巴西卫生素养实践中卫生人员的能力：德尔菲共识调查。
Competencies of health personnel for the practice of health literacy in Brazil: A Delphi consensus survey.
机构信息
Faculdade de Medicina, Centro Universitário de Mineiros-UNIFIMES, Trindade, Goiás, Brazil.
Faculdade de Enfermagem, Centro Universitário UNIFASAM, Goiânia, Goiás, Brazil.
出版信息
PLoS One. 2022 Jul 29;17(7):e0271361. doi: 10.1371/journal.pone.0271361. eCollection 2022.
OBJECTIVE
The aim of this study was to identify a set of competencies of health personnel for the practice of health literacy in Brazil.
METHODS
Scoping review and online interviews with healthcare practitioners, followed by three rounds of the modified e-Delphi method with health literacy specialists from November/2020 to March/2021. During the rounds, the items were revised, new items added for review, and their importance was rated on a five-point Likert scale in an online form. Those items that achieved a mean Likert rating of 4+ (rated important to very important) and ≥ 90.0% agreement among the experts were maintained in each round.
RESULTS
The initial competencies list contained 30 items from the literature scoping review and online interview with 46 Brazilian healthcare practitioners. 25 experts (health personnel with publications on health literacy) were invited to participate in the e-Delphi rounds. Of the total of 56 items evaluated, 28 reached consensus among the experts. The Brazilian competencies list differed from other consensuses by the emphasis on professional commitment to the literacy in health, autonomy and social context of the patient.
CONCLUSION
For the Brazilian context, 28 competencies are relevant to the practice of health literacy in health care. This study is an initial step to develop the HL competences of Brazilian health professionals and an update of the skills evidenced in previous international studies.
目的
本研究旨在确定一套巴西卫生人员的健康素养实践能力。
方法
范围综述和在线访谈医疗保健从业者，随后在 2020 年 11 月至 2021 年 3 月期间进行了三轮改良电子德尔菲法，与健康素养专家进行了三轮改良电子德尔菲法。在这些回合中，对项目进行了修订，为审查添加了新项目，并以五分制李克特量表在线形式对其重要性进行了评分。在每一轮中，那些平均李克特评分达到 4+（评为重要到非常重要）且专家之间达成 ≥ 90.0%一致的项目都被保留下来。
结果
最初的能力清单包含 30 项来自文献范围综述和 46 名巴西医疗保健从业者的在线访谈。25 名专家（有健康素养出版物的卫生人员）受邀参加电子德尔菲轮次。在总共评估的 56 个项目中，有 28 个得到了专家的一致认可。巴西的能力清单与其他共识的不同之处在于对健康素养的专业承诺、患者的自主权和社会背景的重视。
结论
对于巴西的情况，有 28 项能力与卫生保健中的健康素养实践相关。本研究是为巴西卫生专业人员制定健康素养能力的初步步骤，也是对以前国际研究中证据的技能的更新。
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