Marie Hamilton Larsen, Astrid Klopstad Wahl, Christine Raaheim Borge
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引用次数: 0
Abstract
Background: Chronic obstructive pulmonary disease (COPD) poses challenges to people's self-management, especially after hospital discharge. Few studies have qualitatively examined the experiences of patients and healthcare personnel following a nurse-led health literacy intervention to prevent readmission.
Methods: This exploratory qualitative process evaluation was conducted within a randomized controlled trial aimed at understanding the perspectives of both patients and professionals following the implementation of a health literacy intervention. The intervention includes home visits conducted by nurses trained in COPD, employing motivational interviewing techniques and supporting the development of individualised treatment plans post-hospital discharge. Eight semi-structured interviews with patients, one focus group, and one individual interview with healthcare providers (n = 6) were analysed using inductive thematic analysis.
Results: Two main themes arose among patients: "Building health literacy through personalized nursing support" and "From knowledge to action: Strengthening health literacy through motivational support" - and two among healthcare professionals; "Health professionals' experience of developing health literacy competency" and "Perceived shifts in understanding, roles, and relationships through health literacy awareness".
Conclusion: The nurse-led health literacy intervention was perceived as valuable by both patients and healthcare professionals. Patients described how home-based support from competent nurses may have contributed to a better understanding of post-discharge care and fostered a sense of preparedness. Professionals reported gaining insights into patient needs, which they felt enabled more tailored communication and care planning. While the findings are based on a small qualitative sample, they suggest that such interventions may support the transition from hospital to home.
Trial registration: The RCT study is registered on ClinicalTrials.gov (ID: NCT03216603 (registered first 7/7-2017).
期刊介绍：
BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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