Psychiatric Bulletin (2002) 26: 316. doi: 10.1192/pb.26.8.316-a
© 2002 The Royal College of Psychiatrists
Psychiatric Bulletin (2002) 26: 316
© 2002 The Royal College of Psychiatrists
Nurse uniforms
Shiela Mackenzie, Sector Manager and
Jeff Clarke, Consultant Psychiatrist
Selby and York Primary Care Trust, Bootham Park Hospital, Bootham, York
YO30 7BY
Sir: Like Professor Kohen and her colleagues in Lancashire (Psychiatric
Bulletin, April 2002, 26, 156), we felt that there may be much to
be gained by nursing staff going back to wearing uniforms in our community
units for the elderly, where most in-patients have severe dementia. We
undertook a study in three units looking at levels of behaviour disturbance
before and after the introduction of uniforms in two of the units, with the
third unit as a control. The study involved small numbers and is yet to be
published, but we too found a decrease in behaviour disturbance in our patient
group. This was particularly apparent when patients were receiving assistance
with personal care, a time when disturbed behaviour can be a frequent
occurrence. The uniforms were universally liked and staff issued with them for
the trial all still insist on wearing them, even though the study period ended
some time ago.
Unlike our colleagues in Lancashire, however, we have not yet been able to
reintroduce uniforms across the service, as we would like. We now have to
begin the process of persuading the management of the merits of funding
uniforms for all the elderly in-patient areas. Any other recent contributions
to the evidence base, which would aid our cause, would be most welcome.