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Related Concept Videos

Health Literacy01:21

Health Literacy

Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative programs,...
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
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Handwashing III: During the Procedure and Post-Procedure Steps01:15

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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail paint...

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Developing and testing the health literacy universal precautions toolkit.

Darren A DeWalt1, Kimberly A Broucksou, Victoria Hawk

  • 1Cecil G. Sheps Center for Health Services Research, Division of General Internal Medicine, University of North Carolina, Chapel Hill, NC 27599, USA. dewaltd@med.unc.edu

Nursing Outlook
|March 16, 2011
PubMed
Summary

The Health Literacy Universal Precautions (HLUP) Toolkit helps primary care practices improve care for patients with limited health literacy. Tools must be concise, actionable, and implemented with staff buy-in for success.

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Area of Science:

  • Health Services Research
  • Patient Education
  • Primary Care Medicine

Background:

  • Healthcare systems present significant health literacy demands that often surpass the health literacy skills of the American population.
  • Limited health literacy is a widespread issue impacting patient understanding and adherence to medical advice.

Purpose of the Study:

  • To review the development of the Health Literacy Universal Precautions (HLUP) Toolkit.
  • To provide primary care practices with strategies to deliver care assuming all patients may have limited health literacy.

Main Methods:

  • The development involved a 2-year process with three main tasks: tool development, individual tool testing in clinical practice, and prototype toolkit testing.
  • Existing health literacy resources were utilized where possible during tool development.
  • Clinical practice testing focused on usability and implementation feasibility.

Main Results:

  • Practices favored tools that were concise, actionable, and not perceived as resource-intensive.
  • Successful implementation hinged on practice self-assessments and staff enthusiasm.
  • Implementation of practice changes required more time than initially estimated and some quality improvement knowledge.

Conclusions:

  • The HLUP Toolkit shows potential for enhancing primary care for individuals with limited health literacy.
  • Further testing is necessary to fully validate the toolkit's effectiveness and impact on patient outcomes.