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Incorporating Health Literacy Screening Into Patients' Health Assessment
Kari Sand-Jecklin1, Christine S Daniels1, Noelle Lucke-Wold1
11 West Virginia University, Morgantown, WV, USA.
Clinical Nursing Research
|January 11, 2016
Summary
Routine health literacy screening in hospitals is feasible and identifies at-risk patients. Low health literacy is linked to higher hospital readmissions, highlighting the need for integrated screening into electronic health records.
Area of Science:
- Health Services Research
- Patient Education
- Clinical Informatics
Background:
- Low health literacy (HL) is linked to adverse health outcomes.
- Current HL screening practices are not widespread.
- Integrating HL screening into routine care is needed.
Purpose of the Study:
- To assess the feasibility of implementing HL screening within an electronic health record (EHR).
- To evaluate Registered Nurse (RN) receptiveness to HL screening.
- To identify the prevalence of low HL and its association with hospital readmissions.
Main Methods:
- HL screening was implemented for adult patients upon admission at a teaching hospital.
- RNs received training on HL screening procedures.
- RNs were surveyed on feasibility, and patient EHRs were analyzed for HL status and readmission data.
Main Results:
- RNs were receptive to incorporating HL screening.
- Approximately 20% of screened patients were identified as having low HL.
- Low HL was significantly associated with increased hospital readmissions, even after controlling for age and comorbidities.
Conclusions:
- Incorporating HL screening into EHR systems is feasible.
- Low HL is a significant risk factor for hospital readmissions.
- Further research should explore how knowledge of patient HL impacts provider-patient interactions.
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