Promoting Health Literacy: A Nursing Imperative

Speros, Carolyn

doi:10.1016/j.cnur.2011.05.007

Cited by 47 publications

(36 citation statements)

References 24 publications

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“…This aligns with previous research, using the Omaha System and similar age ranges, which found that public health nursing interventions explained variability in health literacy outcomes [18,19]. Nurses and the multi-disciplinary health care team play a critical role in promoting health literacy and facilitating patient communication, and understanding health literacy should to be an integral component of every patient's plan of care [9,15,18]. Specifically, we found that the high-risk group received or required more interventions to increase knowledge scores [18].…”

Section: Discussionsupporting

confidence: 86%

“…Health literacy has been identified as a necessary element to increase health equity and reduce health disparities [2,7,9]. The nursing profession is well positioned to help alleviate health inequity by engaging in patient-centered health literacy practices to minimize negative outcomes associated with limited health literacy and improve the skill and abilities needed in complex health systems [7,9,[14][15][16]. Public health nursing data sources, using the Omaha System, have been used to highlight nursing interventions provided during home care visits [17][18][19].…”

Section: Introductionmentioning

confidence: 99%

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Relationships among interventions and health literacy outcomes for sub-populations: A data-driven approach

Michalowski¹,

Austin²,

Mathiason³

et al. 2018

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The goals of this study were to examine relationships among health literacy and outcomes for sub-populations identified within a large, multi-dimensional Omaha System dataset. Specific aims were to extract sub-populations from the data using Latent Class Analysis (LCA); and quantify the change in knowledge score from pre-to post-intervention for common sub-populations. Design: Data-driven retrospective study using statistical modeling methods. Sample: A set of admission and discharge cases, captured in the Omaha System, representing 65,468 cases from various health care providers. Measures: Demographic information and the Omaha System terms including problems, signs/symptoms, and interventions were used as the features describing cases used for this study. Development of a mapping of demographics across health care systems enabled the integration of data from these different systems. Results: Knowledge scores increased for all five sub-populations identified by latent class analysis. Effect sizes of interventions related to health literacy outcomes varied from low to high, with the greatest effect size in populations of young at-risk adults. The most significant knowledge gains were seen for problems including Pregnancy, Postpartum, Family planning, Mental health, and Substance use. Conclusions: This is the first study to demonstrate positive relationships between interventions and health literacy outcomes for a very large sample. A deeper analysis of the results, focusing on specific problems and relevant interventions and their impact on health literacy is required to guide resource allocation in communitybased care. As such, future work will focus on determining correlations between interventions for specific problems and knowledge change post-intervention.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Relationships among interventions and health literacy outcomes for sub-populations: A data-driven approach

Michalowski¹,

Austin²,

Mathiason³

et al. 2018

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“…13 A number of health literacy assessment tools exist with demonstrated validity and reliability, but these measures are typically conducted by trained research staff and are too time-intensive to be feasible in routine practice. 14 In the last several years, shorter screening tools have been developed and validated.…”

mentioning

confidence: 99%

Implementing Routine Health Literacy Assessment in Hospital and Primary Care Patients

Cawthon

Mion

Willens

et al. 2014

The Joint Commission Journal on Quality and Patient Safety

134

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Background Patients with inadequate health literacy often have poorer health outcomes and increased utilization and costs, compared to those with adequate health literacy skills. The Institute of Medicine has recommended that health literacy assessment be incorporated into health care information systems, which would facilitate large-scale studies of the effects of health literacy, as well as evaluation of system interventions to improve care by addressing health literacy. As part of the Health Literacy Screening (HEALS) study, a brief health literacy screen (BHLS) was incorporated into the electronic health record (EHR) at a large academic medical center. Methods Changes were implemented to the nursing intake documentation across all adult hospital units, the emergency department, and three primary care practices. The change involved replacing previous education screening items with the BHLS. Implementation was based on a quality improvement framework, with a focus on acceptability, adoption, appropriateness, feasibility, fidelity and sustainability. Support was gained from nursing leadership, education and training was provided, a documentation change was rolled out, feedback was obtained, and uptake of the new health literacy screening items was monitored. Results Between November 2010 and April 2012, there were 55,611 adult inpatient admissions, and from November 2010 to September 2011, 23,186 adult patients made 39,595 clinic visits to the three primary care practices. The completion (uptake) rate in the hospital for November 2010 through April 2012 was 91.8%. For outpatient clinics, the completion rate between November 2010 and October 2011 was 66.6%. Conclusions Although challenges exist, it is feasible to incorporate health literacy screening into clinical assessment and EHR documentation. Next steps are to evaluate the association of health literacy with processes and outcomes of care across inpatient and outpatient populations.

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“…10 These studies 10,[23][24][25][26][27][28][29][30][31][33][34][35][36]46 also emphasized that inadequate FHL is highly prevalent among the elderly, perhaps reflecting a weakness in the health system, in which older individuals are required to play a more active role in the management of their own health. Strategies of health literacy could be given more attention by healthcare providers.…”

Section: Discussionmentioning

confidence: 99%

Letramento funcional em saúde na perspectiva da Enfermagem Gerontológica: revisão integrativa da literatura

Santos

Portella

Scortegagna

et al. 2015

Rev. bras. geriatr. gerontol.

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Objective: To perform an integrative review of literature on functional health literacy from the perspective of Gerontological Nursing. Method: a study was made of the MEDLINE, PubMed, LILACS, IBECS, BDENF and CidSaúde databases, and studies published in Brazilian and international publications during the period of 2005-2014 were included. The studies were selected by main subject, such as education of patient, health literacy, schooling, the elderly, health education and self-care. Results: 58 studies were found, of which 33 were pre-selected, but only 17 composed the final sample, 15 of which were international and two of which were Brazilian. Conclusions: the results indicate an integration of knowledge of the assessment of functional health literacy among the elderly. Inadequate literacy was evident, indicating an excessive impact on health management, especially among those with chronic disease. Additionally, inadequate understanding of times and doses when taking medicine highlights that new strategies can be designed to bring empowerment and greater control to health.

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Promoting Health Literacy: A Nursing Imperative

Cited by 47 publications

References 24 publications

Relationships among interventions and health literacy outcomes for sub-populations: A data-driven approach

Relationships among interventions and health literacy outcomes for sub-populations: A data-driven approach

Implementing Routine Health Literacy Assessment in Hospital and Primary Care Patients

Letramento funcional em saúde na perspectiva da Enfermagem Gerontológica: revisão integrativa da literatura

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