Barriers and Facilitators to Implementing Health Literacy Practices in a Pediatric ENT Clinic: A Mixed-Methods Study.
Background: Despite strong evidence of improved patient outcomes, clinicians have been slow to adopt health literacy practices. Purpose: To identify facilitators and barriers to implementing health literacy practices into clinical care. Methods: Stakeholders (N = 40) completed surveys of acceptabili...
| Publicado en: | Journal of Nursing Care Quality Vol. 39; no. 2; pp. 106 - 114 |
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| Autores principales: | , , |
| Formato: | CEU research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Apr-Jun2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175727010&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175727010 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10573631 0NZ jtl: Journal of Nursing Care Quality issn: 10573631 maglogo: N pubinfo: dt: Apr-Jun2024 vid: 39 iid: 2 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 175727010 175727010 175727010 10.1097/NCQ.0000000000000744 175727010 ppf: 106 ppct: 8 formats: tig: atl: Barriers and Facilitators to Implementing Health Literacy Practices in a Pediatric ENT Clinic: A Mixed-Methods Study. aug: au: Howe, Carol J. Lewis, Brennan Edmondson, Shelby affil: Author Affiliations: Harris College of Nursing & Health Sciences, Texas Christian University, Fort Worth (Dr Howe) sug: subj: Hospitals, Pediatric Hospitals, Special Health Services Accessibility Implementation Science Health Literacy Medical Care Attitude of Health Personnel Evaluation Human Male Female Adult Middle Age Multimethod Studies Conceptual Framework Research, Medical Quality Improvement Health Knowledge Health Beliefs Leadership Data Analysis Software Descriptive Statistics Education, Continuing (Credit) Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Despite strong evidence of improved patient outcomes, clinicians have been slow to adopt health literacy practices. Purpose: To identify facilitators and barriers to implementing health literacy practices into clinical care. Methods: Stakeholders (N = 40) completed surveys of acceptability, appropriateness, feasibility, conviction, and confidence with teach-back practices. Using the Consolidated Framework for Implementation Research (CFIR), interviews (n = 12) were conducted and analyzed. Results: Most reported high acceptability, appropriateness, and feasibility, but low confidence in using teach-back. Facilitators included leadership engagement and relative advantage. Barriers were related to compatibility due to time and workflow constraints. The CFIR-ERIC (Expert Recommendations for Implementing Change) Implementation Strategy Matching Tool was applied to select implementation strategies. Conclusions: The CFIR framework along with the CFIR-ERIC Matching Strategy Tool helped the research team select strategies likely to yield successful implementation and sustained use of health literacy practices. pubtype: Academic Journal doctype: CEU research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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