evidence-based practice, shared governance. The goal of healthcare is to provide the best possible outcomes and experiences for patients and families. To that end, registered nurses RNs strive for professionalism in all aspects of care and interaction. First impressions are often formed in an instant, so how a nurse appears can have a significant impact on how a patient perceives the nurse.
A uniform serves as a reflection of how the public identifies the role of the wearer Bates, Although consistently identified as members of one of the most trusted professions Riffkin, , contemporary nurses still struggle with image. In the 19th century, Florence Nightingale promoted excellence by creating a vision that was intended to raise nursing to a respectable profession characterized by caring, compassion, and clinical competence.
She established a standard uniform for nurses as part of her effort to professionalize nursing Houweling, The image of nursing is comprised of many components that identify nursing as a healthcare profession.
Cohen, Bartholomew, Swihart, and Tomajan noted research study findings in which nurses identified several actions that they felt shape patient perception of them, such as whether they introduce themselves to patients as the nurse, whether they call patients by their names, and the level of their professional appearance. The uniforms that most RNs wear have changed significantly in the last 20 years. Prior generations of healthcare personnel, particularly nursing staff, were required to follow stringent dress codes and work attire policies.
White uniforms and nursing caps have been replaced by colored scrubs that have cartoon or holiday print decorations. Nurses at Geisinger Medical Center had concerns about the impact of a wide variety of individual uniform and dress choices noted in their facility. Exploring patient perception of nurse image provided insight into what patients actually view as important.
The article also includes reflections from the study team about challenges and next steps in the process, and offers recommendations based on their experiences. Geisinger Medical Center is a hospital in central northeast Pennsylvania. In , nurse leaders identified the need to re-evaluate current dress code policies in light of mounting challenges related to lack of a consistent dress code and a perceived decline in the professional appearance of the nursing staff.
Nurse leaders began to discuss the need for an evidence-based practice EBP project to determine patient perceptions of professional image of nurses in the inpatient and outpatient settings within Geisinger Medical Center GMC. At the same time, staff members had begun an online dialogue on our system intranet expressing concerns regarding the informal nature of the nursing staff attire, such as nurses wearing hoodies, leggings, fleece jackets, and t-shirts while working.
Unit staff and leaders noted that patients and families often expressed that they could not differentiate the skill levels of staff members. Other staff contended that many patients and families who were in distress or crisis liked the distraction of conversations about staff tattoos; they then shared stories of their own body art, allowing for development of rapport in the patient-caregiver relationship.
The current policy described acceptable types of clothing and stipulations about tattoos, but was not based on actual patient perceptions of what elements of professional image translated to their perception of excellent care. Staff nurses and nurse managers decided to evaluate evidence on this topic to inform and update the policy to reflect an evidence-based standard.
The aim of our project was to assess what patients perceive to be the most professional appearance, communications, and actions by a nurse. Nursing has a long and valued history of using research to impact practice, beginning with the earliest pioneer, Florence Nightingale Nightingale, The process begins with a question, followed by an extensive review of the literature to evaluate what answers and discussion already exist.
The goal was to use the findings to create an evidence-based dress code policy that would support the most professional image of nurses in our facility and hopefully contribute toward the best patient experience. This section will describe the project as it evolved. The figure below outlines the timeline of our work. Photo images and patient preferences. The importance of professional image has been a focus within nursing for decades. They concluded that consistency in nursing attire communicates professionalism and allows patients to identify nurses easily.
Windle, Halbert, Dumont, Tagnesi, and Johnson , surveyed patients at one hospital using a tool that included questions on ability to identify the nurse, professional image of the RN, and how patients prefer to see their nurse dressed. The tool included 12 photos of nurses in various dress and patients identified the photo they preferred. They rated nurses highly on image but had some difficulty identifying the nurse.
Dumont and Tagnesi repeated the study with nurses wearing a large print RN on the identification badge; the ability to identify the nurse significantly improved. Also, most patients preferred that nurses use their first names and did not like to be called pet names, such as honey or sweetie. Some results of the studies were mixed. Patients did not agree that scrubs with cartoons or holiday decorations appeared less professional and some liked the same uniform concept but did not have a color preference Windle et al.
Others preferred colors or all white and age of the patient impacted results Albert et al. Dumont and Tagnesi found that most patients preferred different colors of uniforms rather than all white ones. One conclusion of these studies is that dress is a very strong form of nonverbal communication. Pearce et al. Patients said it was very important to be able to identify the RN, but only half said color and scrubs were the priority. Patients felt nurses should wear a uniform that allowed comfort and ease for job performance.
Studies that included body art. Hatfield et al. Patients felt RNs appeared professional and were easily identified by a standardized uniform style and color. They gave high scores for nursing image, appearance, and identification, with less support for color-coded uniforms. Patients regarded the nurses as professional with less focus on attire and more focus on how knowledgeable and confident the nurses appear, and how well they provide care.
Patients cared that nurses were clean and neat, and that clothing fit properly and looked nice. Most patients felt the white board and large RN badges were important.
An implication of these studies was to take the time to probe patient preferences before implementing a policy change. Thomas et al. Nurses wearing solid scrubs were rated significantly more skilled and knowledgeable than a nurse wearing print or t-shirt attire by all groups.
All subjects rated the nurse with the most body art e. Males with visible piercings were almost never deemed more professional, and women with piercings other than earlobe were viewed even less favorably than their counterparts without piercings.
Dress code policies. Some articles discussed challenges of changing dress code policies. Everett described the process of moving nurses in a health system to the same color uniform.
Nurse and patient focus groups supported decisions about uniforms e. Patients felt it was easy to identify the nurse. Wocial, Sego, Rager, Laubersheimer, and Everett b conducted additional nurse focus groups in the same health system, asking 10 questions about nursing image. Results showed it is not simply uniform color or style that influences the image of nurses. Nurses felt that a uniform must communicate well to patients and families who the nurse is.
More than uniforms, it is nurse behaviors e. Nurses should hold each other accountable and convey assurance to each other, patients, and families through actions. But, this assurance is significantly influenced by how the nurse presents her or himself — the overall appearance.
Mitchell, Koen, and Moore also discussed dress code challenges. They presented the issue of religious discrimination focusing on dress and appearance and some court cases that have provided guidance for employers. Our conclusions. Most studies about RN identification and uniforms were done within a single hospital or health system. Most were not randomized, some lacked comparison groups, and many failed to control for extraneous variables that could potentially influence outcomes Windall, The results of most studies suggested patients prefer nurses who are identifiable and professional in appearance.
After synthesizing the literature findings, we concluded that it was best to assess the perception of patients served at the micro level. As a result, we developed tools locally, but informed by our literature search, did not use large, national, randomized surveys. After sharing the results with Geisinger nurses and leadership, we decided to create a survey with questions and photos to capture patient opinions at Geisinger about nurse professionalism and attire. Developing our survey.
Nurse input, the review of the literature from the EBP project, patient input, and review of patient satisfaction comments informed the development of our survey. The survey included three sections: demographics, questions 14 , and photos 6. Demographic queries included gender, birth year, number of admissions as Geisinger inpatient, and number of visits to a Geisinger clinic. Participants ranked each of the 14 questions on a Likert type scale from 1 strongly disagree to 5 strongly agree.
Questions inquired about verbal interactions, nurse appearance, and ability to identify caregivers. Other questions asked for opinions about whether nurses should wear t-shirts or multi-colored, patterned uniforms.
Some questions asked participants if they prefer to be called Mr. The six nurse photo pictures included the same male and female nurse models in each photo. Participants were asked to rank each photo on a Likert type scale from 1 less professional to 5 more professional. In the survey, a professional nurse was defined as one who is caring, attentive, confident, reliable, empathetic, efficient, cooperative, knowledgeable, competent, and approachable attributes noted in the literature review.
One photo had nurses dressed in solid navy scrubs.