Eikelenboom-Boskamp Andrea, Huis Anita, Saris Katja, Stobernack Tim, de Leeuw Monica, Hulscher Marlies, Voss Andreas
Canisius-Wilhelmina Hospital (CWZ), Department of Medical Microbiology and Infectious Diseases, Nijmegen, The Netherlands.
Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Nijmegen, The Netherlands.
Int J Nurs Stud Adv. 2022 Dec 1;5:100112. doi: 10.1016/j.ijnsa.2022.100112. eCollection 2023 Dec.
In Dutch nursing homes, healthcare workers' attire has been the subject of debate for years. White uniforms and professional white jackets are increasingly being replaced by casual personal attire. Many nursing homes have made this choice because they want to create a homey atmosphere. However, with regard to infection control, casual personal attire is far from ideal. It is unknown what attire is preferred by residents.
To determine both residents' preferences regarding nurses' attire and nurses' perceptions of these preferences.
Cross-sectional.
Nursing homes, the Netherlands.
Residents and nurses.
Between February and October 2019, a convenience sample of 94 participants were surveyed across 10 Dutch nursing homes among residents with physical impairments and nurses caring for them. A standardized data collection tool included color photographs of a female nurse dressed in: 1) casual attire; 2) professional polo shirt with blue jeans; 3) professional white jacket with blue jeans; and 4) completely white uniform. Six randomly composed photosets of two different types of attire were shown to each participant.. Participants had to select one out of two displayed photographs (forced choice method) guided by two propositions regarding 'comfort preference' and 'care preference'. The propositions for residents were: 1) I feel most comfortable with this nurse, and 2) I would prefer to be cared for by this nurse. The propositions for nurses were:) I think residents feel most comfortable with this nurse, and 2) I think the residents would prefer to be cared for by this nurse. Some demographic data and personal characteristics of the participants were collected. (Perceived) preferences for nurses' attire were calculated in estimated marginal means (preference per type of attire compared to the other three types of attire) with 95% confidence intervals. Differences were tested with the Chi-squared test.
In total, 92 participants were included in the analysis. Overall, the strongest (perceived) preference was for a professional white jacket with blue jeans, compared to the three alternative types of nurses' attire for both propositions in both groups. Casual attire was the least preferred. Residents of 85 years or older and nurses who had been working for two years or fewer were more likely to choose more formal attire.
Residents preferred more professional attire, which conforms to infection control requirements.
involve nursing home residents in determining nurses' attire; a professional white jacket should be one of the options @AEICP.
在荷兰养老院，医护人员着装多年来一直是争论的话题。白色制服和专业白色夹克越来越多地被便服取代。许多养老院做出这一选择是因为他们想营造一种温馨的氛围。然而，在感染控制方面，便服远非理想之选。目前尚不清楚居民更喜欢哪种着装。
确定居民对护士着装的偏好以及护士对这些偏好的看法。
横断面研究。
荷兰养老院。
居民和护士。
2019年2月至10月期间，在荷兰10家养老院对94名参与者进行了便利抽样调查，这些参与者包括身体有残疾的居民以及照顾他们的护士。一个标准化的数据收集工具包括一名女护士穿着以下服装的彩色照片：1）便服；2）专业polo衫搭配蓝色牛仔裤；3）专业白色夹克搭配蓝色牛仔裤；4）全白制服。向每位参与者展示六组由两种不同着装类型随机组成的照片集。参与者必须根据关于“舒适偏好”和“护理偏好”的两个命题，从两张展示的照片中选择一张（强制选择法）。给居民的命题是：1）这位护士让我感觉最舒适，2）我更希望由这位护士来护理。给护士的命题是：1）我认为居民对这位护士感觉最舒适，2）我认为居民更希望由这位护士来护理。收集了参与者的一些人口统计学数据和个人特征。通过估计边际均值（与其他三种着装类型相比，每种着装类型的偏好）及其95%置信区间来计算对护士着装的（感知）偏好。差异用卡方检验进行检验。
总共92名参与者纳入分析。总体而言，与两组中两个命题的其他三种护士着装类型相比，最强烈的（感知）偏好是专业白色夹克搭配蓝色牛仔裤。便服是最不受欢迎的。85岁及以上的居民和工作两年及以下的护士更有可能选择更正式的着装。
居民更喜欢更专业的着装，这符合感染控制要求。
让养老院居民参与确定护士着装；专业白色夹克应是选项之一@AEICP。
