Exploring perceptions of inpatient hospital attire in children with cancer

Christy M Lucas1,2, Molly C Mack3, Jill Majeski4

  • 1Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, Massachusetts, USA.

PubMed

Insights

Children with cancer prefer wearing their own clothes for comfort during hospital stays. They dislike hospital gowns but will wear them if medically necessary, preferring providers to decide when gowns are needed.

Area of Science:

  • Pediatric Oncology
  • Child Psychology
  • Healthcare Comfort Measures

Background:

  • Hospital attire significantly impacts patient identity, self-expression, and comfort.
  • Hospital gowns are frequently distressing for adult patients.
  • Children with cancer's perspectives on hospital attire are largely unexamined.

Purpose of the Study:

  • To investigate children with cancer's attitudes toward hospital attire.
  • To explore how patient attire influences well-being in pediatric oncology.
  • To identify modifiable factors in hospital care related to patient clothing.

Main Methods:

  • A 39-item mixed-methods survey was administered to children with cancer aged 7-18.
  • Participants were recruited from an academic medical center.
  • Data were analyzed using descriptive statistics and thematic analysis.

Main Results:

  • 81% of pediatric cancer patients preferred their own clothing over hospital gowns.
  • Comfort levels were higher in personal attire, whether well (91%) or sick (75%).
  • Children expressed negative views of gowns and preferred personal clothing for physical and emotional comfort, though they worried it might impede care.

Conclusions:

  • Children with cancer strongly prefer their own clothing for comfort during hospitalization.
  • Patients are amenable to wearing gowns for clinical necessity but wish to defer the decision to healthcare providers.
  • Adopting a child's own clothing as the default hospital attire, with clear guidelines for gown use, may reduce patient distress.
Abstract

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