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medRxiv PreprintsInternational30 October 2026

Intensive care staff perception of medical clowns to an adult intensive care unit: a before-and-after study

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Introduction: Medical clowning enhances patient experiences across various clinical contexts. In pediatric ICUs, it reduces stress, sedative use, pain, and family anxiety. It supports pediatric ICU care staff via stress reduction and enhanced workplace morale. Despite this, its application in adult ICUs remains unexplored. This study evaluates staff experiences and perceptions of a novel adult ICU medical clowning program, focusing on staff attitudes before and after implementation and assessing perceived impact on work environment, patients and families. Methods: A medical clown program was i
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