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针对合格卫生专业人员的健康素养教育计划:范围综述。

Health literacy education programmes developed for qualified health professionals: a scoping review.

机构信息

Health Promotion Research Centre (HPRC), University of Galway, Galway, Ireland

Alliance for Research and Innvoation in Wounds (ARIW), University of Galway, Galway, Ireland.

出版信息

BMJ Open. 2023 Mar 30;13(3):e070734. doi: 10.1136/bmjopen-2022-070734.

Abstract

OBJECTIVES

Both literature and policy have identified the need for health literacy education for qualified health professionals. This study aimed to identify and map health literacy competencies and health literacy related communication skills educational interventions for qualified health professionals. The research questions included: Of the qualified health professional education interventions identified, which are focused on diabetes care? What health literacy competencies and health literacy related communication skills are integrated into each programme? What are the characteristics of each education programme? What were the barriers and facilitators to implementation? What methods are used to evaluate intervention effectiveness, if any?

DESIGN

Scoping review, informed by the Joanna Briggs Institute guidelines.

DATA SOURCES

The following databases: OVID; CINAHL; Cochrane; EMBASE; ERIC: PsycInfo; RIAN; Pro-Quest; UpToDate were searched.

ELIGIBILITY CRITERIA

Articles were included if the education programme focused on qualified health professionals, in all clinical settings, treating adult patient populations, of all study types.

DATA EXTRACTION AND SYNTHESIS

Two authors independently screened titles, abstracts and full text articles that met the inclusion criteria. The third author mediated any discrepancies. The data were extracted and charted in table format.

RESULTS

In total, 53 articles were identified. One article referred to diabetes care. Twenty-six addressed health literacy education, and 27 addressed health literacy related communication. Thirty-five reported using didactic and experiential methods. The majority of studies did not report barriers (N=45) or facilitators (N=52) to implementation of knowledge and skills into practice. Forty-nine studies evaluated the reported education programmes using outcome measures.

CONCLUSIONS

This review mapped existing education programmes regarding health literacy and health literacy related communication skills, where programme characteristics were identified to inform future intervention development. An evident gap was identified regarding qualified health professional education in health literacy, specifically in diabetes care.

摘要

目的

文献和政策都指出了对合格卫生专业人员进行健康素养教育的必要性。本研究旨在确定和绘制针对合格卫生专业人员的健康素养能力和与健康素养相关的沟通技巧教育干预措施,并提出以下研究问题:在确定的针对合格卫生专业人员的教育干预措施中,有哪些是专注于糖尿病护理的?每个方案都整合了哪些健康素养能力和与健康素养相关的沟通技巧?每个教育计划的特点是什么?实施的障碍和促进因素是什么?如果有,使用了哪些方法来评估干预效果?

设计

循证卫生保健中的系统评价方法。

资料来源

使用了以下数据库:OVID、CINAHL、Cochrane、EMBASE、ERIC:PsycInfo、RIAN、Pro-Quest、UpToDate 进行检索。

纳入标准

如果教育计划专注于合格的卫生专业人员,在所有临床环境中,治疗成年患者人群,且为所有研究类型,则纳入文章。

资料提取和综合

两名作者独立筛选标题、摘要和符合纳入标准的全文文章。第三位作者调解任何差异。数据以表格形式提取和绘制。

结果

共确定了 53 篇文章。其中一篇文章提到了糖尿病护理。26 篇文章涉及健康素养教育,27 篇文章涉及与健康素养相关的沟通。35 篇文章报告使用了说教和体验方法。大多数研究未报告知识和技能实施到实践中的障碍(N=45)或促进因素(N=52)。49 项研究使用结果测量评估了所报告的教育计划。

结论

本综述绘制了现有的健康素养和与健康素养相关的沟通技巧教育计划,确定了计划特征,以为未来的干预措施发展提供信息。明确发现了在健康素养方面,特别是在糖尿病护理方面,合格卫生专业人员教育方面的明显差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f93/10069593/7d3df8982bd2/bmjopen-2022-070734f01.jpg

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