Health literacy in medication communication during hospital discharge: a qualitative study at an internal medicines ward in Norway.

Autor:	Bengtsson KR; Department of Pharmacy, University of Oslo, Oslo, Norway kajsarebeckabengtsson@gmail.com., Rognan SE; Department of Pharmaceutical Services, Oslo Hospital Pharmacy, Hospital Pharmacies Enterprise, South Eastern Norway, Oslo, Norway., Kälvemark Sporrong S; Pharmacy Practice and Policy, Institution of Pharmacy, Uppsala, Sweden., Lie HB; Department of Pharmacy, University of Oslo, Oslo, Norway., Andersson Y; Hospital Pharmacies Enterprise, South Eastern Norway, Oslo, Norway., Mowe M; General Internal Medicine Ward, the Medical Clinic, Oslo University Hospital, Oslo, Norway.; Faculty of Medicine, University of Oslo, Oslo, Norway., Mathiesen L; Department of Pharmacy, University of Oslo, Oslo, Norway.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2022 Jun 09; Vol. 12 (6), pp. e058473. Date of Electronic Publication: 2022 Jun 09.
DOI:	10.1136/bmjopen-2021-058473
Abstrakt:	Objective: When discharged from hospital patients are often assumed to have sufficient health literacy (HL) to participate in their medical treatment and manage medical self-care after discharge. However, limited HL is a widespread concern and patient participation during discharge is lacking. In this study, we explore how HL influences medication communication during hospital discharge. Design: A qualitative case study, comprising unstructured observations of patient-healthcare personnel (HCP) encounters followed by semistructured interviews. Data were analysed using content analysis. Setting: An internal medicines ward at a university hospital in Norway. Participant: Fifteen patients aged 40-89 years were included close to the day of discharge. Results: The following themes describing dimensions of HL emerged: (1) access, (2) understand, (3) appraise and (4) apply. Most patients sought access to medication information from HCP, while some felt dependent on HCP to provide it. However, their abilities to understand, evaluate and make informed decisions were challenged, partly because HCPs' ability to adapt their communication to the patient's knowledgebase varied. Conclusion: The results give a broader understanding of how HL influences medication communication during hospital discharge. To consider central dimensions of HL is important to achieve optimal medication communication, as the communication only can be exercised within the frames of the patient's HL. The findings in this study support that HL should be described as a shared responsibility between the patients and HCP. Attention should be focused to the HCP's responsibility to adapt the communication to the patient's knowledgebase. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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