186
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Nurse Practitioners' Knowledge, Experience, and Intention to Use Health Literacy Strategies in Clinical Practice

      research-article
      Journal of Health Communication
      Taylor & Francis

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Nurse practitioners' (NPs) knowledge, experience, and intention to use health literacy strategies in practice were investigated using the Theory of Planned Behavior as the theoretical framework. NPs who work in outpatient settings were recruited at a national NP conference. Participants were administered 3 self-report instruments: Health Literacy Knowledge and Experience Survey, Parts I and II; and the Health Literacy Strategies Behavioral Intention Questionnaire. Overall knowledge of health literacy and health literacy strategies was found to be low. Screening patients for low health literacy and evaluating patient education materials were found to be areas of knowledge deficit. Most NP participants used written patient education materials with alternate formats for patient education, such as audiotapes, videotapes, or computer software rarely used. Statistically significant differences were found in mean experience scores between NP level of educational preparation and NP practice settings. The intention to use health literacy strategies in practice was found to be strong. The findings of this investigation offer implications for enhancing NP curriculum and for continuing education opportunities. Increasing NPs' knowledge of health literacy and facilitating the use of health literacy strategies has the potential to change clinical practice and support improved patient outcomes.

          Related collections

          Most cited references17

          • Record: found
          • Abstract: not found
          • Article: not found

          From intentions to actions: Theory of Planned Behavior

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Readability and patient education materials used for low-income populations.

            Meg Wilson (2015)
            More than 90 million Americans have low levels of health literacy that may contribute to poor health outcomes. Assessment of the readability of patient education materials (PEMs) is a vital component of health education. The aim of this study was to describe the readability of PEMs used in community healthcare settings serving low-income populations to provide further insight into the complex area of health literacy. A descriptive, correlational, and nonexperimental design was used for this study. The setting for this study was 5 free and low-cost community clinics in a Midwestern urban area. Thirty-five unique PEMs produced by professional sources (government agencies, drug companies, and state/national organizations) or by providers comprised the final sample. Readability was measured using Simple Measure of Gobbledygook (SMOG), Flesch-Kincaid, and Flesch Reading Ease. Significance was determined through t tests and Spearman rho correlations. Variability in grade levels was noted using all measures. Mean Flesch-Kincaid grade level was 7.01, and that for SMOG was 9.89. Mean level for Flesch Reading Ease was 63.40, an estimated eighth and ninth grade level. The SMOG consistently measured 2 to 4 grades levels higher than did Flesh-Kincaid. Professionally developed PEMs had significantly higher reading levels using both SMOG and Flesch-Kincaid and were more difficult to read using Flesch Reading Ease when compared with those prepared by individual providers. Patient education materials were written at a level too high for the average adult. All PEMs should be analyzed carefully to ensure that they are at the recommended fifth grade level. Further understanding of available measures of readability is critical in the creation and/or assessment of PEMs that will strengthen services from safety net providers and support positive health outcomes. Nurses must expand their knowledge of all aspects of literacy and readability and take a proactive role in assessment and development of PEMs. Further research is needed to determine the best readability measures.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Knowledge of limited health literacy at an academic health center.

              Health care providers' awareness and knowledge of the impact that limited health literacy has on the health care system and the individual patient was measured. In addition, the usefulness of the Limited Literacy Impact Measure (LLIM) was examined. Two hundred forty providers and students attending a university-sponsored presentation on health literacy were invited to participate. Participants were most knowledgeable about the impact on patients and less knowledgeable about the impact on the health care system. Health care provider knowledge and awareness of limited health literacy continues to be a challenge. Educational programs developed for providers and patients are needed to address the health literacy crisis. Improving health literacy will improve health outcomes while reducing the use of unnecessary health care services.
                Bookmark

                Author and article information

                Journal
                J Health Commun
                J Health Commun
                uhcm
                Journal of Health Communication
                Taylor & Francis
                1081-0730
                1087-0415
                4 October 2013
                December 2013
                : 18
                : Suppl 1
                : 70-81
                Affiliations
                The Sage Colleges, Troy, New York, USA
                Author notes
                Address correspondence to Madeline Cafiero, The Sage Colleges, 65 First Street, Troy, NY 12180, USA. E-mail: cafiem@ 123456sage.edu
                Article
                10.1080/10810730.2013.825665
                3815083
                24093347
                5268226d-9f63-4c3a-9f65-a471772e16df
                © Madeline Cafiero

                This is an open access article distributed under the Supplemental Terms and Conditions for iOpenAccess articles published in Taylor & Francis journals , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Categories
                Research Article

                Communication & Media studies
                Communication & Media studies

                Comments

                Comment on this article