Dubbin Leslie, Burke Nancy, Fleming Mark, Thompson-Lastad Ariana, Napoles Tessa M, Yen Irene, Shim Janet K
University of California, San Francisco, USA.
University of California, Merced, USA.
Glob Qual Nurs Res. 2021 Feb 11;8:2333393621993451. doi: 10.1177/2333393621993451. eCollection 2021 Jan-Dec.
We share findings from a larger ethnographic study of two urban complex care management programs in the Western United States. The data presented stem from in-depth interviews conducted with 17 complex care management RNs and participant observations of home visits. We advance the concept of social literacy as a nursing attribute that comprises an RN's recognition and responses to the varied types of hinderances to self-management with which patients must contend in their lived environment. It is through social literacy that complex care management RNs reconceptualize and understand health literacy to be a product born out of the social circumstances in which patients live and the stratified nature of the health care systems that provide them care. Social literacy provides a broader framework for health literacy-one that is situated within the patient's social context through which complex care management RNs must navigate for self-management goals to be achieved.
我们分享了对美国西部两个城市综合护理管理项目进行的一项规模更大的人种志研究的结果。所呈现的数据源于对17名综合护理管理注册护士进行的深入访谈以及对家访的参与观察。我们提出了社会素养这一概念，将其作为一种护理属性，它包括注册护士对患者在生活环境中必须应对的各种自我管理障碍的认识和应对。正是通过社会素养，综合护理管理注册护士重新认识并理解健康素养是患者生活的社会环境以及为他们提供护理的医疗保健系统的分层性质所产生的产物。社会素养为健康素养提供了一个更广泛的框架——一个通过综合护理管理注册护士为实现自我管理目标而必须驾驭的、置于患者社会背景中的框架。
