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An Occupational Health Literacy Intervention in Nursing Homes Improved Organizational Health Literacy-A
Anne Konring Larsen1, Lau Caspar Thygesen, Mia Nyvang Stilling
1From the Hillerød Municipality, Hillerød, Denmark (A.K.L.); National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark (L.C.T.); The National Research Centre for the Working Environment, Copenhagen Ø, Denmark (M.N.S., C.N.R); Centre for Global Health and Equity, Swinburne University of Technology, Melbourne, VIC, Australia (R.H.O.); Department of Public Health, University of Copenhagen, Copenhagen, Denmark (R.H.O.); and Copenhagen School of Design and Technology, Copenhagen N, Denmark (M.B.J.).
Objective:
This study examined the effectiveness of a workplace health literacy intervention on individual, interpersonal, and organizational health literacy.
Method:
Using a quasi-experimental stepped wedge cluster design, we evaluated an intervention for 509 nursing home employees with two elements: 1) courses for employees and management on pain prevention, management, and communication and 2) structured dialogues between employees and supervisors, emphasizing pain prevention.
Results:
One organizational health literacy item improved, with supervisors helping with pain prevention increasing by 0.42 points (95% CI 0.11;0.73). Positive trends were observed in supervisor actions when informed about pain (0.39 points, 95% CI -0.09;0.86), ease of finding workplace pain solutions (0.12 points, 95% CI -0.03;0.79), and employees having pain management information (0.44 points, 95% CI -0.03;0.92).
Conclusion:
The intervention improved one organizational health literacy item, with positive trends in three other items.
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The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.

