title: Patients attitude towards surgeons attire in Our Lady of Lourdes Hospital Drogheda.
abstract: BACKGROUND
  A doctor's competence and professionalism is often judged on the basis of attire. Our Lady of Lourdes (OLOL) is a leading Irish hospital in the implementation of Bare Below the Elbows (BBTE) policy, however surgical attire is not standardised and there is great variability in attire worn on wards. We aimed to evaluate patients attitude towards surgeons attire in OLOL.
  
  
  METHODS
  A prospective survey of adult surgical in-patients was conducted from October 2013 to February 2014. A twelve-question questionnaire was used as data collection tool, using a five point Likert scale to assess patients response to each question. Data were collected on patient demographics, patients level of trust and confidence based on different surgical attire, and patients perception of different attire worn by surgical teams.
  
  
  RESULTS
  There were 150 completed surveys during the study period with a male to female ratio of 44% to 56% respectively. The mean patient length of in-hospital stay (LOS) was 4.7 days (range 1-22). The most commonly represented age group was 30-40 years (18%), with a comparable spread among all age groups. The majority of patients found the attire worn by surgeons on the ward to be very appropriate (93%). Majority of responders believed scrubs to be the most appropriate attire for surgeons on wards (39%), followed by shirt and tie with white coat (38%) followed by short sleeved shirt and no tie (18%). Shirt and tie with white coat had a positive effect on patients trust in 63% of responders, a negative effect in 10% and no effect in 26%. Scrubs had a positive effect on patients trust in 63%, negative effect in 11% and no effect in 25%. Short sleeved shirt and no tie had a positive effect in 44%, negative effect in 25% and no effect in 30% of patients.
  
  
  CONCLUSIONS
  Patients in OLOL find attire worn by surgeons to be appropriate. Shirt and tie with white coat or scrubs remains the patient's choice attire for surgeons. Shirt and tie with white coat or scrubs has a more positive effect on trust of patients compared to short sleeved shirt and no tie.
authors.affiliation: Our Lady of Lourdes Hospital, Drogheda, Ireland.
authors.forename: Babak
authors.initials: B
authors.lastname: Meshkat
authors.affiliation: Our Lady of Lourdes Hospital, Drogheda, Ireland.
authors.forename: Gary Allan
authors.initials: GA
authors.lastname: Bass
authors.affiliation: Adelade and Meath Hospital, Tallaght, Ireland.
authors.forename: Melania
authors.initials: M
authors.lastname: Matcovici
authors.affiliation: Royal College of Surgeons, Dublin, Ireland.
authors.forename: Zarah
authors.initials: Z
authors.lastname: Farnes
authors.affiliation: Royal College of Surgeons, Dublin, Ireland.
authors.forename: Claire
authors.initials: C
authors.lastname: Buckley
authors.affiliation: Royal College of Surgeons, Dublin, Ireland.
authors.forename: Omar
authors.initials: O
authors.lastname: Al Saffar
authors.affiliation: Our Lady of Lourdes Hospital, Drogheda, Ireland. ; Royal College of Surgeons, Dublin, Ireland.
authors.forename: Peter
authors.initials: P
authors.lastname: Gillen
keywords: Bare Below the Elbows (BBTE); Infection Control; Surgical Attire
references.citation: J Laryngol Otol. 2010 Sep;124(9):963-6
references.pmid: 20519044
references.citation: Ir Med J. 2013 Oct;106(9):272-5
references.pmid: 24416849
references.citation: Asia Pac Fam Med. 2014 Jan 08;13(1):2
references.pmid: 24397871
references.citation: Am J Obstet Gynecol. 2007 Feb;196(2):186.e1-5
references.pmid: 17306675
references.citation: Patient Prefer Adherence. 2012;6:361-7
references.pmid: 22573935
references.citation: Mil Med. 2013 Sep;178(9):994-1001
references.pmid: 24005549
references.citation: Public Health Rep. 2007 Mar-Apr;122(2):160-6
references.pmid: 17357358
references.citation: Insight. 2010 Oct-Dec;35(4):11-3
references.pmid: 21189797
references.citation: Hawaii Med J. 2009 Dec;68(11):284-5
references.pmid: 20034257
references.citation: Clin Pediatr (Phila). 2013 Jul;52(7):593-8
references.pmid: 23539683
references.citation: Intern Med. 2010;49(15):1521-6
references.pmid: 20686283
references.citation: Saudi Med J. 2012 Jul;33(7):763-7
references.pmid: 22821311
references.citation: Ochsner J. 2013 Fall;13(3):334-42
references.pmid: 24052762
references.citation: J Hosp Infect. 2010 Jan;74(1):10-5
references.pmid: 19931936
references.citation: J Pak Med Assoc. 2012 Jul;62(7):668-71
references.pmid: 23866512
references.citation: Am J Med. 2005 Nov;118(11):1279-86
references.pmid: 16271913
references.citation: Ann Emerg Med. 1989 Feb;18(2):145-51
references.pmid: 2783838
references.citation: Am J Infect Control. 2012 Nov;40(9):e245-8
references.pmid: 22998784