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Nurse overestimation of patients' health literacy.

Dickens C, Lambert BL, Cromwell T, Piano MR - J Health Commun (2013)

Bottom Line: Patient education and effective communication are core elements of the nursing profession; therefore, awareness of a patient's health literacy is integral to patient care, safety, education, and counseling.The results reinforce previous evidence that health care providers overestimate a patient's health literacy.The overestimation of a patient's health literacy by nursing personnel may contribute to the widespread problem of poor health outcomes and hospital readmission rates.

View Article: PubMed Central - PubMed

Affiliation: a University of Illinois Hospital and Health Sciences System , Chicago , Illinois , USA.

ABSTRACT
Patient education and effective communication are core elements of the nursing profession; therefore, awareness of a patient's health literacy is integral to patient care, safety, education, and counseling. Several past studies have suggested that health care providers overestimate their patient's health literacy. In this study, the authors compare inpatient nurses' estimate of their patient's health literacy to the patient's health literacy using Newest Vital Sign as the health literacy measurement. A total of 65 patients and 30 nurses were enrolled in this trial. The results demonstrate that nurses incorrectly identify patients with low health literacy. In addition, overestimates outnumber underestimates 6 to 1. The results reinforce previous evidence that health care providers overestimate a patient's health literacy. The overestimation of a patient's health literacy by nursing personnel may contribute to the widespread problem of poor health outcomes and hospital readmission rates.

Show MeSH
Nurse assessment and patient NVS results. HL = health literary, NVS = Newest Vital Sign.
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Figure 1: Nurse assessment and patient NVS results. HL = health literary, NVS = Newest Vital Sign.

Mentions: Study patients were mostly female (64.6%), African American (81.5%) and had heart failure as a diagnosis (see Table 2). The mean age of patients was 60 years (SD = 16 years). Educational attainment, insurance status, and admitting diagnosis are noted in Table 1. On the basis of the NVS scores, 63% of patients had a high likelihood of limited HL, whereas nurses reported 19% of patients having a high likelihood of limited HL (see Figure 1). Nurses reported 68% of patient's having adequate HL, overestimating the number of patients who had adequate HL (22%). The kappa coefficient showed a very low level of agreement between the patient's NVS score and the nurse's rating. (κ = 0.09).


Nurse overestimation of patients' health literacy.

Dickens C, Lambert BL, Cromwell T, Piano MR - J Health Commun (2013)

Nurse assessment and patient NVS results. HL = health literary, NVS = Newest Vital Sign.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3814908&req=5

Figure 1: Nurse assessment and patient NVS results. HL = health literary, NVS = Newest Vital Sign.
Mentions: Study patients were mostly female (64.6%), African American (81.5%) and had heart failure as a diagnosis (see Table 2). The mean age of patients was 60 years (SD = 16 years). Educational attainment, insurance status, and admitting diagnosis are noted in Table 1. On the basis of the NVS scores, 63% of patients had a high likelihood of limited HL, whereas nurses reported 19% of patients having a high likelihood of limited HL (see Figure 1). Nurses reported 68% of patient's having adequate HL, overestimating the number of patients who had adequate HL (22%). The kappa coefficient showed a very low level of agreement between the patient's NVS score and the nurse's rating. (κ = 0.09).

Bottom Line: Patient education and effective communication are core elements of the nursing profession; therefore, awareness of a patient's health literacy is integral to patient care, safety, education, and counseling.The results reinforce previous evidence that health care providers overestimate a patient's health literacy.The overestimation of a patient's health literacy by nursing personnel may contribute to the widespread problem of poor health outcomes and hospital readmission rates.

View Article: PubMed Central - PubMed

Affiliation: a University of Illinois Hospital and Health Sciences System , Chicago , Illinois , USA.

ABSTRACT
Patient education and effective communication are core elements of the nursing profession; therefore, awareness of a patient's health literacy is integral to patient care, safety, education, and counseling. Several past studies have suggested that health care providers overestimate their patient's health literacy. In this study, the authors compare inpatient nurses' estimate of their patient's health literacy to the patient's health literacy using Newest Vital Sign as the health literacy measurement. A total of 65 patients and 30 nurses were enrolled in this trial. The results demonstrate that nurses incorrectly identify patients with low health literacy. In addition, overestimates outnumber underestimates 6 to 1. The results reinforce previous evidence that health care providers overestimate a patient's health literacy. The overestimation of a patient's health literacy by nursing personnel may contribute to the widespread problem of poor health outcomes and hospital readmission rates.

Show MeSH