Mixed methods study exploring the impact of the hospital gown on recovery and wellbeing: implications for policy and practice

Nicola Cogan, Liza Morton, Emmanouil Georgiadis

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Background: The importance of personalised and dignified care is increasingly being recognised in healthcare policy and practice. Despite the known impact of clothing on social identity few studies have considered the impact of hospital clothing on patient wellbeing and recovery. Whilst clothing can empower the wearer, it can also induce psychological distress, feelings of disempowerment and lowered self-esteem. Despite recent drives to empower patients with person centred health care provisions, the institutionalised acceptance of the hospital gown persists. Research has yet to explore the impact of wearing the hospital gown on patients' health, wellbeing and recovery. Methods: Two studies were carried out to consider the impact of the hospital gown on wellbeing and recovery among adults with and without chronic health conditions. The first study consisted of conducting in-depth, semi-structured interviews (n = 10) with adults living with lifelong chronic health conditions, which were audio-recorded, transcribed and thematic analysis was used to identify themes from the qualitative data. The second study was a cross-sectional, online survey exploring adults' views (n = 700) and experiences of wearing the hospital gown. Findings: Qualitative analysis identified the following master themes: (1) loss of 'healthy' identity, (2) symbolic embodiment of the 'sick' role, (3) relinquishing control to medical professionals, and (4) vulnerability, disempowerment and embarrassment. Quantitative analysis of the online survey data indicated that adults often reported wearing the hospital gown despite lack of medical necessity. Its design was considered to be not fit for purpose and lacking in dignity. Interpretation: The implications of these findings for public health policy and practice are discussed, emphasising the importance of challenging cultural norms in healthcare since de-humanising aspects of care, as symbolically represented by the hospital gown, may adversely impact on wellbeing and recovery and increase patient distress. Alternatives to the hospital gown are discussed.
Original languageEnglish
Article numberS32
Number of pages1
JournalThe Lancet
Issue numberSuppl. 2
Early online date28 Nov 2019
Publication statusPublished - 30 Nov 2019


  • psychologically minded care
  • person centred care
  • hospital gown
  • mixed method
  • qualitative
  • cross-sectional

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  • Research Output

    Baring all: the impact of the hospital gown on patient wellbeing

    Morton, L., Cogan, N., Kornfält, S., Porter, Z. & Georgiadis, E., 1 Sep 2020, In : British Journal of Health Psychology. 25, 3, p. 452-473 22 p.

    Research output: Contribution to journalArticle

    Open Access
    7 Downloads (Pure)

    Implications of wearing the hospital gown on mental health, practice and policy

    Morton, L. & Cogan, N., 29 Oct 2019.

    Research output: Contribution to conferencePoster


    • 2 Invited talk
    • 1 Types of Public engagement and outreach - Media article or participation

    Psychologically Informed Medicine

    Liza Morton (Speaker)

    29 Jan 2020

    Activity: Talk or presentation typesInvited talk

    Patients asked to share their thoughts about hospital gowns for Glasgow study

    Liza Morton (Interviewee) & Nicola Cogan (Interviewee)

    26 Jun 2019

    Activity: Other activity typesTypes of Public engagement and outreach - Media article or participation

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