Baring all: the impact of the hospital gown on patient wellbeing

Objectives The importance of personalized and dignified care is increasingly being recognized in health care policy and practice. Despite the known impact of clothing on social identity and self-expression, the impact of hospital clothing on patient well-being has been widely overlooked. Patients are often required to wear hospital clothing, commonly a backless gown, during medical procedures and surgeries. The impact of wearing patient clothing on well-being, during this time of vulnerability, was explored. Design A sequential multi-method approach consisting of two studies. Methods Two studies were carried out to consider the impact of the hospital gown on well-being among adults with and without chronic health conditions. The first study consisted of conducting in-depth, semi-structured interviews (n = 10) with adults living with a lifelong chronic health condition (congenital heart disease). The second study was a cross-sectional online survey exploring adults' views (n = 928) and experiences of wearing the hospital gown. Results Qualitative analysis identified the following master themes: (1) symbolic embodiment of the ‘sick’ role, (2) relinquishing control to medical professionals, and (3) emotional and physical vulnerability. Quantitative analysis of the online survey data indicated that adults often reported wearing the hospital gown despite a lack of medical necessity. Its design was considered to be not fit for purpose and lacking in dignity. Conclusions The implications of these findings for health policy and practice are discussed, emphasizing the importance of challenging cultural norms in health care since dehumanizing aspects of care, as symbolically represented by the hospital gown, may adversely impact on patient well-being. Statement of contribution What is already known Getting dressed is a form of self-expression, which contributes to the construction of social identity, yet few studies have explored the impact of wearing hospital clothing on patient well-being. The few studies on hospital clothing that exist suggest it is predominantly associated with feeling depersonalized, stigmatized, and devitalized, being in the ‘patient role’, low status, and a lack of control and privacy. However, previous studies include a variety of hospital clothing including pyjamas (Edvardsson, 2009) and dressing gowns (Topo & Iltanen-Tähkävuori, 2010), whereas in the United Kingdom, a 'one-size-fits-all' backless gown, held together with ties at the back, is most commonly used. What this study adds This study furthers understanding about the lived experience of wearing hospital clothing for people living with a chronic health condition (congenital heart disease) and without. Wearing hospital clothing (most commonly the hospital gown) was associated with symbolic embodiment of the ‘sick’ role, relinquishing control to medical professionals, and emotional and physical vulnerability for people living with a chronic health condition. Findings from a wider sample, drawn from the general population, suggest that the hospital gown is often being used despite a lack of medical necessity often leaving patients feeling exposed, self-conscious, vulnerable, uncomfortable, cold, embarrassed, and disempowered. These findings are exacerbated for people living with a long-term health condition and women. Together, these studies suggest that the current design of the hospital gown is not fit for purpose and impacts negatively on patient well-being

A legislação ambiental como foco de conflitos: uma análise a partir das representações sociais da natureza dos pequenos agricultores em Minas Gerais, Brasil

A legislação ambiental, freqüentemente, não está sendo respeitada por pequenos produtores rurais. Este trabalho busca entender as razões para este comportamento a partir da análise das representações sociais da natureza e do meio ambiente deste grupo social. Como resultado, constatamos que as representações sociais que formam a base da legislação ambiental não levaram em conta as necessidades básicas para a sobrevivência dos agricultores familiares. Tais necessidades apenas podem ser satisfeitas através do uso de áreas consideradas de alto valor para a preservação do meio natural. Embora os agricultores familiares já tenham incluído a visão oficial da natureza refletida na legislação ambiental no seu imaginário - formando representações sociais híbridas entre visões de mundo modernas e tradicionais - são as materialidades dos seus modos de vida que explicam as aparentes contradições nos seus atos. Desta forma, consideramos a análise das representações sociais uma ferramenta importante na identificação das razões que levam a violações da legislação, que por sua vez podem indicar conflitos ambientais duradouros entre estes grupos e o aparelho repressivo do Estado