DANVILLE, PA -- Decision-making in large institutions often starts at the highest levels and is then passed down through the levels to employees. Geisinger’s recent implementation of a dress code for nurses and other front-line employees was initiated from another source -- patients.
In an article published this year in The Online Journal of Issues in Nursing, Geisinger nurses and nursing leaders show how patients were surveyed on perceptions of professionalism based on clothing, jewelry, tattoos and piercing. The authors used evidence-based practice -- the use of evidence, clinical nursing knowledge and patient values -- to assess how patients perceive the quality of care and professionalism of the nursing staff.
“Our goal was to increase our understanding of patient perceptions regarding the professional image of nurses at Geisinger Medical Center,” said one of the authors, Crystal Muthler, RN, chief nursing officer and vice president of nursing at Geisinger Medical Center. “We continuously strive to improve the patient and family experience. When the patients and families responded, we listened.”
About 400 patients participated by filling out surveys and reviewing photos of nurses in various types of clothing to identify the look they preferred. While they generally rated nurses highly, the patients sometimes had problems identifying the registered nurse, licensed practical nurse and the nursing assistant.
The respondents said they wanted all nurses to dress the same, but were divided as to whether solid colors or patterns were best. T-shirts with pictures or sayings were not liked at all.
While it may be OK for a waitress to call someone “honey” or “sweetheart,” patients said they want to be called Mr. or Mrs. when first introduced, and then by their first name afterward.
In January, registered nurses began wearing pewter gray and white scrub uniforms embroidered with the Geisinger logo and “Registered Nurse.”
As the study was being implemented, the study team found that Geisinger Medical Center had about 70 different dress codes. Those policies have been consolidated into a single document. “Today not only nursing has made changes in dress code, but many other departments are pursuing the same,” Muthler said.
One of the nation’s most innovative health services organizations, Geisinger serves more than 1.5 million patients in Pennsylvania and New Jersey. The system includes 13 hospital campuses, a nearly 600,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. Geisinger is known for its focus on caring and innovative programs including the ProvenCare® best-practice approach to maximize quality, safety and value; ProvenHealth Navigator® advanced medical home; Springboard Health® population health program to improve the health of an entire community; ProvenExperience™ to provide refunds to patients unhappy with their care experience; and Geisinger’s MyCode® Community Health Initiative, the largest healthcare system-based precision health project in the world. With more than 215,000 volunteer participants enrolled, MyCode is conducting extensive research and returning medically actionable results to participants. A physician-led organization, with approximately 32,000 employees and more than 1,800 employed physicians, Geisinger leverages an estimated $12.7 billion positive annual impact on the Pennsylvania and New Jersey economies. Repeatedly recognized nationally for integration, quality and service, Geisinger has a long-standing commitment to patient care, medical education, research and community service. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.