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Social Literacy: Nurses' Contribution Toward the Co-Production of Self-Management
Leslie Dubbin1, Nancy Burke1,2, Mark Fleming1
1University of California, San Francisco, USA.
Global Qualitative Nursing Research
|February 25, 2021
Summary
Complex care management nurses use social literacy to understand patient self-management barriers within their social context. This nursing attribute helps them address health literacy challenges arising from social circumstances and healthcare system complexities.
Area of Science:
- Nursing
- Public Health
- Sociology
Background:
- Complex care management programs aim to support patients with chronic conditions.
- Understanding patient self-management is crucial for effective care.
- Existing frameworks may not fully capture social determinants impacting health.
Purpose of the Study:
- To introduce and define the concept of social literacy in nursing.
- To explore how social literacy influences complex care management Registered Nurses' (RNs) understanding of patient self-management.
- To examine the role of social literacy in addressing health literacy within patients' social contexts.
Main Methods:
- Ethnographic study of two urban complex care management programs.
- In-depth interviews with 17 complex care management RNs.
- Participant observations of home visits.
Main Results:
- Social literacy is a nursing attribute involving recognition and response to patient self-management hindrances.
- RNs utilize social literacy to view health literacy as influenced by social circumstances and healthcare system stratification.
- Social literacy offers a broader, socially situated framework for understanding and achieving patient self-management goals.
Conclusions:
- Social literacy is essential for complex care management RNs to effectively support patients.
- This concept reframes health literacy within the patient's social and systemic environment.
- Integrating social literacy can enhance nursing practice and improve patient outcomes.
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