title: Impact of nurses clothing on anxiety of hospitalised children.
abstract: OBJECTIVE
  To investigate anxiety levels in two groups of children exposed to nurses with white vs. coloured clothing in a university hospital in Iran.
  
  
  BACKGROUND
  Hospitalisation causes anxiety in children and it is documented that nurses have an important role in alleviating children's distress and anxiety. Nurses characteristics, including their clothing is a factor that affects quality of care through child-nurse relationship.
  
  
  METHODS
  Clinical trial.
  
  
  METHODS
  Children (n = 92) aged 7-15 years old hospitalised for 3-5 days in paediatric surgery ward were exposed to nurses in white or coloured clothing. Children's anxiety was assessed on admission and at discharge using Revised Children's Manifest Anxiety Scale.
  
  
  RESULTS
  Children exposed to white nursing uniforms showed higher anxiety levels compared with children exposed to coloured nursing clothing (p < or = 0.05). Besides coloured nursing clothing, female sex, age >11 years old (guidance school) and living in families with more than four members were predictors of lower global anxiety scores.
  
  
  CONCLUSIONS
  Providing a child-friendly environment through colourful nursing clothing can promote nurses' relationship with hospitalised children. This can satisfy children's expectations of the nursing care and alleviates the need for meeting ideals of nursing care through wearing a white nursing uniform provided that standards of nursing care are favoured.
  
  
  CONCLUSIONS
  Using colourful nursing clothing in paediatric wards reduces anxiety as a psychological parameter which delays improvement and provides a child-friendly environment that helps promotion of quality of nursing care.
authors.affiliation: Behavioral Sciences Research Center, Isfahan University of Medical Sciences, PO Box 81465-993, Isfahan, Iran. roohafza@crc.mui.ac.ir
authors.forename: Hamidreza
authors.initials: H
authors.lastname: Roohafza
authors.forename: Afsaneh
authors.initials: A
authors.lastname: Pirnia
authors.forename: Masoumeh
authors.initials: M
authors.lastname: Sadeghi
authors.forename: Nafiseh
authors.initials: N
authors.lastname: Toghianifar
authors.forename: Mohammad
authors.initials: M
authors.lastname: Talaei
authors.forename: Mahmood
authors.initials: M
authors.lastname: Ashrafi
mesh_terms: D000293:Adolescent; D002648:Child; D003020:Clothing; D006760:Hospitalization; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007492:Iran; D009726:Nurses