Barriers, Enablers, and Consumer Design Ideas for Health Literacy Responsive Hospital Waiting Areas: A Framework Method Analysis

McDonald, Cassie E; Remedios, Louisa; Cameron, Kate L; Said, Catherine M; Granger, Catherine L

doi:10.1177/19375867211032926

Cited by 4 publications

(7 citation statements)

References 30 publications

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“…Strategic questions identify novel plans, theories, or actions. For example, to explore and evaluate consumers’ ideas for designing a health literacy-responsive hospital waiting area (McDonald et al, 2022). Ritchie and Spencer (1994) explain it is common for research questions to encompass more than one of these typologies.…”

Section: Partmentioning

confidence: 99%

“…Within the field of health research, the Framework Method has been used in a variety of settings. Recent examples include primary health care (e.g., Gudnadottir et al, 2021; Willis et al, 2020), tertiary health care (e.g., Davey et al, 2020; McDonald et al, 2022; Towell-Barnard et al, 2020), child welfare (e.g., Mason et al, 2018), and disability services (e.g., Flynn, 2021). Despite the method being adopted by researchers across many health settings, it remains a less used method of choice in psychological studies.…”

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confidence: 99%

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Applying the framework method to qualitative psychological research: Methodological overview and worked example.

Frazer¹,

Orr²,

Thielking³

2023

Qualitative Psychology

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This article is presented in two parts. First, an overview of the Framework Method is given, a contemporary method of qualitative analysis for psychological research. The method’s background, distinguishing features, seven steps of data analysis, and suitability to psychological research are discussed. Second, to demonstrate how the method can be applied to a psychological study, a worked example of the analytical steps is detailed. This article aims to (a) demonstrate the utility and appropriateness of the Framework Method for qualitative research in the psychological sciences and (b) support researchers who might consider using this method by providing a worked example to illustrate how this method can be utilized in psychological research. The Framework Method has been widely used in social and public policy-based research, and more recently, health research, but rarely in psychology. It differs from other qualitative approaches due to its emphasis on matrix-based data summary and display, which supports the systematic generation of themes. The Framework Method will be applied to data collected from participants in Australia. The study described in the worked example explored the impact of COVID-19 on parent–adolescent relationships. Across seven steps, the authors explain how data were analyzed, which are followed by a reflective discussion on the use of the method, including strengths and limitations. This article will provide a methodological overview and worked example of the Framework Method for the psychological sciences. It will support psychological researchers to better understand and consider adopting this method in their qualitative research.

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Section: Partmentioning

confidence: 99%

mentioning

confidence: 99%

Applying the framework method to qualitative psychological research: Methodological overview and worked example.

Frazer¹,

Orr²,

Thielking³

2023

Qualitative Psychology

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“…The CNS student designed and implemented a project to improve the number of colorectal cancer (CRC) screenings conducted. Based on the concept of health literacy responsive waiting areas, 23 health education flyers (Figure 1) were made available in all patient waiting areas. The flyers empowered patients to self-identify as eligible for CRC screening.…”

Section: Exemplar Student Clinical Projects and Outcomesmentioning

confidence: 99%

Exploring Clinical Nurse Specialist Impact in Primary Health Care: Exemplars From a Student’s Clinical Practice

2023

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Primary healthcare (PHC) is a clinical frontier full of opportunities for clinical nurse specialists (CNSs) to improve population outcomes, facilitate smooth care transitions, and overcome challenges through a unique lens. Clinical nurse specialist practice in primary care is exceedingly rare, and there is a paucity of literature on the topic. This article provides exemplary projects implemented by a CNS student in a primary care clinic. Description of the Project/Program: Primary healthcare has been described as the "front door" of the health system. It has increasingly relied on nursing to deliver health services, yet PHC and nursing practice in this setting remain poorly defined. Clinical nurse specialists are well-positioned to define these concepts, standardize processes used to deliver services, and impact patient outcomes in PHC. The CNS student successfully supported a primary care clinic in these activities. Outcome:Reviewing the impact of the CNS student's experience offers a better understanding of CNS practice in PHC. Conclusion:Gaps exist in the literature regarding best practices and care delivery in PHC. Clinical nurse specialists are educationally prepared to address these gaps and improve patient outcomes at the health system's "front door." Utilizing a CNS's unique skill set achieves cost-effective and efficient healthcare delivery in a new way that bolsters the strategy of utilizing nurse practitioners to meet the challenge of provider shortages.

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“…Nine articles investigated broad research questions about the use of waiting areas for health literacy-related purposes ( Cossey et al , 2014 ; Seibert et al , 2014 ; Varma et al , 2016 ; Rodger et al , 2017 ; Maskell et al , 2018 ; Ellis et al , 2019 ; Penry Williams et al , 2019 ; McDonald et al , 2021a , 2022 ). Data on consumer perceptions and opinions were collected via questionnaires or surveys ( Seibert et al , 2014 ; Varma et al , 2016 ; Maskell et al , 2018 ; Ellis et al , 2019 ; Penry Williams et al , 2019 ) or via structured or semi-structured interviews ( Cossey et al , 2014 ; Rodger et al , 2017 ; McDonald et al , 2021a , 2022 ). Consumers perceived waiting areas as an acceptable setting for receiving health information ( Varma et al , 2016 ; Ellis et al , 2019 ).…”

Section: Review Findingsmentioning

confidence: 99%

Do health service waiting areas contribute to the health literacy of consumers? A scoping review

McDonald

Voutier

Govil³

et al. 2023

Health Promotion International

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Health service waiting areas commonly provide health information, resources and supports for consumers; however, the effect on health literacy and related outcomes remains unclear. This scoping review of the literature aimed to explore the use of waiting areas as a place to contribute to the health literacy and related outcomes of consumers attending health appointments. Articles were included if they focussed on health literacy or health literacy responsiveness (concept) in outpatient or primary care health service waiting areas (context) for adult consumers (population) and were published after 2010. Ten bibliographic databases, one full-text archive, dissertation repositories and web sources were searched. The search yielded 5095 records. After duplicate removal, 3942 title/abstract records were screened and 360 full-text records assessed. Data were charted into a standardized data extraction tool. A total of 116 unique articles (published empirical and grey literature) were included. Most articles were set in primary and community care (49%) waiting areas. A diverse range of health topics and resource types were available, but results demonstrated they were not always used by consumers. Outcomes measured in intervention studies were health knowledge, intentions and other psychological factors, self-reported and observed behaviours, clinical outcomes and health service utilization. Intervention studies overall demonstrated positive trends in health literacy-related outcomes, although the benefit declined after 3–6 months. Research on using waiting areas for health literacy purposes is increasing globally. Future research investigating the needs of consumers to inform optimal intervention design is needed.

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Barriers, Enablers, and Consumer Design Ideas for Health Literacy Responsive Hospital Waiting Areas: A Framework Method Analysis

Cited by 4 publications

References 30 publications

Applying the framework method to qualitative psychological research: Methodological overview and worked example.

Applying the framework method to qualitative psychological research: Methodological overview and worked example.

Exploring Clinical Nurse Specialist Impact in Primary Health Care: Exemplars From a Student’s Clinical Practice

Do health service waiting areas contribute to the health literacy of consumers? A scoping review

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