Health Professionals' Communication Competences as a Light on the Patient Pathway

2021 ◽  
Vol 6 (1) ◽  
pp. 14-29
Author(s):  
Cristina Vaz de Almeida ◽  
Célia Belim
Keyword(s):  
Health Literacy ◽  
Focus Group ◽  
Literature Review ◽  
Health Professionals ◽  
Factor Model ◽  
Communication Model ◽  
Patient Pathway ◽  
Clinical Encounters ◽  
Communication Competencies ◽  
Three Factor

This article proposes a three-factor model of communication competencies inspired in literature review and evaluated and completed by Portuguese health specialists with expertise on health literacy, who were organized into four focus groups (n=25). The study includes a response to the lack of consensus in the literature as to what specific and operative competencies the health professional should perform in clinical encounters with the patients. All the participants in the focus group agreed and reinforced that an aggregated and interdependent model, which is composed of assertiveness, clarity of language, and positivity (ACP model), can be an effective health communication model.

Importance of Medication Reconciliation as a Strategy for Health Literacy

2022 ◽  
pp. 224-237
Author(s):  
José Manuel Feliz ◽  
Marta Barroca
Keyword(s):  
Health Literacy ◽  
Communication Skills ◽  
Health Professionals ◽  
Medication Reconciliation ◽  
Drug Regimen ◽  
Communication Model ◽  
Professional Relationship ◽  
Patient Health ◽  
Model Technique

Health literacy depends on communication skills of health professionals. Assertiveness, clarity, and positivity (ACP) are a communication model/technique very useful to improve the patient-health professional relationship, adherence to treatment, health literacy, and quality of life. This model can be used in medication reconciliation (MR) – the identification of the most precise list of medication that a patient has been taking and should take, which requires a multidisciplinary participation and a better communication between health professionals and between them and the patient. When the guidance from healthcare professionals is clear and effective, patients and caregivers are more compliant to the recommended drug regimen, resulting in better health outcomes.

Food and Health Literacy

2022 ◽  
pp. 208-223
Author(s):  
Helena Alves de Carvalho Sampaio ◽  
Lisidna Almeida Cabral
Keyword(s):  
Life Cycle ◽  
Health Literacy ◽  
Life Cycles ◽  
Communication Model ◽  
Food Literacy ◽  
Food And Nutrition ◽  
Under Construction ◽  
The Impact ◽  
Three Factor

Food literacy is a sub-field of health literacy with a concept under construction, but corresponds to the ability to read, understand, and judge the quality of information; to seek and exchange knowledge related to the topics of food and nutrition; to buy and prepare food; to critically reflect on factors which influence personal choices about food and understand the impact of these choices on society. In turn, the ACP model is a three-factor communication model (assertiveness, clarity, and positivity) that aims to optimize education based on health literacy. The aim of this chapter is to present a proposal for food guidance which combines the foundations of the ACP model and food literacy for the different life cycles. The guidelines for each cycle were adapted to the ACP model. In conclusion, the ACP model can be applied to food literacy actions in any life cycle. However, it is worth mentioning that the professional's communicational behavior needs to be aligned with the assertiveness competence so that such actions are in fact effective.

scholarly journals Health Literacy in people with intellectual disabilities – is there a need for an adapted concept?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Bruland ◽  
N Vetter ◽  
ÄD Latteck
Keyword(s):  
Health Literacy ◽  
Literature Review ◽  
Intellectual Disabilities ◽  
Health Information ◽  
Health Professionals ◽  
Target Group ◽  
Reference Source ◽  
Health Decisions ◽  
Health Related ◽  
People With Intellectual Disabilities

Abstract Background Health literacy (HL) is a crucial factor in terms of health and health-related outcomes. HL refers to personal and social resources as well as the abilities to access, understand, appraise and apply health information to make self-determined health decisions. Due to reduced resources including cognitive abilities it is assumed that HL in people with intellectual disabilities (PWID) is low. Up to 3% of the general population have an ID (IQ < 70). Methods Current state of the art is presented via a mixed-method literature review published in 2019. Against that, results from 5 target group orientated groups are presented (n = 50). Results Literature Review (12 studies incl.): HL does not go beyond a purely functional understanding. Studies assume that the HL level of PWID is very low, but fail to mention a reference source. Overall, studies are mainly from the health professionals' perspective and exceptions directly questioned or focused people with ID. People with ID still seems to be a 'hidden' population in HL research. Group discussions: An introducing quiz about health-related topics turns into a discussion within the group of PWID. Topics were physical activity, nutrition and health advices from health professionals like GPs. Instructions of physicians were discussed; a critical view of health advices were taken. Bassed on experiences own health decisions are described. Trained caregivers like nurses are stated as an own professional HL resource. Communicative and critical HL have been demonstrated. Conclusions There is only little knowledge about HL in PWID. Promoting HL could be highly beneficial for managing health information with a positive impact on PWID themselves (empowerment), their (family) caregivers, and the health care system (reducing health costs). A debate to conceptualize HL for PWID is mandatory. This must be based on valid data, consider the perspectives of PWID and have to respect the resources of PWID. Future directives will be discussed. Key messages People with ID communicative and critical health literacy is is available but not yet explored how it can be increased. A target-adapted health literacy of people with intellectual disabilities is beneficial, it it takes the perspectives of this target group into account.

Validation of the Short Dark Triad in a German Sample

2020 ◽  
pp. 1-12
Author(s):  
Caroline Wehner ◽  
Ulrike Maaß ◽  
Marius Leckelt ◽  
Mitja D. Back ◽  
Matthias Ziegler
Keyword(s):  
Sensation Seeking ◽  
Factor Model ◽  
Structural Models ◽  
Self Esteem ◽  
Dark Triad ◽  
Fit Indices ◽  
Nomological Network ◽  
Competitive Test ◽  
Three Factor ◽  
Behavioral Criteria

Abstract. The structure, correlates, and assessment of the Dark Triad are widely discussed in several fields of psychology. Based on the German version of the Short Dark Triad (SDT), we add to this by (a) providing a competitive test of existing structural models, (b) testing the nomological network, and (c) proposing an ultrashort 9-item version of the SDT (uSDT). A sample of N = 969 participants provided data on the SDT and a range of further measures. Our competitive test of five structural models revealed that fit indices and nomological network assumptions were best met in a three-factor model, with separate factors for psychopathy, Machiavellianism, and narcissism. The results provided an extensive overview of the raw, unique, and shared associations of Dark Triad dimensions with narcissism facets, sadism, impulsivity, self-esteem, sensation seeking, the Big Five, maladaptive personality traits, sociosexual orientation, and behavioral criteria. Finally, the uSDT exhibited satisfactory psychometric properties. The highest overlap in expected relations between SDT and uSDT, and convergent and discriminant measures was also found for the three-factor model. Our study underlines the utility of a three-factor model of the Dark Triad, extends findings on its nomological network, and provides an ultrashort instrument.

Working Memory, Mental Prospection, Time Orientation, and Cognitive Insight

2013 ◽  
Vol 34 (3) ◽  
pp. 159-169 ◽  
Author(s):  
Sevtap Cinan ◽  
Aslı Doğan
Keyword(s):  
Working Memory ◽  
Structural Equation ◽  
Factor Model ◽  
Time Orientation ◽  
Equation Modeling ◽  
Cognitive Insight ◽  
Confirmatory Factor ◽  
Negative Effect ◽  
Positive Effect ◽  
Three Factor

This research is new in its attempt to take future time orientation, morningness orientation, and prospective memory as measures of mental prospection, and to examine a three-factor model that assumes working memory, mental prospection, and cognitive insight are independent but related higher-order cognitive constructs by using confirmatory factor analysis (CFA). The three-factor model produced a good fit to the data. An alternative one-factor model was tested and rejected. The results suggest that working memory and cognitive insight are distinguishable, related constructs, and that both are distinct from, but negatively associated with, mental prospection. In addition, structural equation modeling (SEM) showed that working memory had a strong positive effect on cognitive insight and a moderate negative effect on mental prospection.

Māori Research(er) in Three Poems

2018 ◽  
Vol 2 (1) ◽  
pp. 35
Author(s):  
Jacquie Kidd
Keyword(s):  
Palliative Care ◽  
Health Literacy ◽  
Cultural Identity ◽  
Focus Groups ◽  
Health Professionals ◽  
Bell Hooks ◽  
Face To Face ◽  
The Third ◽  
Ruth Behar ◽  
Seeking Help

These three poems re-present the findings from a research project that took place in 2013 (Kidd et al. 2018, Kidd et al. 2014). The research explored what health literacy meant for Māori patients and whānau when they accessed palliative care. Through face-to-face interviews and focus groups we engaged with 81 people including patients, whānau, bereaved loved ones, support workers and health professionals. The poems are composite, written to bring some of our themes to life. The first poem is titled Aue. This is a Māori lament that aligns to English words such as ‘oh no’, or ‘arrgh’, or ‘awww’. Each stanza of the poem re-presents some of the stories we heard throughout the research. The second poem is called Tikanga. This is a Māori concept that encompasses customs, traditions and protocols. There are tikanga rituals and processes that guide all aspects of life, death, and relationships. This poem was inspired by an elderly man who explained that he would avoid seeking help from a hospice because ‘they leave tikanga at the door at those places’. His choice was to bear his pain bravely, with pride, within his cultural identity. The third poem is called ‘People Like Me’. This is an autoethnographical reflection of what I experienced as a researcher which draws on the work of scholars such as bell hooks (1984), Laurel Richardson (1997) and Ruth Behar (1996). These and many other authors encourage researchers to use frustration and anger to inform our writing; to use our tears to fuel our need to publish our research.

The Structural Changes in the FF Three-Factor Model and its Robustness in the Bear-Bull Market Periods

2006 ◽  
Author(s):  
Edward R. Lawrence ◽  
Gordon V. Karels ◽  
Suchi Mishra ◽  
Arun J. Prakash
Keyword(s):  
Structural Changes ◽  
Factor Model ◽  
Bull Market ◽  
Three Factor

Experiences of Asian Women Who Live in Urban Environments and Are Breast Cancer Survivors

2021 ◽  
pp. 104365962098877
Author(s):  
Carolee Polek ◽  
Thomas Hardie ◽  
Janet A. Deatrick
Keyword(s):  
Breast Cancer ◽  
Health Literacy ◽  
Focus Group ◽  
Cancer Survivors ◽  
Generational Differences ◽  
Breast Cancer Survivors ◽  
Community Outreach ◽  
Asian Women ◽  
Semistructured Interview ◽  
Outreach Workers

Introduction Despite expanding interest in cancer survivorship, little is known about urban Asian breast cancer survivors whose experience may differ from those in suburban and rural locations. This study explores survivors’ challenges to maximize outcomes and identify common and unique themes among urban Asian survivors. Information was obtained from the survivors and outreach workers from their community. Methodology Descriptive qualitative methods including semistructured interview guides were used to plan, conduct, and analyze both individual interviews of Asian women ( n = 6) and a focus group ( n = 7) composed of community outreach workers. Results The interview and focus group findings, endorsed themes of communication/language, trust, and privacy, with generational differences. Poor health literacy in both survivors and providers was identified. Discussion Nurses are in a unique position to use the themes identified to both assist survivors expand their health literacy and lobby for resources for providers to promote culturally congruent care.

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