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Impact of health literacy
How is health literacy relevant in nursing theory
Impact of health literacy
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One of the main misconceptions is that health care providers assume are that patients understand what they are trying to communicate. I believe that some nurses are not even aware how much of the medical jargon they use during patient teaching. These medical phrases only confuse patients and other nurses that are not familiar with the specialty being discussed. Research suggests that low health literacy skills can be applicable to persons of all literacy levels (Parnell, 2015). Health care providers may see a well-educated individual and assume they will understand what is being communicated regarding their health. The test results are positive when there is something concerning, but the patient may perceive that when something is positive the outcome is good. On the other hand, the opposite is that if the test result was negative, then the client may interpret that the results are bad.
The concept of health literacy is not new to me, but the book helps to better define its meaning and implications for patient care. Nurses should be aware of health literacy regardless of the population that they are caring for. Health care providers need to consider the patient’s health literacy regardless of their age, culture, education, or socioeconomic status (Parnell, 2015). Our organization is
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When the client receives a new prescription from their provider they must determine how to properly take the medication. Parnell broke it down into the following tasks: taking the prescription to the pharmacy, picking up the medication, checking if the prescription is correct, reading the label, comprehending the information, speaking with the pharmacist if necessary, and signing to accept or decline information from the pharmacist (2015). The successful completion of each of these steps requires that the client to be able to read and understand the materials they were
Racial and ethnic inequalities in healthcare results in non-white patients receiving lower quality care that White patients. Additionally, people who speak limited English encounter more communication issues with doctors and nurses that people whose primary language is English. (AHRQ, 2011). Consequently, as people with chronic conditions utilize more healthcare services, they are more likely to complain of issues with the doctor-patient relationship. They feel as though they are not able to participate in their care, their doctors do not allow them to contribute to their medical decisions and they feel like doctors are not disclosing all information related to care. People who encounter this type of cultural ignorance become dissatisfied with their treatment and overall healthcare experience and are at high risk for negative
...s, K.D., London, F. (2005). Patient education in health and illness (5th ed.). New York: Lippincott.
Communication is cited as a contributing factor in 70% of healthcare mistakes, leading to many initiatives across the healthcare settings to improve the way healthcare professionals communicate. (Kohn, 2000.)
In the healthcare setting, teach-back is used when patient education is required (Tamura-Lis, 2013, p. 270). Teach-back is defined as a non-shaming process of asking patients to repeat information in their own words (Tamura-Lis, 2013, p. 268). It involves teaching and learning between two participants. Patients who have low health literacy levels are at risked for the need of teach-back. These include patients who are older than 60 years old (Eadie, 2014, p. 9). Older adult patients may have sensory alterations that impair communication (Potter & Perry, 2013, p. 181). In addition, patients from low socioeconomic status and minority groups are more likely to have inadequate health literacy (Tamura-Lis, 2013, p. 267). Nevertheless, assessment tools are available to identify a patient’s health literacy level (Eadie, 2014, p. 11)
According to Penner et al. (2013), there are various causes of healthcare disparities, such as socioeconomic status; this results to poor healthcare services for people with low socioeconomic status, as people with low pay find it difficult to leave their work to seek healthcare help, or to afford healthcare insurance (p.4). The second cause is language proficiency. The language barriers faced by the immigrant plays a role in the healthcare disparities among the racial or ethnic minority patients. Another cause is health literacy. The levels of the health literacy among the foreign born individuals can be influenced by their higher level of distrust of the healthcare providers and healthcare system than they have towards Caucasian people. This, in turn, leads them to seek healthcare information less often than their Caucasian counterparts, thus hindering the provision of quality services, as well as limiting the foreign patients’ ability to manage their health conditions effectively. The foreigners’ failure to easily accept the information provided to them by healthcare providers puts them at risk. Disentangling the role of health literacy in racial healthcare disparities from the effects of racial attitudes and beliefs is often hard (Penner et al,
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
pp. 197-205 Singleton, K., & Krause, E. (2009). Understanding cultural and linguistic barriers to health literacy. Online Journal of Issues in Nursing, 14(3). United Nations.
Conaty-Buck, S. (2009). Unblocking barriers: Clearing the channel to improve communication between practitioners and patients with low health literacy. (Order No. 3364864, University of Virginia). ProQuest Dissertations and Theses, , 121. Retrieved from http://search.proquest.com.uproxy.library.dc-uoit.ca/docview/305011452?accountid=14694. (305011452).
communicate skills with our patients for a number of reasons – one being their health status even if
However, health literacy is more than just read and write; it is the ability to understand and able to use health information to make choices about their health (Benyon, 2014). Low health literacy can have detrimental effect on the health of the client because it may cause misunderstand of the medical label or health information. According to McMurray & Clendon (2015), health literacy divided into three different levels which are functional, interactive/communicative and critical health literacy. As for functional levels, it is the most general and fundamental level for the general public because individuals need to receive and understand the information of health such as risk of health decision, consent forms, health instruction or medicine labels. (McMurray & Clendo , 2015) Turning to the next level, interactive/communicative health literacy, mainly involved personal skills to spread health knowledge to the community, and also , people are able to influence social norm and help others individuals to develop their personal health capacity. Because of this, understanding of how organization work and resounding communication skill which can help to support others and knowing how to get different health services other individuals need (McMurray & Clendo , 2015). The third level is critical health literacy, mainly divided to
This paper investigates how language, culture and health literacy impact the ability to access quality care for individuals with limited English proficiency (LEP). This analysis draws upon a fictional case study, the story of the Gonzales family, developed by the National Center for Cultural Competence of Georgetown University (n.d.). Silvia and Juan Gonzales represent many individuals who experience the challenges of navigating a health care system that they do not understand, because they do not speak English proficiently. This paper is divided into two sections. The first part analyses the impact of LEP on the Gonzales ability to access quality health care, by looking at the communication skills of Silvia and Juan, as well as at those of
Health literacy is a term not widely understood by the general population. It is defined as “the degree to which individuals have the capacity to obtain, process and understand basic health information needed to make appropriate health decisions and services needed to prevent or treat illness,” (About health literacy, 2014). A person’s level of health literacy is based on their age, education level, socioeconomic standing, and cultural background. Patients with low health literacy have a more difficult time navigating the health care system. According to the U.S. Department of Health and Human Services, this group of patients may find it harder to find medical services and health care providers, fill out health forms, provide their complete medical history with their providers, seek preventative care, understand the health risks associated with some behaviors, taking care of chronic health conditions, and understanding how to take prescribed medications (About health literacy, 2014). It is to a certain extent the patient’s responsibility to increase their own health literacy knowledge. But to what extent can they learn on their own? Those working in the health field have been trained to navigate the health system and understand the medical terms. They have the knowledge and capability to pass on that understanding to their patients. Health care professionals have a shared responsibility to help improve patients’ health literacy.
Despite the frequency of verbal interactions, miscommunication of patient information occurs that can lead to patient safety issues. . . . ‘Effective communication occurs when the expertise, skills, and unique perspectives of both nurses and physicians are integrated, resulting in an improvement in the quality of patient care’ (Lindeke & Sieckert, 200...
The goal of improving health literacy is to empower individuals and community, to ensure that they feel comfortable and confident to make effective decisions by obtaining and understanding the relevant information. Strategies that applied in addressing health literacy should reflect respect, cultural safety, community or individuals’ needs and literacy level. Health professionals should facilitate and build capacity in promoting health literacy to allow the target groups have more control over their health and
There has been a great deal of attention given by individuals, the media and by the government to Health Education. There is no doubt that a population which is “health literate” is significant for the sake of the “public health as a whole and consequently for public finances”(Tappe 2013) (Younghee 2013). Many countries, including the U.S., have realized just how vital these issues have become. Sadly however, the ability to understand basic health information, with or without health education, as well as access and process the services is only possessed by “50%”of the American public, resulting in the escalation of health care costs as well as poor decision making regarding health care.