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Improving Health Literacy with Clear Communication.

机译：通过清晰的沟通提高健康素养。

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摘要

Health literacy is demonstrated when individuals can obtain, process, and understand basic health information and services needed to make appropriate health decisions. Veteran health literacy is believed to be lower than the general population due to the aging and culturally diverse population. Veterans require adequate health literacy to manage their diverse high acuity physical injuries, psychological conditions, and chronic diseases. Clear communication between the clinician and veteran patient is essential to provide high quality health services. The objective of this quality-improvement project was to evaluate the ability of nurses in the ambulatory environment to identify low health literacy patients and to deliver an educational intervention focused on health literacy awareness and communication strategies. A pre-intervention Clear Communications Questionnaire (CCQ), a validated instrument, was delivered to 299 ambulatory nurses with a 20% response rate. The results from this questionnaire informed the development of a 40-minute educational program, multimedia and discussion format, provided to 200 nurses. Following the education program, the post-intervention CCQ was sent to the nurses, with a 30% response rate. Survey Monkey was utilized to collect the CCQ data and Minitab for the statistical analysis, including a pre- and post-intervention data analysis with a t test. While this project was unable to show a significant difference between the pre- and post-intervention CCQ, the individual survey items indicated increased awareness about the importance of health literacy and the ability to locate patient health literacy level in the medical record. Further work needs to be undertaken to assure veteran patients can actively engage in clear communication with clinicians, discern between treatment options, adhere to treatment recommendations, and develop health-seeking behaviors across their lifespans.
机译：当个人可以获取，处理和理解做出适当健康决定所需的基本健康信息和服务时，就可以证明健康素养。由于人口老龄化和文化差异，老兵的健康素养被认为低于一般人口。退伍军人需要具备足够的健康素养，才能应对各种多样的高敏身体伤害，心理状况和慢性疾病。临床医生和资深患者之间的清晰沟通对于提供高质量的健康服务至关重要。该质量改善项目的目的是评估非卧床环境中护士识别低健康素养患者的能力，并提供针对健康素养意识和沟通策略的教育干预措施。一项干预前的明确沟通问卷（CCQ）是一种经过验证的工具，已交付给299名门诊护士，答复率为20％。该调查表的结果为40分钟的教育计划，多媒体和讨论形式的开发提供了信息，并提供给200名护士。根据教育计划，干预后的CCQ被发送给护士，回复率为30％。调查猴子被用来收集CCQ数据和Minitab进行统计分析，包括干预前和干预后的t检验数据分析。尽管该项目无法显示干预前和干预后CCQ之间的显着差异，但单独的调查项目表明，人们对健康素养的重要性以及在病历中定位患者健康素养水平的能力的认识有所提高。需要做进一步的工作，以确保退伍军人患者可以积极地与临床医生进行清晰的沟通，辨别治疗方案，坚持治疗建议，并在其整个寿命期内发展寻求健康的行为。

著录项

  • 作者

    Wilson, Carol.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Nursing.;Communication.;Health education.
  • 学位 D.N.P.
  • 年度 2016
  • 页码 80 p.
  • 总页数 80
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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