Improving professional health literacy in hospitals: study protocol of a participatory codesign and implementation study

Introduction In connection with a hospital stay, patients have to make important health-related decisions. They need to find, understand, assess and apply health-related information, and therefore, require health literacy. Adequately responding to the needs of patients requires promoting the communi...

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Main Authors: Lena Ansmann, Frank Griesinger, Gesine H Seeber, Anna Levke Brütt, Djordje Lazovic, Johanna Sophie Lubasch, Mona Voigt-Barbarowicz, Sonia Lippke, Rudy Leon De Wilde, Paloma Citlálli Ocampo Villegas, Julia Roeper, Daniela Salzmann, Luz-Angela Torres-de-la-Roche, Dirk Weyhe
Format: Article
Language:English
Published: BMJ Publishing Group 2021-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/8/e045835.full
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author Lena Ansmann
Frank Griesinger
Gesine H Seeber
Anna Levke Brütt
Djordje Lazovic
Johanna Sophie Lubasch
Mona Voigt-Barbarowicz
Sonia Lippke
Rudy Leon De Wilde
Paloma Citlálli Ocampo Villegas
Julia Roeper
Daniela Salzmann
Luz-Angela Torres-de-la-Roche
Dirk Weyhe
author_facet Lena Ansmann
Frank Griesinger
Gesine H Seeber
Anna Levke Brütt
Djordje Lazovic
Johanna Sophie Lubasch
Mona Voigt-Barbarowicz
Sonia Lippke
Rudy Leon De Wilde
Paloma Citlálli Ocampo Villegas
Julia Roeper
Daniela Salzmann
Luz-Angela Torres-de-la-Roche
Dirk Weyhe
author_sort Lena Ansmann
collection DOAJ
description Introduction In connection with a hospital stay, patients have to make important health-related decisions. They need to find, understand, assess and apply health-related information, and therefore, require health literacy. Adequately responding to the needs of patients requires promoting the communication skills of healthcare professionals within healthcare organisations. Health-literate healthcare organisations can provide an environment strengthening professionals’ and patients’ health literacy. When developing health-literate healthcare organisations, it has to be considered that implementing organisational change is typically challenging. In this study, a communication concept based on previously evaluated communication training is codesigned, implemented and evaluated in four clinical departments of a university hospital.Method and analysis In a codesign phase, focus group interviews among employees and patients as well as a workshop series with employees and hospital management are used to tailor the communication concept to the clinical departments and to patients’ needs. Also, representatives responsible for the topic of health literacy are established among employees. The communication concept is implemented over a 12-month period; outcomes studied are health literacy on the organisational and patient levels. Longitudinal survey data acquired from a control cohort prior to the implementation phase are compared with data of an intervention cohort after the implementation phase. Moreover, survey data from healthcare professionals before and after the implementation are compared. For formative evaluation, healthcare professionals are interviewed in focus groups.Ethics and dissemination The study protocol was approved by the Ethics Committee of the Medical Faculty of the University of Oldenburg and is in accordance with the Declaration of Helsinki. Study participants are asked to provide written informed consent. The results are disseminated via direct communication within the hospital, publications and conference presentations. If the intervention turns out to be successful, the intervention and implementation strategies will be made available to other hospitals.Trial registration number DRKS00019830.
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spelling doaj-art-7f0ac262367942d5b9579f2b917a04f42024-12-09T05:00:09ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2020-045835Improving professional health literacy in hospitals: study protocol of a participatory codesign and implementation studyLena Ansmann0Frank Griesinger1Gesine H Seeber2Anna Levke Brütt3Djordje Lazovic4Johanna Sophie Lubasch5Mona Voigt-Barbarowicz6Sonia Lippke7Rudy Leon De Wilde8Paloma Citlálli Ocampo Villegas9Julia Roeper10Daniela Salzmann11Luz-Angela Torres-de-la-Roche12Dirk Weyhe13Department of Organizational Health Services Research, University of Oldenburg, Oldenburg, GermanyUniversity Hospital for Haematology and Oncology, Pius-Hospital Oldenburg, Oldenburg, Lower Saxony, GermanyDepartment of Orthopedics, University Medical Center Groningen, Groningen, The NetherlandsDepartment of Health Services Research, Carl von Ossietzky University of Oldenburg, Oldenburg, GermanyUniversity Hospital of Orthopedics and Trauma Surgery Pius-Hospital, Medical Campus University Oldenburg, Oldenburg, GermanyOrganizational Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Oldenburg, GermanyJunior Research Group for Rehabilitation Sciences, Department of Health Services Research, University of Oldenburg, Oldenburg, Lower Saxony, GermanyDepartment of Psychology & Methods, Jacobs University Bremen gGmbH, Bremen, GermanyUniversity Hospital for Gynaecology, Pius-Hospital Oldenburg, Oldenburg, Lower Saxony, GermanyDepartment of Psychology & Methods, Jacobs University Bremen gGmbH, Bremen, GermanyUniversity Hospital for Haematology and Oncology, Pius-Hospital Oldenburg, Oldenburg, Lower Saxony, GermanyUniversity Hospital for Visceral Surgery, Pius-Hospital Oldenburg, Oldenburg, Lower Saxony, GermanyUniversity Hospital for Gynaecology, Pius-Hospital Oldenburg, Oldenburg, Lower Saxony, GermanyUniversity Hospital for Visceral Surgery, Pius-Hospital Oldenburg, Oldenburg, Lower Saxony, GermanyIntroduction In connection with a hospital stay, patients have to make important health-related decisions. They need to find, understand, assess and apply health-related information, and therefore, require health literacy. Adequately responding to the needs of patients requires promoting the communication skills of healthcare professionals within healthcare organisations. Health-literate healthcare organisations can provide an environment strengthening professionals’ and patients’ health literacy. When developing health-literate healthcare organisations, it has to be considered that implementing organisational change is typically challenging. In this study, a communication concept based on previously evaluated communication training is codesigned, implemented and evaluated in four clinical departments of a university hospital.Method and analysis In a codesign phase, focus group interviews among employees and patients as well as a workshop series with employees and hospital management are used to tailor the communication concept to the clinical departments and to patients’ needs. Also, representatives responsible for the topic of health literacy are established among employees. The communication concept is implemented over a 12-month period; outcomes studied are health literacy on the organisational and patient levels. Longitudinal survey data acquired from a control cohort prior to the implementation phase are compared with data of an intervention cohort after the implementation phase. Moreover, survey data from healthcare professionals before and after the implementation are compared. For formative evaluation, healthcare professionals are interviewed in focus groups.Ethics and dissemination The study protocol was approved by the Ethics Committee of the Medical Faculty of the University of Oldenburg and is in accordance with the Declaration of Helsinki. Study participants are asked to provide written informed consent. The results are disseminated via direct communication within the hospital, publications and conference presentations. If the intervention turns out to be successful, the intervention and implementation strategies will be made available to other hospitals.Trial registration number DRKS00019830.https://bmjopen.bmj.com/content/11/8/e045835.full
spellingShingle Lena Ansmann
Frank Griesinger
Gesine H Seeber
Anna Levke Brütt
Djordje Lazovic
Johanna Sophie Lubasch
Mona Voigt-Barbarowicz
Sonia Lippke
Rudy Leon De Wilde
Paloma Citlálli Ocampo Villegas
Julia Roeper
Daniela Salzmann
Luz-Angela Torres-de-la-Roche
Dirk Weyhe
Improving professional health literacy in hospitals: study protocol of a participatory codesign and implementation study
BMJ Open
title Improving professional health literacy in hospitals: study protocol of a participatory codesign and implementation study
title_full Improving professional health literacy in hospitals: study protocol of a participatory codesign and implementation study
title_fullStr Improving professional health literacy in hospitals: study protocol of a participatory codesign and implementation study
title_full_unstemmed Improving professional health literacy in hospitals: study protocol of a participatory codesign and implementation study
title_short Improving professional health literacy in hospitals: study protocol of a participatory codesign and implementation study
title_sort improving professional health literacy in hospitals study protocol of a participatory codesign and implementation study
url https://bmjopen.bmj.com/content/11/8/e045835.full
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