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A Virtual Community of Practice to Support Health Literacy Implementation: A Multimethod Study.

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A virtual Community of Practice (CoP) enhanced nurse champions' ability to improve health literacy in pediatric clinics. This collaborative learning approach successfully increased evidence-based health literacy practices among clinicians.

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Area of Science:

  • Healthcare Implementation Science
  • Community Health
  • Pediatric Care

Background:

  • Communities of Practice (CoP) foster collective learning and the adoption of evidence-based practices.
  • Effective strategies are needed to enhance health literacy in pediatric ambulatory settings.

Purpose of the Study:

  • To evaluate how a virtual Community of Practice (CoP) supported nurse champions in improving clinician health literacy practices.
  • Focus on pediatric ambulatory clinics to assess implementation facilitators and barriers.

Main Methods:

  • Directed content analysis of CoP meeting transcripts and interviews (June 2023-May 2024).
  • Utilized the Promoting Action on Research Implementation in Health Services (PARIHS) framework.
  • Assessed clinician health literacy practices at baseline, 6, and 12 months.

Main Results:

  • The virtual CoP enhanced champions' knowledge, provided resources, and facilitated barrier mitigation.
  • Observable impacts like improved teach-back methods increased buy-in for health literacy initiatives.
  • Formalizing the CoP into a council improved sustainability, with clinics reporting significant practice improvements.

Conclusions:

  • Virtual Communities of Practice (CoP) are effective in supporting champions for health literacy implementation.
  • This model facilitates the integration of evidence-based health literacy practices in pediatric ambulatory care.