title: Patients' perceptions of today's nursing attire: exploring dual images.
abstract: OBJECTIVE
  To determine what image is conveyed to patients by 3 different nurse uniforms.
  
  
  BACKGROUND
  With the shift from the historical "single note" white nursing uniform to the current cacophony of uniforms, it is difficult to recognize the registered nurses. Uniforms are nonverbal messages sent to patients, making it critical to know what images patients associate with different uniforms.
  
  
  METHODS
  One hundred eighty patients (convenience sample) in a Pacific Northwest hospital completed a 13-item survey asking for perceptions of 3 nursing uniforms. Participants selected 1 of 3 nurse uniform photos that best reflected each of 10 characteristics and 3 overall images.
  
  
  RESULTS
  Using descriptive statistics and multivariate analyses, 2 themes for images emerged; the first is described professional and the second, approachable. When demographic variables were included, 4 generational-age strata yielded these same themes. However, different uniforms were selected for the various characteristics by age. Patients in the Seniors category consistently chose the white uniform for both themes, whereas Generations X, Y, and Baby-Boomers chose a uniform with a print as being approachable.
  
  
  CONCLUSIONS
  The dual images of nursing present a challenge for nursing leaders deciding whether uniforms should be standardized for nursing staff. Complicating this issue are differences in perceptions among the 4 generational ages.
authors.affiliation: Washoe Health System, Reno, Nev, USA.
authors.forename: Victoria J
authors.initials: VJ
authors.lastname: Skorupski
authors.forename: Ruth E
authors.initials: RE
authors.lastname: Rea
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003020:Clothing; D005260:Female; D006801:Humans; D007857:Leadership; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009729:Nursing; D019601:Pacific States; D011641:Public Relations