@article{56c8c95bbb1c459c85dbb0591275ddc7,
title = "Exploring the perspectives of healthcare professionals concerning the use and utility of the hospital gown to develop theoretically informed behaviour change interventions",
abstract = "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. This study adopted a mixed method analysis informed by the theoretical domains framework (TDF) of healthcare professionals{\textquoteright} (HCPs{\textquoteright}) perspectives (n = 2264) and experiences in relation to the use and utility of the gown. HCPs{\textquoteright} perspectives in relation to the impact of wearing the hospital gown on patient wellbeing and suggested alternatives and/or improvements to the gown were explored. Findings revealed that the gown was often used when it was not medically necessary. The categories of meaning and associated TDF domains were: (1) Adverse impact on patient wellbeing (emotion); (2) Lack of dignity (beliefs about consequences); (3) Increased sense of dependency and vulnerability (social role and identity); (4) Hinders patient autonomy and recovery (beliefs about consequences & reinforcement); (5) Reduced patient mobility (beliefs about consequences); (6) Feeling institutionalised (environmental context and resources), and (7) Positive impact (optimism). The need for alternatives and/or modifications to the gown with a focus on a person-centred approach to its design was emphasised. Obstacles to staff promoting alternatives to the gown and challenges to making institutional changes were identified. Behavioural change interventions aimed at HCPs{\textquoteright} practices associated with the use of the gown are recommended to challenge cultural norms and practices associated with the gown and to improve the patient experience.",
keywords = "Hospital Gown, Dignity;, Safety, Quality, Wellbeing, Person-Centred, Behaviour Change",
author = "N. Cogan and L. Morton and E. Georgiadis and Butler, {S. H.} and Fleck, {V. J.} and J. Johnstone",
year = "2024",
month = jan,
day = "23",
doi = "10.23880/phoa-16000265",
language = "English",
volume = "8",
journal = "Public Health Open Access",
issn = "2578-5001",
publisher = "MedWin Publishers",
number = "1",
}