00:00
Let's talk about
Health Literacy.
00:05
As nurses, we provide our patients
with a lot of information,
information that is essential
to their health and well-being.
00:12
But in order to be effective in the
way that we deliver that information,
it's important that we
consider health literacy.
00:19
Now I'm sure health literacy is a
term that you've already heard.
00:22
So what I'm going to ask you to do is pause the video
and write down your definition of health literacy.
00:28
When we move to the next slide, I'll show you
my definition and we can compare the two.
00:40
Health Literacy is the degree to which individuals
have the ability to find, understand,
and use information and services to inform health-related
decisions and actions for themselves and others.
00:55
This is Justin. Justin wants to know why it's
so important that he become health literate.
01:01
It's important for us to be health literate because
we need to understand our own health status.
01:07
By being health literate, we know how
and when to access healthcare services.
01:13
When we're health literate, we can use health
information to adapt our own health behaviors
to make these changes we need to make
in order to become more healthy.
01:23
Being health literate means that Justin would
be able to communicate his health needs
and collaborate with
health professionals.
01:30
It would also mean that Justin can make
informed decisions about his own healthcare
and ultimately make decisions that are in alignment not
just with his needs but also with his preferences.
01:43
So, what does it mean
to be health literate?
Being health literate means more than just
being able to read a healthcare brochure.
01:53
Being health literate means that we can
understand and complete complex medical regimens.
01:59
This could be medication regimens. It
could be complex dietary restrictions.
02:06
Being health literate also means that
we can plan necessary lifestyle changes
so once we talk to our healthcare professional
and we make decisions about our plan of care,
we can go home and we can make those
necessary changes on our own.
02:23
Being health literate also means that we're
able to make informed health-related decisions.
02:28
So rather than just endlessly
listen to what someone tells us,
we're able to take the information
that's presented to us, process that,
and make our own decisions,
our own informed decisions.
02:42
Being health literate also means that we know
how to access care and when to access care.
02:47
This could be the difference between seeking care
in emergency department or waiting a couple days
and making an appointment
at a primary care office.
02:57
And ultimately, health literacy means that we are
able to not only address our own health concerns,
but address health issues within our community,
share our knowledge with others around us.
03:09
So why is it so important
to be health literate?
Well, those with low health literacy are
less likely to get recommended screenings.
03:18
They are less likely to have
control over the chronic diseases.
03:22
People with low health literacy are
more likely to be hospitalized,
more likely to report poor health,
and ultimately more likely to die.
03:32
As nurses, it's important for us to understand that health
literacy is multidimensional, it's not just what a person knows.
03:40
In order to understand the health literacy of our patients,
we need to first start with culture and beliefs.
03:45
We need to understand their culture and their
beliefs related to health and health behaviors.
03:51
For example, in someone's culture, do they see a
healthcare provider as the ultimate authority?
If so, they're probably willing to go along with what
you recommend even if it doesn't fit their preferences
or even if they don't understand
what you're asking them to do.
04:07
We also have to consider
health knowledge.
04:09
Oftentimes we are throwing so
much information at our patients
that the sheer amount of information that we're
giving them is a barrier to understanding
all of that knowledge that we
expect them to understand.
04:21
We also need to consider
general literacy.
04:24
So, this is where we think about
the reading level of our patients.
04:27
Are we providing them with information
that is at the appropriate reading level
so they can understand
what's in front of them?
And we also need to think about
language and communication.
04:37
Are we communicating with our patients
and their preferred language?
Do we have the skills
to be able to do so?
And if not, do we know how to use
an interpreter to meet that need?
There are several strategies that we can
use to overcome communication barriers.
04:52
Really what we're talking about
here is communicating clearly.
04:56
The first, strategy is
to use everyday words.
04:59
So instead of saying
acetaminophen, call it Tylenol.
05:03
Instead of saying hypertension,
call it high blood pressure.
05:06
We can also strive
to use fewer words.
05:09
The fewer words we use, the more likely our patients
will be to understand what we're saying to them.
05:14
We can also use active voice.
05:16
So this means instead of saying a phrase such
as "once your medications are administered,"
we can say "after you take your medicine"
or "once you swallow your pills.
05:27
Also, we ask for feedback and don't just say
"Do you understand what I have said to you?"
Because most likely what you're going to
get in response is "Yes, I understand."
What we need to do instead is ask for
feedback that shows us that our patients
really do understand
what we said to them.
05:43
So we may ask simple questions such as "When
are you going to take your medication?
How often are you going
to take that medication?
or "When should you take
your pain medication?"
By employing these strategies, we
can overcome communication barriers
and increase health literacy for
our patients and populations.