Psychiatric Bulletin (2002) 26: 156. doi: 10.1192/pb.26.4.156-a
© 2002 The Royal College of Psychiatrists
Psychiatric Bulletin (2002) 26: 156
© 2002 The Royal College of Psychiatrists
Nurses' uniforms
Dora Kohen, Professor of Psychiatry
Lancashire Postgraduate School of Medicine and Health, Department of
Psychiatry, Leigh Infirmary, Leigh, Lancaster WN7 1HS
Sir: In July 2001 the psychiatric nursing staff in the mental health unit
in Leigh Infirmary, Leigh, Lancashire, balloted to go back to wearing their
nursing uniforms in all the in-patient psychiatric wards, including the
psychiatric intensive care unit, acute male and female wards, and
rehabilitation wards. Within the previous 3 years there were multiple requests
independent of each other to return to wearing uniforms, coming mainly from
relatives, service users and in-patient staff. Reasons given for the request
were in relation to clearer identification of staff, better boundaries with
patients and a more professional rapport, which would lead to a better
established alliance.
The decision was taken following long discussions with consultants, medical
and nursing staff, and service management, and a ballot of the nurses, which
reflected unanimous interest in wearing nursing uniforms.
Five months later all involved seem to be happy with the decision and wish
to continue to wear uniforms. Patients, relatives and staff express
satisfaction with the process. There has been a great reduction in aggression,
violence and the number of untoward incidents on the wards. In-patients have
been more collaborative and understanding of the alliance with the
professionals.
Since this is an unusual practice in mental health services today, I wish
to share this experience with colleagues.