Toronto Coleen E, Weatherford Barbara
J Nurs Educ. 2015 Dec;54(12):669-76. doi: 10.3928/01484834-20151110-02.
Most Americans lack the health literacy skills to function in today's health care environment. The Institute of Medicine's Health Literacy: A Prescription to End Confusion report recommended that health professionals be trained to effectively communicate with patients with low health literacy.
An integrative review was conducted, using six electronic databases: CINAHL, ERIC, MEDLINE, PsycINFO, SocINDEX, and Web of Science.
Nine articles met the inclusion criteria. Educational interventions include multimodal approaches using didactic content, followed by active learning strategies. Evaluative methods in the classroom were used in all studies; however, only one study assessed students' health literacy skills.
Findings support research efforts that (a) clarify where health literacy should be taught, (b) target the assessment of students' health literacy skills, (c) perform rigorous psychometric testing of evaluative instruments used, and (d) create interprofessional learning opportunities.
大多数美国人缺乏在当今医疗环境中有效运作所需的健康素养技能。美国医学研究所的《健康素养:消除困惑的处方》报告建议,应对卫生专业人员进行培训,使其能够与健康素养较低的患者进行有效沟通。
使用六个电子数据库进行综合综述:护理学与健康领域数据库(CINAHL)、教育资源信息中心(ERIC)、医学索引数据库(MEDLINE)、心理学文摘数据库(PsycINFO)、社会科学索引数据库(SocINDEX)和科学引文索引数据库(Web of Science)。
九篇文章符合纳入标准。教育干预措施包括采用多模态方法,先讲授理论内容,随后采用主动学习策略。所有研究均在课堂上使用了评估方法;然而,只有一项研究评估了学生的健康素养技能。
研究结果支持以下研究工作:(a)明确应在何处教授健康素养;(b)以评估学生的健康素养技能为目标;(c)对所使用的评估工具进行严格的心理测量测试;(d)创造跨专业学习机会。