2.50
Hdl Handle:
http://hdl.handle.net/10755/162754
Type:
Presentation
Title:
Clinical Testing of Patients' Reading Levels
Abstract:
Clinical Testing of Patients' Reading Levels
Conference Sponsor:Emergency Nurses Association
Conference Year:2000
Author:McGrath, Patricia, RN, MN, CCRN
Contact Address:, West Stockbridge, MA, 01266, USA
Co-Authors:Sharon Gavin Fought, June S. Lowenberg, and Kathleen Flarity-Reed
Purpose: Literacy may interfere with all aspects of healthcare, including compliance with medical regimens and preventive care. Patients who misunderstand essential health information may form dangerous misconceptions and practices. Emergency department patients, who five years ago would be admitted to the hospital, are now being sent home and being tasked to follow complex instructions and treatment plans. In most EDs it is the nurse's responsibility to give patients their discharge instructions. Due to growing census and time constraints, nurses are increasingly relying on printed discharge instructions to supplement an expeditious verbal discharge. The purpose of this study was to determine the reading level of ED patients in order to evaluate the potential effectiveness of written discharge instructions.

Design: A survey design with convenience sampling was used.

Setting: This study was conducted in two city emergency departments, located in the Pacific Northwest, with a combined total of 41,000 visits a year.

Sample: Eighty-two adult emergency department patients, in the age range of 18-83, who were alert and oriented and not under the influence of alcohol or narcotics were asked to participate. The participation rate was 61% for a final sample of 50 patients (22 males and 28 females).

Methodology: Data were collected using the Rapid Estimate of Adult Literacy in Medicine (REALM) tool, which is designed to identify individuals with low reading skills. The REALM provides a reading grade estimate by measuring a patient's ability to pronounce 66 words in ascending order of difficulty. The developer using correlation of the scores to three standardized reading tests for adults has established the validity of the REALM. [r=0.96, r=0.88, r=0.97 (p<. 0001)].

Results: The results indicated that:
Average reading level was at the 7th to 8th grade levels;
48% had reading scores 3-4 grade levels below their stated last grade completed; and there were no differences between men and women.

Conclusions: In order to promote appropriate use of written discharge instructions it is important to assess the individual's ability to read written discharge instructions. Additional education tactics are needed to improve patient's understanding and knowledge of discharge instructions if the individual's reading level is low. Better management of their illness at home is dependent on the teaching nurses provide in the Emergency Department. [Research Paper Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleClinical Testing of Patients' Reading Levelsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162754-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Clinical Testing of Patients' Reading Levels</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2000</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McGrath, Patricia, RN, MN, CCRN</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, West Stockbridge, MA, 01266, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">I97Husky@aol.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sharon Gavin Fought, June S. Lowenberg, and Kathleen Flarity-Reed</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Literacy may interfere with all aspects of healthcare, including compliance with medical regimens and preventive care. Patients who misunderstand essential health information may form dangerous misconceptions and practices. Emergency department patients, who five years ago would be admitted to the hospital, are now being sent home and being tasked to follow complex instructions and treatment plans. In most EDs it is the nurse's responsibility to give patients their discharge instructions. Due to growing census and time constraints, nurses are increasingly relying on printed discharge instructions to supplement an expeditious verbal discharge. The purpose of this study was to determine the reading level of ED patients in order to evaluate the potential effectiveness of written discharge instructions.<br/><br/>Design: A survey design with convenience sampling was used.<br/><br/>Setting: This study was conducted in two city emergency departments, located in the Pacific Northwest, with a combined total of 41,000 visits a year.<br/><br/>Sample: Eighty-two adult emergency department patients, in the age range of 18-83, who were alert and oriented and not under the influence of alcohol or narcotics were asked to participate. The participation rate was 61% for a final sample of 50 patients (22 males and 28 females).<br/><br/>Methodology: Data were collected using the Rapid Estimate of Adult Literacy in Medicine (REALM) tool, which is designed to identify individuals with low reading skills. The REALM provides a reading grade estimate by measuring a patient's ability to pronounce 66 words in ascending order of difficulty. The developer using correlation of the scores to three standardized reading tests for adults has established the validity of the REALM. [r=0.96, r=0.88, r=0.97 (p&lt;. 0001)].<br/><br/>Results: The results indicated that:<br/>Average reading level was at the 7th to 8th grade levels;<br/>48% had reading scores 3-4 grade levels below their stated last grade completed; and there were no differences between men and women.<br/><br/>Conclusions: In order to promote appropriate use of written discharge instructions it is important to assess the individual's ability to read written discharge instructions. Additional education tactics are needed to improve patient's understanding and knowledge of discharge instructions if the individual's reading level is low. Better management of their illness at home is dependent on the teaching nurses provide in the Emergency Department. [Research Paper Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:34Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:34Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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