|| Checking for direct PDF access through Ovid
The objective of this study is to evaluate the impact of physician attire and behavior on perceptions of care by ICU visitors in Japan.Visitors were surveyed including 117 at a community hospital and 106 at a university hospital. Demographic data (age, gender, relationship to patient, length of stay) were collected. A seven-point Likert scale (1 = strongly agree, 4 = neutral, 7 = strongly disagree) was used to judge physician attire (name tag, white coat, scrubs, short sleeve shirts, blue jeans, sneakers, clogs), behavior (addressing a patient, carrying a snack) and overall effect on perception of care.There are no significant differences (p > 0.05) in demographics comparing the two ICUs, except for increased length of stay at the university ICU. Visitors scored the importance of a name tag (median 2, Interquartile Range 1–2), white coat [3,1–4], addressing the patient by last name [2,1–3], wearing scrubs [3,2–4], sneakers [4,3–5], clogs [4,4–5], short sleeves (4,3.5–5), blue jeans [5,4–6], and carrying a snack [6,5–7]. Visitors scored “attire affects perceptions of care” as [3,2–4].Physician attire in the ICU affects perceptions of care. Implementation of attire guidelines which require clothing that does not meet visitor preferences should be accompanied by education programs.Physician attire affects perceptions of care, but there are few studies in the intensive care unit (ICU), or from Japan.A majority of ICU visitors agree that doctors should wear a name tag, white coat and address patients by last name. A majority disagree that wearing blue jeans and carrying a snack is acceptable.As guidelines for attire are implemented to reduce nosocomial infections, preferences of patients and family must be considered.