Evidence-based project to improve stroke unit outcomes: Assessment of health literacy to individualize stroke education

2.50
Hdl Handle:
http://hdl.handle.net/10755/308487
Category:
Abstract
Type:
Presentation
Title:
Evidence-based project to improve stroke unit outcomes: Assessment of health literacy to individualize stroke education
Author(s):
Massaro, Lynne M
Lead Author STTI Affiliation:
Epsilon Xi
Author Details:
Lynne M Massaro, DNP, RN, ANP-BC, FNP, lynne_massaro@urmc.rochester.edu
Abstract:

Session presented on: Saturday, November 16, 2013

Background: Stroke affects almost one million people annually. Comprehensive stroke centers use evidence-based treatment guidelines and mandated secondary stroke risk reduction education to reduce disability and decrease morbidity and mortality from neurovascular disease. Multiple barriers affect the delivery of stroke education and patients’ stroke knowledge acquisition. The Newest Vital Sign (NVS) health literacy assessment tool is effective in identifying patients with low health literacy enabling the provision of individualized educational formats.

Aim: To provide individualized secondary stroke risk reduction education for patients in a primary certified, adult inpatient stroke unit in a Magnet designated, academic, tertiary care medical center thereby influencing stroke knowledge acquisition and improving outcomes.

Methods: Integration of the Health Promotion Model with The Model for Evidence-Based Practice Change provided the theoretical framework used to guide project design and development. Patients’ health literacy assessments were completed using the Newest Vital Sign Tool, baseline assessments of secondary stroke risk knowledge were completed, and individualized stroke risk reduction education was provided.  Stroke risk knowledge was then reassessed at the outpatient stroke follow-up appointment with comparison between baseline and follow up questionnaire scores.

Results: The NVS health literacy assessment tool identified 53% of participants with low health literacy. Secondary stroke risk reduction education was individualized and 92% of participants demonstrated stroke knowledge acquisition and overall improved scores between baseline and follow-up stroke knowledge questionnaires. 

Conclusions: Results indicate that stroke unit patients with low health literacy benefit from individualized secondary stroke risk reduction education.  Stroke units using best evidence to address individual education barriers increase a patient’s potential for healthy outcomes. Including health literacy assessments to tailor mandated education may result in positive consequences that surpass the efficacy of traditional education formats currently being used.

Keywords:
stroke inpatient; stroke education; health literacy
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEvidence-based project to improve stroke unit outcomes: Assessment of health literacy to individualize stroke educationen_GB
dc.contributor.authorMassaro, Lynne Men_GB
dc.contributor.departmentEpsilon Xien_GB
dc.author.detailsLynne M Massaro, DNP, RN, ANP-BC, FNP, lynne_massaro@urmc.rochester.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308487-
dc.description.abstract<p>Session presented on: Saturday, November 16, 2013</p><b>Background: </b>Stroke affects almost one million people annually. Comprehensive stroke centers use evidence-based treatment guidelines and mandated secondary stroke risk reduction education to reduce disability and decrease morbidity and mortality from neurovascular disease. Multiple barriers affect the delivery of stroke education and patients’ stroke knowledge acquisition. The Newest Vital Sign (NVS) health literacy assessment tool is effective in identifying patients with low health literacy enabling the provision of individualized educational formats. <p><b>Aim: </b>To provide individualized secondary stroke risk reduction education for patients in a primary certified, adult inpatient stroke unit in a Magnet designated, academic, tertiary care medical center thereby influencing stroke knowledge acquisition and improving outcomes. <p><b>Methods:</b> Integration of the Health Promotion Model with The Model for Evidence-Based Practice Change provided the theoretical framework used to guide project design and development. Patients’ health literacy assessments were completed using the Newest Vital Sign Tool, baseline assessments of secondary stroke risk knowledge were completed, and individualized stroke risk reduction education was provided.  Stroke risk knowledge was then reassessed at the outpatient stroke follow-up appointment with comparison between baseline and follow up questionnaire scores. <p><b>Results: </b>The NVS health literacy assessment tool identified 53% of participants with low health literacy. Secondary stroke risk reduction education was individualized and 92% of participants demonstrated stroke knowledge acquisition and overall improved scores between baseline and follow-up stroke knowledge questionnaires.  <p class="FreeFormA"><b>Conclusions: </b>Results indicate that stroke unit patients with low health literacy benefit from individualized secondary stroke risk reduction education.  Stroke units using best evidence to address individual education barriers increase a patient’s potential for healthy outcomes. Including health literacy assessments to tailor mandated education may result in positive consequences that surpass the efficacy of traditional education formats currently being used.en_GB
dc.subjectstroke inpatienten_GB
dc.subjectstroke educationen_GB
dc.subjecthealth literacyen_GB
dc.date.available2013-12-19T17:32:00Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:00Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.