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物理治疗师在临床实践中对健康素养的看法和经验。

Physiotherapists' views and experiences of health literacy in clinical practice.

作者信息

Simkins Joanna, Breakwell Richard, Kumar Kanta

机构信息

College of Medical and Dental Sciences, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK.

School of Nursing and Midwifery, College of Medical and Dental Sciences, Institute of Clinical Sciences, University of Birmingham, Birmingham, UK.

出版信息

Musculoskeletal Care. 2023 Dec;21(4):1204-1212. doi: 10.1002/msc.1800. Epub 2023 Aug 7.

Abstract

OBJECTIVE

Using a qualitative design, this study aimed to explore the experience of physiotherapists' supporting patient health literacy in clinical practice, gain an understanding of their conceptualisation of health literacy, and make recommendations for improving health literacy support in clinical practice.

METHODS

Convenience sampling via social media was used to recruit eight participants who were all physiotherapists practicing in the United Kingdom. Semi-structured interviews took place on Zoom during the second Covid-19 lockdown. Interviews were audio-recorded, transcribed, coded, and thematically analysed to uncover physiotherapists' views on health literacy, experiences of supporting patients with health literacy and opinions and recommendations for practice.

RESULTS

Of the eight participants, five were female and the mean years of clinical experience as a qualified physiotherapist was 5.8. Four main themes were identified: physiotherapists' conceptualisation of health literacy, identification of health literacy and skills required to support patients, training and barriers to providing health literacy-sensitive care and recommendations for improvement.

CONCLUSION

The findings highlighted that physiotherapists identified a patient's health literacy abilities by picking up tacit clues throughout their consultations and they pre-dominantly viewed health literacy as the ability to read, write and communicate effectively. They reported having a limited exposure to health literacy training and recommended raising awareness and education as key to improve practice.

摘要

目的

本研究采用质性设计,旨在探索物理治疗师在临床实践中支持患者健康素养的经验,了解他们对健康素养的概念化理解,并为改善临床实践中的健康素养支持提出建议。

方法

通过社交媒体采用便利抽样法招募了8名参与者,他们均为在英国执业的物理治疗师。在第二次新冠疫情封锁期间,通过Zoom进行了半结构化访谈。访谈进行了录音、转录、编码和主题分析,以揭示物理治疗师对健康素养的看法、支持患者健康素养的经验以及对实践的意见和建议。

结果

8名参与者中,5名是女性,作为合格物理治疗师的平均临床经验年限为5.8年。确定了四个主要主题:物理治疗师对健康素养的概念化理解、识别健康素养以及支持患者所需的技能、提供对健康素养敏感的护理的培训和障碍以及改进建议。

结论

研究结果强调,物理治疗师通过在整个咨询过程中捕捉隐性线索来识别患者的健康素养能力,他们主要将健康素养视为有效阅读、写作和沟通的能力。他们报告称接受健康素养培训的机会有限,并建议提高认识和开展教育是改善实践的关键。

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