A Picture is Worth a Thousand Words: Using Pictographs to Address Limited Health Care Literacy

2.50
Hdl Handle:
http://hdl.handle.net/10755/602704
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
A Picture is Worth a Thousand Words: Using Pictographs to Address Limited Health Care Literacy
Author(s):
Winokur, Elizabeth J.
Lead Author STTI Affiliation:
Nu Mu
Author Details:
Elizabeth J. Winokur, RN, CEN, ejwinokur@gmail.com
Abstract:
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Limited healthcare literacy hinders care provision and contributes to worse patient outcomes.Inability to comprehend discharge instructions can adversely affect outcomes among Emergency Department (ED) clients.  Literature has demonstrated poor comprehension of discharged instructions by emergency department patients.   As a result of homecare practices that were expressly different from routine discharge instructions among repeat clients, a community emergency department undertook a project to determine the cause.  Over a 3month-period, 150 emergency department clients were asked to participate in an IRB approved study.  A bilingual translator administered the Newest Vital Sign, a 6-item validated scale designed to assess healthcare literacy among English and Spanish patients. Results demonstrated statistically significant differences between the selected language and healthcare literacy (p< .001). Both English (3.82 out of 6) and Spanish speaking (2.61 out of 6) clients were assessed to be at risk for limited healthcare literacy.  Study results demonstrated the need for an alternative form of discharge instructions.  Nurses selected pictographs, pictorial depictions, as an adjunctive method to provide home care instructions. High volume diagnosis and discharge instructions were selected to be converted to pictographs; limited text written at less than a third grade level was included to enhance illustrations. Available pictographs include fever care, abdominal pain, gastroenteritis, and orthopedic conditions. Contents of the pictographs were selected based on a review of the literature and current discharge instruction contents. At visit completions clients received standard discharge instructions and the language-appropriate pictograph version. Quality and helpfulness of pictographs was determined by post-discharge phone calls by registered nurses. Positive post-discharge client feedback supports its efficacy. More pictographs are under development.
Keywords:
health care literacy; pictographs; discharge instructions
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15CL2.84
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleA Picture is Worth a Thousand Words: Using Pictographs to Address Limited Health Care Literacyen
dc.contributor.authorWinokur, Elizabeth J.en
dc.contributor.departmentNu Muen
dc.author.detailsElizabeth J. Winokur, RN, CEN, ejwinokur@gmail.comen
dc.identifier.urihttp://hdl.handle.net/10755/602704en
dc.description.abstractSession presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Limited healthcare literacy hinders care provision and contributes to worse patient outcomes.Inability to comprehend discharge instructions can adversely affect outcomes among Emergency Department (ED) clients.  Literature has demonstrated poor comprehension of discharged instructions by emergency department patients.   As a result of homecare practices that were expressly different from routine discharge instructions among repeat clients, a community emergency department undertook a project to determine the cause.  Over a 3month-period, 150 emergency department clients were asked to participate in an IRB approved study.  A bilingual translator administered the Newest Vital Sign, a 6-item validated scale designed to assess healthcare literacy among English and Spanish patients. Results demonstrated statistically significant differences between the selected language and healthcare literacy (p< .001). Both English (3.82 out of 6) and Spanish speaking (2.61 out of 6) clients were assessed to be at risk for limited healthcare literacy.  Study results demonstrated the need for an alternative form of discharge instructions.  Nurses selected pictographs, pictorial depictions, as an adjunctive method to provide home care instructions. High volume diagnosis and discharge instructions were selected to be converted to pictographs; limited text written at less than a third grade level was included to enhance illustrations. Available pictographs include fever care, abdominal pain, gastroenteritis, and orthopedic conditions. Contents of the pictographs were selected based on a review of the literature and current discharge instruction contents. At visit completions clients received standard discharge instructions and the language-appropriate pictograph version. Quality and helpfulness of pictographs was determined by post-discharge phone calls by registered nurses. Positive post-discharge client feedback supports its efficacy. More pictographs are under development.en
dc.subjecthealth care literacyen
dc.subjectpictographsen
dc.subjectdischarge instructionsen
dc.date.available2016-03-21T16:34:55Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:34:55Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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