Study sets, textbooks, questions
Upgrade to remove ads
Literacy Skills and Consumer Educational Needs
Terms in this set (46)
Defining Health and Computer Literacy
+Understanding medical terminology, disease process, health maintenance, restoration activities
+Enter and access information, communicate through electronic methods
Defining Information Literacy
+Ability to recognize need for information
+Locating, evaluating, implementing information
+Combines research findings, clinical judgment, client preference for better outcomes
Information literacy is the ability to recognize when there's a need for information and locating, evaluating, and effectively implementing the information in the next step.
In nursing, health, computer, and information literacy skills help you implement evidence-based practice, also called EBP. This is the conscientious use of the best evidence in making decisions about client care.
Importance of Health Literacy Skills
+Length of time between identifying improvement, being able to implement it
+Most new practices take more than 10 years to take effect
-Keeping up with advances in medical, nursing knowledge can reduce this timeline
-Knowledge is basis for evidence-based practice
If you want to reduce this timeline, use online resources to keep up with advances in medical and nursing knowledge. The knowledge you gain is the basis for evidence-based practice.
Also, by appropriately selecting and using this information, you can improve your client's health care outcomes.
So how can you find the right information? And how can you use it in your clinical practice?
Identify clinical Problem or Question
C: Comparison Group
PICO in Example Video
P - Patients on the medical-surgical unit
I - Care in relation to PEG feedings
C - Current nursing practices vs. literature
O - Prevention of complications
Now, Heather and Justin can use parts of the PICO question to see what other professionals are doing to solve this problem.
-Identify journal articles with possible solutions to clinical question
-Refine PICO question
-Use databases to help find journal articles, research studies
Refining a Literature Search
-Start with key words from PICO question
-Find enough information to review
+Boolean logic combines key words using "and," "or," "not"
Truncation and Wild Cards
+Uses symbols to replace letters in the search word
+Identifies multiple forms of key word
+Broaden search by identifiying alternate spellings of key words
For example, if you use the key words "PEG tube feeding," you replace the "ing" with an asterisk. This allows you to search multiple forms of the search term, such as "feed," "feeder," or "feeds." Also, the database will show you articles that include additional terms matching your topic area. So, words such as feed, feeder, feeding, and feeds will appear.
Wild cards broaden your literature search by identifying different ways of spelling your key words.For example, if you add a question mark in place of the "e" after the "d" in edema, most databases will look for both spellings of the word.
-Year of publication
-Country or language of publication
Evaluating Article Information
-Examine author's credentials, education, expertise
-Review title, abstract, article body
-Look at cited supportive literature for articles
-Determine if information reflects current knowledge
Making the Change in Nursing Practice
-Identify supplies, equipment required for change
-Enlist support from facility, administration, managers
-Introduce change, provide education
-Monitor outcomes in pilot study
-Formalize change in facility procedures handbook
Once administration is on board, develop a plan to introduce the change to staff members.
When you reach a desirable outcome, formalize the change in your facility's policies and procedures handbook.
-Similar to social book clubs
-Meet routinely to discuss clinical problems
-Gain insight from other professionals
Nursing Practice or Research Council
-Formal method for sharing new information
-Review current nursing practice, make recommendations
-Increases individual understanding of research process
-Helps enforce adherence to change in practice
Presentations and Publications
-Share your findings at conferences
-Write article for facility newsletter, local nursing association
-Fair Use Doctrine
So for example, it's illegal to make numerous copies of journal or e-journal articles and distribute them to your coworkers without permission.
This permits the limited use of original works without a copyright holder's permission.
But if you use quotes from an article or paraphrase information from a source, you must give credit to the author using citations. Otherwise, this is plagiarism, which is stealing of ideas or information from others.
Taking Advantage of Electronic Resources
-Use professional, scholarly search engines to find peer-reviewed health information
-Health on the Net logo
-Order of the websites in search doesn't reflect accuracy of sites
Evaluating Creators of Websites
-"About us" tab, site sponsorship link
-Credentials of site's authors, sponsors
-Health disclaimer, safety label
-Visible advertisements for health care products
Evaluating Information on Websites
-What is the purpose of the website?
-Does the information support the purpose?
-Based on logical, sound reasoning?
Deciding Whether to Recommend Websites
-Appropriate literacy level, use of terminology
-Links to additional resources
-Ease of navigation
-Working internal links
If the site's intent is for professionals, does it provide links to professional literature, as well as additional resources for expert consultations or opinions?
Next, is the site easy to access? Can you find it using multiple search engines?
Is it consistently available or is it often unavailable due to maintenance?
Also, how easy is it to navigate to find information about site sponsorship, references, and health disclaimers?
-Fair Use Doctrine
Health Literacy for Consumers
-Consumers include clients, family, friends,acquaintances
-Nurses often provide health care information in socialsettings, professional practice
-Health-related teaching materialsshould be third- to fifth-grade level
-Websites are often at fifth- toeighth-grade level or higher
-Review information beforerecommending it
-Some websites offer material in avariety of levels, languages
-Erikson's theory of growth and development
-Determine consumers' learning preferences
-Consider email, text messages
But remember, you need to determine each consumer's learning preferences.
Children may benefit from using online simulations and learning games.
Adolescents may prefer electronic resources, so they may want to use computer programs that are at an appropriate reading level. Adolescents may also prefer technological gadgets and instant communication with a nurse and/or their provider, so consider using email or text messages. This allows adolescents to report problems, ask for advice, and get information on real time,
which allows them to address their health care needs with minimal effect on psychosocial interactions.
-Value immediate feedback, portability
-Want detailed information, specific recommendations
-Use electronic resources
This group is using electronic resources more than ever to access health care information and to communicate with friends, families, and providers.
For example, older adults benefit from the use of telehealth and telemonitoring devices in home care settings, so they need to develop basic health literacy skills to use this equipment, to improve communication with providers, and to promote health outcomes.
Computer Literacy for Consumers
-Finding web resources
-Using electronic communication, word processing programs, basic database
-Need knowledge, technology to identify health information, promote health care outcomes
-Cost, lack of high-speed Internet are obstacles
-Physical, developmental disabilities can prevent access
Advancements in Technology
-Sound systems assist those with visual impairment
-Medical devices provide audio information
-Voice recognition software, other technologies help those with limited use of arms
Consumers' Use of Electronic Information
-Managing personal information
-Developing personal systems to trend their health care outcomes
-Keeping health information, medications, notes on portable drives
-Emergency contact in cell phone contact lists
+ICE - in case of emergency
-Track, trend, report personal health information
-Sending health information electronically to providers
+Helps identify potential problems early
Consumers are also beginning to use information technology to track, trend, and report personal health information.
Helping Consumers Avoid False Claims
-Consumers can be misled by inadequate, inappropriate information
-False claims can hurt financially, emotionally, physically
-Lead to conflicts between clients, providers
But consumers with low health literacy skills may follow inadequate or inappropriate information by sites that promise instant results, provide free samples of herbal remedies, and offer false hope. These false claims can harm consumers financially, emotionally, and physically. Nurses must stay familiar with information technology and electronic resources to help consumers avoid becoming victims of these false claims.
Nurses must stay familiar with information technology and electronic resources to help consumers avoid becoming victims of these false claims. So, develop and use excellent communication and active listening skills to identify consumers who are at risk for falling into these traps.
-Computer literacy vs. health literacy
+Ability to find information is not the same as being able to evaluate it
-Consumers with advanced education aren't always able to interpret medical terminology, may overlook basic information
-Consumers who use advanced technology may not be able to decipher credible, valid health information
A consumer who can find information and use multiple technologies may not have the skills to evaluate and interpret information about health and wellness.
So, always assess a consumer's understanding of information rather than assuming he's able to understand educational materials.
Second, consumers with advanced formal education and/or college degrees aren't always able to interpret medical terminology, and they may overlook basic information, which is necessary for health restoration and maintenance.
Third, consumers who use advanced technology for social or business purposes may or may not know how to decipher credible or valid health information.
Need-to-Know Information for Consumers
-Knowledge, ability to use computershandheld devices
-Texting, email skills
-Connecting to Wi-Fi
How Consumers Use Knowledge
-Nurses must teach consumers skills about electronic resources, information management systems
Acting as an Advocate
-Encourage learning about personal needs, disease processes, health maintenance
-Teach basic terminology that relates to health issue
-Teach three questions
+What's my primary health care problem?
+What do I need to do to address this problem?
+What things should I concern myself with after beginning treatment?
-Teach active listening, honest communication with provider-
Teach him active listening skills and that it's okay for him to take notes during a health care encounter. Lastly, teach him how important it is for him to be honest and complete with his provider when discussing medications,
-Start in client's current location
-Discover what client wants to know,teach information of interest
-Follow up by asking how, where client gets health information
This allows you, as the nurse, to provide information that meets the client's needs and expectations in a way that she's most willing to accept.
-Ask yourself if the client understoodyour information
-Determine what information is neededfor best health outcome
-Ask client to repeat information, give return demonstration to verify understanding
learning outcomes are generally determined by asking the client to repeat the information provided or give a return demonstration of a procedure.
Teach clients about specific health conditions, health maintenance needs, becoming familiar with available educational resources
-Use variety of methods
+Handouts, visual aids
Remember, it doesn't help a client learn about information systems and specific technologies if she can't afford the devices, or if the devices you use aren't compatible with the current technology systems that she uses.
-Follow up, reinforce learning
-Especially important for clients who have chronic conditions
-Teach skills that will help the client continue learning about health restoration, maintenance
-Document teaching in client's medical record
Electronic Information Discussions
-Consider clients' feelings, concerns
-Use open-ended questions
-Provide list of credible electronic resources
-Encourage client to seek information, clarification when necessary
So have an open mind and consider a consumer's feelings and concerns when he discusses information from electronic sources. Use open-ended questions to determine how he got the information about a disease process or treatment.
Show respect for his point of view, but make sure you correct any misinformation.
Lastly, encourage him to continue to seek additional information and to seek clarification when necessary.
How can we verify that a web source is legitimate?
Scholarly databases from the library are always a good place to start. Also, websites from medical universities are a great resources as well as government websites like CDC, or Department of Health and Human Services. Other good resources include professional organizations like American Lung Association or the Juvenile Diabetes Research Foundation.
The nurse is planning to provide a client's parents with educational materials found on the Internet relatedto MRSA. Which of the following types of websites is the most reliable source of medical information?
Government websites are the most reliable and legitimate sources of evidence that the nurse should use to provide medical information to the client's mother. Social websites can be useful sources of information, but are not always consistent and would not be the most reliable online source of medical information. Hospital websites may have information for marketing purposes and can be useful online sources of medical information, but they are not the most reliable online source of medical information.
The nurse decides to use online evidence-based resources to retrieve information regarding wound care for a client. Which of the following statements by the nurse demonstrates understanding of online evidence-based resources?
"Online evidence-based practice guidelines are posted for me to use and apply my own clinical judgment."
Online evidence-based practice guidelines are posted for nurses to use clinical judgment when applying these guidelines while caring for clients. Publications found in evidence-based resources are not necessarily funded research. Funded research does not guarantee the research is conducted scientifically or ethically. Meta-analysis typically uses quantitative studies, not qualitative, to apply statistical methods when combining the results of several studies.
The nurse educates a client's mother about MRSA. The mother asks her to obtain additional information for her about wound care. Which of the following actions should the nurse take?
Contact the hospital wound care nurse and tell her a client's mother would like to discuss her daughter's wound.
Contacting the hospital wound care nurse allows the mother to share as little or as much as she likes and puts her in control of the client's personal health information. She will be able to contact the wound care nurse when she is ready. Emailing client information and client records is not safe unless the data is encrypted. This information is confidential and should not be shared with others. Instant messaging is not confidential.
The nurse manager is improving nursing practice by using information technology to reduce care-related errors and monitor client trends. Which of the following actions should he take when a care-related error has occurred?
Engage in root cause analysis when errors or near misses occur.
By evaluating all factors that contributed to an error being made, changes can occur that will reduce the incidence of errors, yet not single out a nurse to take the blame. Disciplining a nurse for being at fault for a medication error is a punitive approach to errors and is not conducive to nurses admitting their errors. Describing details of an error openly in a unit meeting is unprofessional and may be a breach of client confidentiality.
A nurse is planning to use the Iowa Model for the implementation of an evidence-based project on his unit. Which of the following is the first step the nurse should use in the process?
Identify a practice problem or change that needs to occur.
The first step in the process is for the nurse to identify a practice problem or change that needs to occur. Implementing a change in practice is not the first step in the EBP process. Monitoring the results of the intervention or change in practice is not the first step in the EBP process.
Students also viewed
ATI Literacy Skills & Consumer Educational Needs
Literacy Skills & Consumer Educational Needs
ATI Nursing Informatics: Information Management Sy…
Sets found in the same folder
ATI Literacy Skills & Consumer Educational Needs
Practice Assessment: Nurse's Touch: Nursing Inform…
ATI Rest and Sleep
Other sets by this creator
The Musculoskeletal System
Recommended textbook solutions
Clinical Reasoning Cases in Nursing
Julie S Snyder, Mariann M Harding
Pharmacology and the Nursing Process
Julie S Snyder, Linda Lilley, Shelly Collins
The Human Body in Health and Disease
Gary A. Thibodeau, Kevin T. Patton
Law and Ethics for Health Professions
Carlene Harrison, Karen Judson
Other Quizlet sets
Calc 3 Midterm 2 Review
CHAPTER 1 REVIEW
HAT Test 1