The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
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The influence of health literacy competencies on patient-centered care among clinical nurses

임상간호사의 건강정보이해능력 역량이 환자중심 간호에 미치는 영향

  • Kim, Minyeon (Kyungpook National University Hospital) ;
  • Cha, Jieun (College of Nursing․The Research Institute of Nursing Science, Kyungpook National University)
  • 김민연 (경북대학교 병원) ;
  • 차지은 (경북대학교 간호대학.간호과학연구소)
  • Received : 2021.02.22
  • Accepted : 2021.04.22
  • Published : 2021.05.31
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Abstract

Purpose: The aim of this study was to identify the relationships between health literacy competencies and patient-centered care among clinical nurses. Methods: The participants of this study were 254 nurses working in two hospitals in the D region. The data were collected from July to August 2020. The health literacy competencies for registered nurses scale and individualized care scale were utilized. Descriptive statistics, independent t-test, ANOVA, Pearson's correlation coefficient and multiple regression analysis were used for data analysis. Results: The mean of health literacy competencies was 3.16±0.31 points on a four-point scale, and the average of patient-centered care was 3.69±0.50 points on a five-point scale. Regarding the nurses' general characteristics, patient-centered care showed significant differences according to age (F=4.68, p=.010), marital status (t=-2.38, p=.018), religion (F=3.03, p=.030), total clinical experience (F=2.94, p=.021) and prior health literacy knowledge (t=3.20, p=.002). As a result of a hierarchical multiple regression analysis, health literacy competencies (β=.63) were found to significantly influence patient-centered care. The explanatory power of the model was 41.0% (F=25.58, p<.001). Conclusion: The study suggests that nurse's health literacy competencies should be developed in order to improve patient-centered care. Nursing education should include an emphasis on integrating health literacy into the nursing school curriculum.

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References

  1. Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academies Press; 2001.
  2. Epstein RM, Fiscella K, Lesser CS, Stange KC. Why the nation needs a policy push on patient-centered health care. Health Affairs. 2010;29(8):1489-1495. https://doi.org/10.1377/hlthaff.2009.0888
  3. Kim Y. Changes in patient-centered medical services: focused on improvements on communication between doctors and patients. Journal of Science and Technology Studies. 2013;13(2):71-110.
  4. Lusk JM, Fater K. A concept analysis of patient-centered care. Nursing Forum. 2013;48(2): 89-98. https://doi.org/10.1111/nuf.12019
  5. Suhonen R, Leino-Kilpi H, Valimaki M. Development and psychometric properties of the individualized care scale. Journal of Evaluation in Clinical Practice. 2005;11(1):7-20. https://doi.org/10.1111/j.1365-2753.2003.00481.x
  6. Boykins AD. Core communication competencies in patient-centered care. ABNF Journal. 2014;25(2):40-45.
  7. Institute of Medicine. Health literacy: a prescription to end confusion. Washington, DC: National Academies Press; 2004.
  8. Yin HS, Jay M, Maness L, Zabar S, Kalet A. Health literacy: an educationally sensitive patient outcome. Journal of General Internal Medicine. 2015;30(9):1363-1368. https://doi.org/10.1007/s11606-015-3329-z
  9. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Annals of Internal Medicine. 2011;155(2):97-107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005
  10. Kickbusch I, Pelikan JM, Apfel F, Tsouros, AD. Health literacy: the solid facts. Copenhagen: World Health Organization; 2013. p. 1-73.
  11. Dickens C, Lambert BL, Cromwell T, Piano MR. Nurse overestimation of patients' health literacy. Journal of Health Communication. 2013;18(1):62-69. https://doi.org/10.1080/10810730.2013.825670
  12. Coleman CA, Hudson S, Maine LL. Health literacy practices and educational competencies for health professionals: a consensus study. Journal of Health Communication. 2013;18(1):82-102. https://doi.org/10.1080/10810730.2013.829538
  13. Macabasco-O'Connell A, Fry-Bowers EK. Knowledge and perceptions of health literacy among nursing professionals. Journal of Health Communication. 2011;16(3):295-307. https://doi.org/10.1080/10810730.2011.604389
  14. Nesari M, Olson JK, Nasrabadi AN, Norris C. Registered nurses' knowledge of and experience with health literacy. HLRP: Health Literacy Research and Practice. 2019;3(4):e268-e279. https://doi.org/10.3928/24748307-20191021-01
  15. Murphy-Knoll L. Low health literacy puts patients at risk. Journal of Nursing Care Quality. 2007;22(3):205-209. https://doi.org/10.1097/01.ncq.0000277775.89652.30
  16. American Nurses Association. Nursing: scope and standards of practice. 2nd ed. Silver Spring, MD: ANA; 2010. p. 54.
  17. Mason DJ. Promoting health literacy. The American Journal of Nursing. 2001;101(2):7. https://doi.org/10.1097/00000446-200102000-00001
  18. Toronto CE. Health literacy competencies for registered nurses: an e-Delphi study. The Journal of Continuing Education in Nursing. 2016;47(12):558-565. https://doi.org/10.3928/00220124-20161115-09
  19. Suhonen R, Gustafsson ML, Katajisto J, Valimaki M, Leino-Kilpi H. Individualized care scale-nurse version: a finnish validation study. Journal of Evaluation in Clinical Practice. 2010;16(1):145-154. https://doi.org/10.1111/j.1365-2753.2009.01168.x
  20. Lee JE. Patients' and nurses' perceptions of patient centered nursing care [dissertation]. Daejeon: Chungnam National University; 2015. p. 1-62.
  21. Coleman C, Hudson S, Pederson B. Prioritized health literacy and clear communication practices for health care professionals. HLRP: Health Literacy Research and Practice. 2017;1(3):e91-e99. https://doi.org/10.3928/24748307-20170503-01
  22. Schima M, Ames EE, Nolte AE, Allensworth D. The health education profession in the 21st century: setting the stage. The Journal of School Health. 1996;66(8):291-298. https://doi.org/10.1111/j.1746-1561.1996.tb03401.x
  23. Flecha A, Garcia R, Rudd R. Using health literacy in school to overcome inequalities. European Journal of Education. 2011;46(2):209-218. https://doi.org/10.1111/j.1465-3435.2011.01476.x
  24. Park JH. Study of abilities required to develop for student in nursing education. Journal of Korean Academy of Nursing Administration. 2011;17(1):74-87. https://doi.org/10.11111/jkana.2011.17.1.74
  25. Kim HM. Differences in experience of unmet healthcare needs according to disability status in Korea [dissertation]. Seoul: Yonsei University; 2020. p. 1-94.
  26. Lee BS, Oh IK, Lee EM. Foreign residents' experience of Korean health care services. Journal of Korean Academy of Nursing Administration. 2011;17(2):226-237. https://doi.org/10.11111/jkana.2011.17.2.226
  27. Jeong H, Park M. A predictive model on patient-centered care of hospital nurses in Korea. Journal of Korean Academy of Nursing. 2019;49(2):191-202. https://doi.org/10.4040/jkan.2019.49.2.191
  28. Suhonen, R, Papastavrou E, Efstathiou G, Lemonidou C, Kalafati M, Da Luz MDA, et al. Nurses' perceptions of individualized care: an international comparison. Journal of Advanced Nursing. 2011;67(9):1895-1907. https://doi.org/10.1111/j.1365-2648.2011.05626.x
  29. Mackert M, Ball J, Lopez N. Health literacy awareness training for healthcare workers: improving knowledge and intentions to use clear communication techniques. Patient Education and Counseling. 2011;85(3):e225-e228. https://doi.org/10.1016/j.pec.2011.02.022
  30. Karuranga S, Sorensen K, Coleman C, Mahmud AJ. Health literacy competencies for European health care personnel. HLRP: Health Literacy Research and Practice. 2017;1(4):e247-e256. https://doi.org/10.3928/24748307-20171005-01