Abstract

ABSTRACTObjective: To review the literature about children’s and parent’s perceptions on surgical attire.Data source: A systematic search was conducted in the databases EMBASE, Latin American and Caribbean Health Sciences (LILACS), PubMed, PsycINFO, Scopus and Web of Science. Grey literature was searched on Google Scholar, Open Grey and ProQuest Dissertations, and Theses Database.Data synthesis: A total of 2,567 papers were identified. After a two-phase selection, 15 studies were included in narrative synthesis. Children favored wearing white coats in five of the nine included studies (55.5% [95%CI 48.3-62.7]; p=1.00). With respect to parents’ preferences, results of vote counting showed that in 11 of 15 included studies, they favored physicians wearing white coats (73.3% [95%CI 67.9-78.6]; p=0.11).Conclusions: Children and parents have preferred physicians to wear a white coat with a very low certainty of evidence.

Highlights

  • Attire plays an important role in many professions

  • Parents have poorly predicted what their children would prefer in studies that have explored the use of face shields versus masks.[10]

  • This systematic review has been guided by the focused question: “What are children’s and parents’ perceptions of physicians’ attire?” To be included, descriptive studies were meant to evaluate children’s preferences concerning physicians’ attire

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Summary

Introduction

Attire plays an important role in many professions. In pediatric populations, the pediatrician’s appearance has been considered a crucial element that may affect the confidence and the comfort of both children and parents. Some studies in the literature have investigated the impact of physicians’ attire on the reliance and confidence of patients.[1,2,3,4] Previous studies have evaluated the perception/preferences of parents and their children, and the results have been conflicting.[5,6]. Parents have poorly predicted what their children would prefer in studies that have explored the use of face shields versus masks.[10] In addition to patients’ preferences, considering the risk of bacterial contamination and the risk of infection transmission when evaluating attire choices is important. More recently, it has been recognized that surgical attire may play an essential role in transmitting infections within and outside hospital settings.[6]

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