Health literacy is defined as the “the capacity to obtain, communicate, process, and understand basic health information and services to make appropriate health decisions” (Koh et al., 2012, p. 1). When a patient has poor health literacy, they are more likely to have a poor outcome in regards to their health. There are bills and initiatives that address the need for patients to increase their health literacy as well as the healthcare providers’ responsibilities to provide the information in a way that is understandable and actionable. As future nurses, we must also understand how health literacy will impact our practice and how we can help those with low health literacy.
In 2010 the Patient Protection and Affordable Care Act (ACA) was
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Understandable is how easy the information is understood and actionable means the healthcare consumer can identify what actions they need to take. This test is valid for both printed and audiovisual materials. By using this test, a healthcare professional can identify material that is appropriate to use based on the understandability and actionability of the material (Shoemaker, Wolf, & Brach, 2014)
In 2010 the ACA was passed, it established a Hospital Readmission Reduction Program. What this program did was to penalize hospitals if a patient gets readmitted for the same condition within 30 days of being discharged. Readmissions are significant because they account for approximately one-third of the nation’s health costs. When hospitals use a patient-centered discharge process, the patients are then able to reconcile their medications, follow-up with community-based providers, and self-manage their diseases and treatments. The patient-centered discharge process helps to reduce hospital readmissions. (Cloonan, Wood, & Riley, 2013) By properly educating the patient before discharge it reduces the risk of the patient getting readmitted. Discharging a patient without proper education can result in the patient improperly discontinuing their medication or failing to follow-up with their primary care provider.
When we are communicating with patients, we must use clear and basic language and understand that the patient may not be health literate. By using specific
Health care each day we are faced with new challenges and the decision essentially falls on administrators to strategies and address these issues and in order to continue to provide sufficient care for patients. As health care administrators it is important that we find ways to identify ways to help patient understand their medical care. Therefore, health care administrator is involved with almost every aspect of running the facility efficiently, effectively, and productively and ensuring delivery of quality healthcare by providers. One of the biggest challenges that arise the most is language barrier. Language barrier is a major problem in the medical field, this is will lead to patient lack of understanding. Pateron & Taylor (2013), “Language
From Baker’s study on health literacy (2006), it depicted the health literacy as active and dynamic status which gives the consumers the essential abilities to act effectively within the healthcare system. The patient’s levels of health literacy would vary related on different circumstances whether it is relied on the health professionals at the medical procedure, the shared information that contains the type of medical diagnosis of the patient and the signs and symptoms of medical condition that patient may experience.
Health literacy has been demarcated as the measurement of the individual’s capacity to obtain, understand and process simple health information. It is needed to make satisfactory health decisions and determine services needed to treat or prevent illness. Health literacy requires knowledge from many topics, comprising the patient’s own body, appropriate conducts towards healthy results and the difficulties to understand the health system. It is influenced by many conditions such as our communication skills, age, socio-economic status, and cultural background, past experiences, educational level and mental health status (U.S. Department of
Low literacy affects many individuals within today’s society. The amount of individuals that are unable to comprehend medication labels, medication regimens, and learning points from discharge teaching is shocking and result in further health related injuries (Koh et al., 2012). Nurses must take the important task of recognizing an individual literacy and comprehension ability before planning the individual’s care plan. The nurse must find out the ways an individual can receive information that
Health literacy has been a problem with our patients. The most vulnerable populations are the elderly, people with low-income levels, those with limited education, non-native speakers of English, those with chronic mental and physical health conditions, minority, and immigrant populations. Nurses have a great role in helping our patients succeed in understanding their health conditions. Nurses can be of great help in promoting health literacy. Sykes, Wills, Rowlands and Popple (2013) defined health literacy as the ability of individuals to access, understand, appraise, and apply health information. The three domains of health literacy, according to Bennett and Perkins (2012) as adapted from the (WHO) (1998) are functional health literacy, interactive literacy, and critical health literacy. Functional health literacy is basic reading and writing skills to be able to function effectively in a health context. Interactive health literacy is the used of more advanced cognitive and literacy skills to participate in health care. Critical health literacy is the ability to analyze critically and to use information to participate in action, to overcome structural barriers to health (p.14). The U.S. Department of Education published the findings of the National Assessment of Adult Literacy conducted in 2003. The result showed that 36 % of adults have basic or below-basic skills for dealing with health material, 52 %
A big problem today in health care for many people is health literacy. Health literacy is when a person is able to understand and process medical information they are given. Having low health literacy can affect how a person understands, and uses information about their health and health services (Batterham 2016). Low health literacy rates lead to big issues in communication. Limited literacy impacts health behaviors, decisions, and ultimately outcomes. Many people have low health literacy which leads to bad health outcomes. Research shows that low literacy is linked with the lower likelihood of people being able to manage their own health conditions, and less access to health care services which can lead to poor health outcomes. There are many reasons people have low health literacy, A lack of formal education and poor reading ability aren't the only causes of low health literacy. Low health literacy is associated with a number of things like poor engagement in health services, health knowledge, and overall health status. People with low health literacy may feel ashamed and try to hide it from professionals and family members. Most health care professionals are unaware of the level of health literacy their patient has. (Greenhalgh 2015) There is a need to identify individual health literacy needs and address how to work on solutions to benefit them and whole groups of people. Differences in health literacy
Sequist, Cullen, and Acton explain, “American Indians have nearly three times the national unemployment rate, and are less than half as likely to graduate from college” (2011, pp. 1967). With the low education levels that are common amongst this racial group, health care facilities need to make sure they are providing materials and teachings with appropriate fundamental literacy levels. In the book Advancing Health Literacy written by Zarcadoolas, Pleasant, and Greer, the authors describe fundamental literacy as, “The ability to read, write, speak, and work with numbers” (2006, pp. 56-57). As nurses, we need to be aware of others’ fundamental literacy to provide them with a sense of autonomy. If they are able to understand the materials they are reading, then they are able to make confident decisions about their care. In the nursing field, we provide many informational brochures, and are responsible for making sure our patients understand the plan of care. The text provided for our clients should be at an eighth-grade level, or personalized to each patient’s level. Nurses need to make sure they are conversing and explaining with no medical jargon, and allowing time for questions from the
U.S. Department of Health and Human Services. (2008). America's Health Literacy: Why We Need Accessible Health Information. Retrieved from https://health.gov/communication/literacy/issuebrief/
Literacy is the ability to read and write, and it is based on different competency of individuals. Health literacy is a term that has been used in health literature for more than 35 years. In the United States, health literacy is used to explicate and describe the correlation between patient literacy levels and their ability to adhere with prescribed therapeutic regimens (Ad Hoc Committee on Health Literacy, 1999). Likewise, health literacy is also defined as the grade to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions (IOM, 2004) (U.S. Department of Health and Human Services [HHS], 2000). Health literacy is also influenced by individual literacy skills and individual capacities (Baker, Gazmararian, Sudano & Patterson, 2000). This study is important due to the high number of patients with difficulty interpreting and understanding common prescription drug labelled instructions. It can be inferred that
Background: Health literacy presents a huge challenge in the delivery of effective healthcare and quality outcomes. We evaluated association between low health literacy and healthcare utilization.
Lambert, V., & Keogh, D. (2014). Health literacy and its importance for effective communication. Part 2. Nursing Children & Young People, 26(4), 32-36. doi:10.7748/ncyp2014.05.26.4.32.e387http://search.ebscohost.com.proxy.devry.edu/login.aspx?direct=true&db=rzh&AN=2012573600&site=ehost-live
The problems associated with the health literacy have been identified by the researchers in the last ten years. They came to know the role played by it in the medical as well as the individual self care by the comprehension of information related to health and the outcomes related to it (Carolyn Speros, 2004).
Health literacy is both a consumer and public healthcare issue. As a health care provider, it is not only my responsibility to ensure that you understand your health and what is going on
Health literacy is an essential determinant of health. Health literacy is the degree in which people have the ability to obtain process and understand fundamental health services and information in order to make informed health decisions throughout different phases of life. Patients who are better educated and informed about their options and who understand the evidence behind certain methodologies may have better health outcomes. On the other hand, low health literacy leads to many health problems. In fact, it seems to be the “single biggest cause of poor health outcomes” (Kickbusch 208). Low health literacy inhibits self-advocacy in health care settings. Patients with limited literacy cannot actively participate in health-related decisions
To manage health, individuals need to understand the health care system according to Understanding health literacy (2012). This includes some basic skills like filling out forms and finding the right doctor, understanding medical instructions such as how to take medicine which comes down to being able to take care of themselves and in many cases they need to take care of others whether it’s doing things like monitoring blood pressure, reading food labels or making decisions about medical tests (Health Literacy Basics, n.d.). It is not really about being able to read health information but it’s all about understanding that information and being able to take action.