Improving the Functional and Aesthetic Performance of Clothing for Long-Stay Depressed Patients According to the Vision of Healthcare Providers
Keywords:
Long-stay psychiatric patients, psychiatric physicians and nurses, patient clothing, functional and aesthetic aspects of patient clothing
Abstract
Evidence-based care is a standard practice in medicine, yet patient clothing is often overlooked in scientific research. Current patient inappropriate clothing renders patients vulnerable, diminishes their sense of dignity, coverage, and modesty. Therefore, the aim of this research is to evaluate current the clothing designated for psychiatric patients and identify the challenges they face in performing various daily activities while residing in psychiatric facilities. This evaluation aims to provide design suggestions based on feedback from mental health practitioners and nurses. To achieve this objective, 12 healthcare practitioners working in different hospitals in Saudi Arabia (Abha, Al-Madinah, and Jeddah) were selected, and a qualitative approach using interview methods was applied to assess the current clothing from both functional and aesthetic perspectives. The results indicate that the current clothing does not satisfy healthcare providers and requires addressing to enhance both functional and aesthetic aspects, aiming to improve the patient experience during treatment and healthcare providers' experience while delivering care. Additionally, the results yielded a set of ideas that can be utilized in future designs for psychiatric patient attire.
References
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21. Gordon, L., & Guttmann, S. (2013). A user-centered approach to the redesign of the patient hospital gown. Fashion Practice, 5(1), 137–151. https://doi.org/10.2752/175693813x13559997788961
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24. Hu, Miaomiao, & Cheng, Yan. (2022). Towards an emotional design of apparel for medical professionals. Journal of Textile Engineering & Fashion Technology, 8:24–25. doi: 10.15406/jteft.2022.08.00296.
25. Hwang, C., McCoy, L., & Shaw, M. R. (2020). Redesigning Maternity Hospital Gowns. Fashion Practice, 0(0), 1–20. https://doi.org/10.1080/17569370.2020.1794317.
26. Hwang, Chanmi, Lindsay McCoy, and Michele R. Shaw. (2022). ‘Redesigning Maternity Hospital Gowns’. Fashion Practice 14(1):79–98. doi: 10.1080/17569370.2020.1794317.
27. Imbesi, S., & Scataglini, S. (2021). A User Centered Methodology for the Design of Smart Apparel for Older Users. Sensors, 21(8), 2804. https://doi.org/10.3390/s21082804.
28. Jiayin, L., & Zhaohua, Z. (2021). Research and evaluation of functional clothing for patients with paraplegia of both lower limbs. Journal of Physics: Conference Series, 1790(1), 012038. https://doi.org/10.1088/1742-6596/1790/1/012038.
29. Jones, P. (2013). Adult mental health disorders and age at onset. The British Journal of Psychiatry, 202, s5–s10. https://doi.org/10.1192/bjp.bp.112.119164.
30. Kam, S., & Yoo, Y. (2021). Patient Clothing as a Healing Environment: A Qualitative Interview Study. International Journal of Environmental Research and Public Health, 18(10), Article 10. https://doi.org/10.3390/ijerph18105357.
31. Keyes, C. L. M. (2006). Mental health in adolescence: Is America’s youth flourishing? American Journal of Orthopsychiatry, 76(3), 395–402. https://doi.org/10.1037/0002-9432.76.3.395
32. Koo, H. S., & Min, S. (2014). Development and Evaluation of a Patient Garment Based on Functional-Modesty-Aesthetic (FMA) Model. International Journal of Costume and Fashion, 14(2), 67–79.
33. Limbong A. Can A Patient Gown Makeover Move Hospitals To Embrace Change?. NPR. https://www.npr.org/sections/health- shots/2018/02/11/582830491/can-a-patient-gown- makeover-move-hospitals-to-embrace-change.
34. Lishchuk, I.& Bereziuk, J. (2019). The Influence of Colorology on Patients’ Psychological and Mental Health. Zhytomyr Medical Institute. https://conf.ztu.edu.ua/wp-content/uploads/2019/06/331.pdf.
35. Liu, L., Zhao, H., Lu, G., Ling, Y., Jiang, L., Hui-Lan, C., & Gao, W. (2016). Attitudes of hospitalized patients toward wearing patient clothing in Tianjin, China: A cross-sectional survey. International Journal of Nursing Sciences, 3(4), 390–393. https://doi.org/10.1016/j.ijnss.2016.11.005
36. Marino, S. (2020). Body, World and Dress: Phenomenological and Somaesthetic Observations on Fashion. Academia, 12(1), 27–48. https://cris.unibo.it/handle/11585/762420
37. McDonald E, Dounaevskaia V, and Lee T .(2014). Inpatient attire: an opportunity to improve the patient experience. JAMA Intern Med. 2014;174(11):1865-66. doi:10.1001/jamainternmed.2014.4513.
38. Morton, L., Cogan, N., Kornfält, S., Porter, Z., & Georgiadis, E. (2020). Baring all: The impact of the hospital gown on patient well‐being. British Journal of Health Psychology, 25. https://doi.org/10.1111/bjhp.12416.
39. Morton, L., Cogan, N., Kornfält, S., Porter, Z., & Georgiadis, E. (2020). Baring all: The impact of the hospital gown on patient well‐being. British Journal of Health Psychology, 25. https://doi.org/10.1111/bjhp.12416.
40. Orzada, B. T., & Kallal, M. J. (2021). FEA Consumer Needs Model: 25 Years Later. Clothing and Textiles Research Journal, 39(1), 24–38. https://doi.org/10.1177/0887302X19881211.
41. Park, K. A., Yang, C. E., Lee, J. H., & Kim, H.-J. (2021). Analysis of the Types of Dementia Patients for Development of Clothes for Dementia Patient in Nursing Homes. Journal of the Korean Society of Clothing and Textiles, 45(5), 788–803. https://doi.org/10.5850/JKSCT.2021.45.5.788.
42. Shu, T., Tang, C. S., Ng, W. W. N., Ho, C. S., & Ho, R. (2015). Determining the quality of life of depressed patients in Singapore through a multiple mediation framework. Asian Journal of Psychiatry, 18, 22–30. https://doi.org/10.1016/j.ajp.2015.10.010
43. Syed, S., Stilwell, P., Chevrier, J., Adair, C., Markle, G., & Rockwood, K. (2022). Comprehensive design considerations for a new hospital gown: A patient-oriented qualitative study. CMAJ Open, 10, E1079–E1087. https://doi.org/10.9778/cmajo.20210271.
44. Tien E. Hospital Gowns Get a Life. New York Times. https://search-proquest- com.ezaccess.libraries.psu.edu/docview/109866723?a ccountid=13158&pq-origsite=summon. Published October 18, 1998. Accessed November 6, 2019.
45. Topo, P., & Iltanen-Tähkävuori, S. (2010). Scripting patienthood with patient clothing. Social Science & Medicine, 70(11), 1682–1689. https://doi.org/10.1016/j.socscimed.2010.01.050
46. Wellbery, C., & Chan, M. (2014). White coat, patient gown. Medical Humanities, 40(2), 90–96. https://doi.org/10.1136/medhum-2013-010463
47. Zieman, Nancy. (2009). Pattern Fitting with Confidence. Penguin Publishing Group.
2. عبد الله، محمد. (2021). مدخل إلى الصحة النفسية (الطبعة التاسعة). دار الفكر.
3. المشهداني، أمل. (2018،). علامات الصحة النفسية ومظاهرها. جامعة بابل. https://www.uobabylon.edu.iq.
4. عبد الفهيم، أحمد. (2016). المحكات التشخيصية: الدليل التشخيصي الإحصائي الخامس للاضطرابات النفسية. دار الزهراء. الرياض.
5. كتلو، كامل حسن. (2016). الصحة النفسية لدى طلبة برنامج التعليم المكثف لطلبة الأراضي الفلسطينية المحتلة عام 1948 م في جامعة الخليل. مجلة مركز بابل للدراسات الإنسانية، مج6, ع3 ، 174 - 213.
6. نادية، خليفي. (2018، مارس). الصحة النفسية وعلاقتها بالضغوط النفسية لدى طلبة الجامعة. مجلة الجامع في الدراسات النفسية والعلوم التربوية. العدد 8، 39-67.
7. وزارة الصحة السعودية. (2014). الدليل الإشرافي للخدمات النفسية وعلاج الإدمان، الإصدار 2. https://www.moh.gov.sa/Ministry/Rules/Documents/a19.pdf..
8. Abate, E. (2021). Dressing as an Ordinary Aesthetic Practice. Everydayness. Contemporary Aesthetic Approaches. https://www.academia.edu/63528556/Dressing_as_an_Ordinary_Aesthetic_Practice
9. Arunachalam, P., & D’Souza, B. (2022, April 28). Patient-Centered Hospital Gowns: A Novel Redesign of Inpatient Attire to Improve Both the Patient and Provider Experience. 2022 Design of Medical Devices Conference. https://doi.org/10.1115/DMD2022-1058
10. Bauer, E. B. G. F., & Hämmig, O. (2014). Bridging occupational, organizational and public health. In Springer eBooks. https://doi.org/10.1007/978-94-007-5640-3
11. Cho K. Redesigning hospital gowns to enhance end users’ satisfaction. Fam Consum Sci Res J. 2009;34(4):332-49. doi:10.1177/1077727X06286570
12. Cho, K. (2006). Redesigning Hospital Gowns to Enhance End Users’ Satisfaction. Family and Consumer Sciences Research Journal, 34(4), 332–349. https://doi.org/10.1177/1077727X06286570.
13. Chung, I.-H., Lee, Y.-J., Ryu, H.-S., Choi, H.-S., Chung, H.-W., Hong, K.-H., & Park, M.-J. (2010). The Hospital-Clothes Consumption Experience of Consumers According to Gender and Age -A Suggestion for the Improvement of Patient Gowns and Medical Supplies-. Journal of the Korean Society of Clothing and Textiles, 34, 138–152. https://doi.org/10.5850/JKSCT.2010.34.1.138.
14. Clark, L. A., Cuthbert, B., Lewis-Fernández, R., Narrow, W. E., & Reed, G. M. (2017). Three Approaches to Understanding and Classifying Mental Disorder: ICD-11, DSM-5, and the National Institute of Mental Health’s Research Domain Criteria (RDoC). Psychological Science in the Public Interest: A Journal of the American Psychological Society, 18(2), 72–145. https://doi.org/10.1177/1529100617727266.
15. Dayabandara, M., Hanwella, R., Ratnatunga, S., Seneviratne, S., Suraweera, C., & de Silva, V. A. (2017). Antipsychotic-associated weight gain: Management strategies and impact on treatment adherence. Neuropsychiatric Disease and Treatment, 13, 2231–2241. https://doi.org/10.2147/NDT.S113099.
16. Dinsdale, P. (2004). Revealing patient gowns overdue for a redesign. Nursing Standard, 18(44), 7. https://doi.org/10.7748/ns.18.44.7.s13
17. Edvardsson, D. (2009). Balancing between being a person and being a patient—A qualitative study of wearing patient clothing. International Journal of Nursing Studies, 46(1), 4–11. https://doi.org/10.1016/j.ijnurstu.2008.08.008
18. Fix, G. M., Lukas, C. V., Bolton, R. E., Hill, J., Mueller, N., LaVela, S. L., & Bokhour, B. G. (2017). Patient‐centred care is a way of doing things: How healthcare employees conceptualize patient‐centred care. Health Expectations, 21(1), 300–307. https://doi.org/10.1111/hex.12615
19. Frankel, R., Peyser, A., Farner, K., & Rabin, J. M. (2021). Healing by Leaps and Gowns: A Novel Patient Gowning System to the Rescue. Journal of Patient Experience, 8, 23743735211033150. https://doi.org/10.1177/23743735211033152.
20. Galderisi, S., Heinz, A., Kastrup, M., Beezhold, J., & Sartorius, N. (2017). A proposed new definition of mental health. Psychiatria Polska, 51, 407–411. https://doi.org/10.12740/PP/74145.
21. Gordon, L., & Guttmann, S. (2013). A user-centered approach to the redesign of the patient hospital gown. Fashion Practice, 5(1), 137–151. https://doi.org/10.2752/175693813x13559997788961
22. Gordon, L., & Guttmann, S. (2013b). A user-centered approach to the redesign of the patient hospital gown. Fashion Practice, 5(1), 137–151. https://doi.org/10.2752/175693813x13559997788961
23. Gupta, R. (2021). Color Therapy in Mental Health and Well Being. International Journal of All Research Education and Scientific Methods (IJARESM),
24. Hu, Miaomiao, & Cheng, Yan. (2022). Towards an emotional design of apparel for medical professionals. Journal of Textile Engineering & Fashion Technology, 8:24–25. doi: 10.15406/jteft.2022.08.00296.
25. Hwang, C., McCoy, L., & Shaw, M. R. (2020). Redesigning Maternity Hospital Gowns. Fashion Practice, 0(0), 1–20. https://doi.org/10.1080/17569370.2020.1794317.
26. Hwang, Chanmi, Lindsay McCoy, and Michele R. Shaw. (2022). ‘Redesigning Maternity Hospital Gowns’. Fashion Practice 14(1):79–98. doi: 10.1080/17569370.2020.1794317.
27. Imbesi, S., & Scataglini, S. (2021). A User Centered Methodology for the Design of Smart Apparel for Older Users. Sensors, 21(8), 2804. https://doi.org/10.3390/s21082804.
28. Jiayin, L., & Zhaohua, Z. (2021). Research and evaluation of functional clothing for patients with paraplegia of both lower limbs. Journal of Physics: Conference Series, 1790(1), 012038. https://doi.org/10.1088/1742-6596/1790/1/012038.
29. Jones, P. (2013). Adult mental health disorders and age at onset. The British Journal of Psychiatry, 202, s5–s10. https://doi.org/10.1192/bjp.bp.112.119164.
30. Kam, S., & Yoo, Y. (2021). Patient Clothing as a Healing Environment: A Qualitative Interview Study. International Journal of Environmental Research and Public Health, 18(10), Article 10. https://doi.org/10.3390/ijerph18105357.
31. Keyes, C. L. M. (2006). Mental health in adolescence: Is America’s youth flourishing? American Journal of Orthopsychiatry, 76(3), 395–402. https://doi.org/10.1037/0002-9432.76.3.395
32. Koo, H. S., & Min, S. (2014). Development and Evaluation of a Patient Garment Based on Functional-Modesty-Aesthetic (FMA) Model. International Journal of Costume and Fashion, 14(2), 67–79.
33. Limbong A. Can A Patient Gown Makeover Move Hospitals To Embrace Change?. NPR. https://www.npr.org/sections/health- shots/2018/02/11/582830491/can-a-patient-gown- makeover-move-hospitals-to-embrace-change.
34. Lishchuk, I.& Bereziuk, J. (2019). The Influence of Colorology on Patients’ Psychological and Mental Health. Zhytomyr Medical Institute. https://conf.ztu.edu.ua/wp-content/uploads/2019/06/331.pdf.
35. Liu, L., Zhao, H., Lu, G., Ling, Y., Jiang, L., Hui-Lan, C., & Gao, W. (2016). Attitudes of hospitalized patients toward wearing patient clothing in Tianjin, China: A cross-sectional survey. International Journal of Nursing Sciences, 3(4), 390–393. https://doi.org/10.1016/j.ijnss.2016.11.005
36. Marino, S. (2020). Body, World and Dress: Phenomenological and Somaesthetic Observations on Fashion. Academia, 12(1), 27–48. https://cris.unibo.it/handle/11585/762420
37. McDonald E, Dounaevskaia V, and Lee T .(2014). Inpatient attire: an opportunity to improve the patient experience. JAMA Intern Med. 2014;174(11):1865-66. doi:10.1001/jamainternmed.2014.4513.
38. Morton, L., Cogan, N., Kornfält, S., Porter, Z., & Georgiadis, E. (2020). Baring all: The impact of the hospital gown on patient well‐being. British Journal of Health Psychology, 25. https://doi.org/10.1111/bjhp.12416.
39. Morton, L., Cogan, N., Kornfält, S., Porter, Z., & Georgiadis, E. (2020). Baring all: The impact of the hospital gown on patient well‐being. British Journal of Health Psychology, 25. https://doi.org/10.1111/bjhp.12416.
40. Orzada, B. T., & Kallal, M. J. (2021). FEA Consumer Needs Model: 25 Years Later. Clothing and Textiles Research Journal, 39(1), 24–38. https://doi.org/10.1177/0887302X19881211.
41. Park, K. A., Yang, C. E., Lee, J. H., & Kim, H.-J. (2021). Analysis of the Types of Dementia Patients for Development of Clothes for Dementia Patient in Nursing Homes. Journal of the Korean Society of Clothing and Textiles, 45(5), 788–803. https://doi.org/10.5850/JKSCT.2021.45.5.788.
42. Shu, T., Tang, C. S., Ng, W. W. N., Ho, C. S., & Ho, R. (2015). Determining the quality of life of depressed patients in Singapore through a multiple mediation framework. Asian Journal of Psychiatry, 18, 22–30. https://doi.org/10.1016/j.ajp.2015.10.010
43. Syed, S., Stilwell, P., Chevrier, J., Adair, C., Markle, G., & Rockwood, K. (2022). Comprehensive design considerations for a new hospital gown: A patient-oriented qualitative study. CMAJ Open, 10, E1079–E1087. https://doi.org/10.9778/cmajo.20210271.
44. Tien E. Hospital Gowns Get a Life. New York Times. https://search-proquest- com.ezaccess.libraries.psu.edu/docview/109866723?a ccountid=13158&pq-origsite=summon. Published October 18, 1998. Accessed November 6, 2019.
45. Topo, P., & Iltanen-Tähkävuori, S. (2010). Scripting patienthood with patient clothing. Social Science & Medicine, 70(11), 1682–1689. https://doi.org/10.1016/j.socscimed.2010.01.050
46. Wellbery, C., & Chan, M. (2014). White coat, patient gown. Medical Humanities, 40(2), 90–96. https://doi.org/10.1136/medhum-2013-010463
47. Zieman, Nancy. (2009). Pattern Fitting with Confidence. Penguin Publishing Group.
Published
2024-05-18
How to Cite
Fida Khader Faraj, Al-Hanouf Ali Al-Shehri, Dalal Dhuwayher Al-Juhani, & Prof. Dr. Mirahan Faraj Orabi Zidane. (2024). Improving the Functional and Aesthetic Performance of Clothing for Long-Stay Depressed Patients According to the Vision of Healthcare Providers. Journal of Arts, Literature, Humanities and Social Sciences, (105), 377-394. https://doi.org/10.33193/JALHSS.105.2024.1110
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