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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.
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.
Background:
Attire bolsters identity, self-expression, and comfort. Hospital gowns are known to be distressing in adults. Attitudes of children with cancer toward hospital attire remain uninvestigated and may be a modifiable factor in overall well-being.
Methods:
A 39-item mixed methods survey evaluated perceptions of patient attire in children with cancer. Children aged 7-18 years were recruited at an academic medical center. Data analysis included simple statistics and thematic analysis.
Results:
Forty children with cancer receiving oncologic care participated. Participants' mean age was 12.4 (SD = 3.0, range = 7-17) years, and 25 (62%) were male. Quantitative data revealed 81% of participants preferred their own attire when admitted to the hospital, feeling more comfortable in such when well (91%) or sick (75%). They did not feel like they "must" wear a gown when admitted (60%) and did not want to be asked about preferred inpatient attire (63%). Thematic analysis revealed that children had strong negative views of gowns and preferred to wear their own attire in the hospital, which provided physical and emotional comfort. Children worried wearing their own clothing could impede their care.
Conclusion:
Children with cancer prefer wearing their own clothes in the hospital for physical and emotional comfort. They are willing to wear gowns for ease of care; however, they do not want to arbitrate when they need to make that choice. Providers may ease distress by considering a child's own clothes as default hospital attire with instructions for when a gown is necessary for good clinical care.
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