Health care worker attire affects visitor perception of health careName : Dr. Alan Kawarai Lefor
Affliation : Professor
University : Jichi Medical University
Country : Japan
The objective of this study is to evaluate the impact of health care worker attire and behavior on perceptions of care by ICU visitors in Japan.
Materials and methods:
Visitors were surveyed including 117 at a community hospital and 106 at a university hospital. Demographic data (age, gender, relationship to patient, length of stay) were collected. A seven-point Likert scale (1=strongly agree, 4=neutral, 7=strongly disagree) was used to judge physician attire (name tag, white coat, scrubs, short sleeve shirts, blue jeans, sneakers, clogs), behavior (addressing a patient, carrying a snack) and overall effect on perception of care.
There are no significant differences (p>.05) in responses by gender or comparing the two ICUs, except increased length of stay at the university ICU. Visitors scored the importance of a name tag (median 2, Interquartile Range 1-2), white coat (3, 1-4), addressing the patient by last name (2,1-3), wearing scrubs (3,2-4), sneakers (4,3-5), clogs (4,4-5), short sleeves (4,3.5-5), blue jeans (5,4-6), and carrying a snack (6,5-7). Visitors scored “attire affects perceptions of care” as (3,2-4).
Health care worker attire in the ICU affects perceptions of care. Implementation of attire guidelines requires that patient and family preferences are considered to develop effective educational programs.
Alan Kawarai Lefor is a Professor of Surgery at Jichi Medical University in Tochigi, Japan, where he specializes in surgical education. He received a BS degree in Chemistry from SUNY Albany (1976) and an MA degree in Physical-Organic Chemistry from Wesleyan University (1978). Following graduation from SUNY Upstate Medical School (1982) in Syracuse NY (USA), he completed a residency in General Surgery (1989) and a fellowship in Surgical Oncology at the NIH (1985-87).
He served as Program Director in General Surgery and Chief of Surgical Oncology at Cedars-Sinai Medical Center in Los Angeles and Professor of Surgery at UCLA (1996-2007). He received a Masters degree in Public Health from UCLA (1999). He moved to his current position at Jichi Medical University in 2007 where his areas of clinical expertise are General Surgery, Trauma Surgery and Surgical Critical Care. He is the author of nearly 400 publications as well as 12 textbooks in English and Japanese, with translations into multiple languages.