Barriers and Facilitators to Implementing Health Literacy Practices in a Pediatric ENT Clinic: A Mixed-Methods Study.

IF 1.2 4区医学 Q3 NURSING

Journal of nursing care quality Pub Date : 2024-04-01 Epub Date: 2023-09-08 DOI:10.1097/NCQ.0000000000000744

Carol J Howe, Brennan Lewis, Shelby Edmondson

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引用次数: 0

Abstract

Background: Despite strong evidence of improved patient outcomes, clinicians have been slow to adopt health literacy practices.

Purpose: To identify facilitators and barriers to implementing health literacy practices into clinical care.

Methods: Stakeholders (N = 40) completed surveys of acceptability, appropriateness, feasibility, conviction, and confidence with teach-back practices. Using the Consolidated Framework for Implementation Research (CFIR), interviews (n = 12) were conducted and analyzed.

Results: Most reported high acceptability, appropriateness, and feasibility, but low confidence in using teach-back. Facilitators included leadership engagement and relative advantage. Barriers were related to compatibility due to time and workflow constraints. The CFIR-ERIC (Expert Recommendations for Implementing Change) Implementation Strategy Matching Tool was applied to select implementation strategies.

Conclusions: The CFIR framework along with the CFIR-ERIC Matching Strategy Tool helped the research team select strategies likely to yield successful implementation and sustained use of health literacy practices.

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儿童耳鼻喉科诊所实施健康素养实践的障碍和促进因素：一项混合方法研究。

背景：尽管有强有力的证据表明患者的预后有所改善，但临床医生在采用健康素养实践方面进展缓慢。目的：确定在临床护理中实施健康扫盲实践的促进因素和障碍。方法：利益相关者（N=40）通过反馈实践完成了对可接受性、适当性、可行性、信念和信心的调查。使用实施研究综合框架（CFIR），对访谈（n=12）进行了分析。结果：大多数报告具有较高的可接受性、适当性和可行性，但对使用反馈的信心较低。促进者包括领导参与和相对优势。由于时间和工作流程的限制，障碍与兼容性有关。应用CFIR-ERIC（实施变革的专家建议）实施战略匹配工具来选择实施战略。结论：CFIR框架和CFIR-ERIC匹配策略工具有助于研究团队选择可能成功实施和持续使用健康素养实践的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of nursing care quality 医学-护理

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.