Volume 28, Issue 97 (December 2015)
IJN 2015, 28(97): 23-33 |
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Javadzade M, Sharifirad G, Reisi M, Nasr Esfahani M, Mahaki B, Mostafavi F. Applying the Theory of Planned Behavior to Predicting Nurse’s Intention and Behavior in Using Health Literacy Strategies in Patient Education . IJN 2015; 28 (97) :23-33
URL: http://ijn.iums.ac.ir/article-1-2231-en.html
URL: http://ijn.iums.ac.ir/article-1-2231-en.html
1- Assistant Professor, Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran
2- Professor, Department of Public Health, Qom University of Medical Sciences, Qom, Iran.
3- Assistant Professor, Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran.
4- Bs in Nursing, Department of Patient Education, Al-Zahra Educational Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
5- Assistant Professor, Department of Bio-statistics and Epidemiology, Isfahan University of Medical Sciences, Isfahan, Iran.
6- Associate Professor, Department of Health Education and Health Promotion, Isfahan University of Medical Sciences, Isfahan, Iran. (Corresponding Author) Tel: 09132118364 Email: F_Mostafavi@yahoo.com
2- Professor, Department of Public Health, Qom University of Medical Sciences, Qom, Iran.
3- Assistant Professor, Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran.
4- Bs in Nursing, Department of Patient Education, Al-Zahra Educational Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
5- Assistant Professor, Department of Bio-statistics and Epidemiology, Isfahan University of Medical Sciences, Isfahan, Iran.
6- Associate Professor, Department of Health Education and Health Promotion, Isfahan University of Medical Sciences, Isfahan, Iran. (Corresponding Author) Tel: 09132118364 Email: F_Mostafavi@yahoo.com
Abstract: (8994 Views)
Abstract
Background & Aims: Health literacy is one of the most important priorities for improving health care quality through enhancing patient- provider communication. Implementing health literacy strategies enables nurses to provide information and instructions for patients in a manner that is more commensurate and understandable. The purpose of this study was to investigate the factors affecting nurses’ intention to implement health literacy strategies in patient education based on theory of planned behavior.
Material & Methods: A cross- sectional study conducted among 148 nurse practitioners of Al-Zahra Hospital affiliated to Isfahan University of Medical Sciences, Isfahan, Iran, using descriptive-analytical method. Data collected via standardized questionnaire based on theory of planned behavior constructs and analyzed by SPSS v.17 using ANOVA, Independent T-test, Pearson correlation and linear regression.
Results: There were statistically significant correlation between using health literacy strategies and marriage status, attending in retraining courses, employment type, job history, and job status. Perceived behavioral control was the most powerful predictor of intention (β= 0/417) and use health literacy strategies in patient education and behavior of nurses (β=0/319).
Conclusion: According to the findings of this study, perceived behavioral control is a powerful determinant of nurses’ intention and behavior of using health literacy strategies in patient education. Hence we recommend nurse educators to pay special attention to the constructs of this theory mainly perceived behavioral control in retrain courses about patient education and health literacy strategies.
Type of Study: Research |
Subject:
nursing
Received: 2015/09/10 | Accepted: 2015/12/13 | Published: 2015/12/13
Received: 2015/09/10 | Accepted: 2015/12/13 | Published: 2015/12/13
References
1. Houts PS, Doak CC, Doak LG, Loscalzo MJ. The role of pictures in improving health communication: a review of research on attention, comprehension, recall, and adherence. Patient Educ Couns. 2006;61(2):173-90. [DOI:10.1016/j.pec.2005.05.004] [PMID]
2. Sultani A, Hadavi M, Heydari S, Shahabinezhad M. [Barriers to Patient Education Based on the Viewpoints of Nurses and Nurse Managers in Hospitals of Rafsanjan University of Medical Sciences, 2008]. Journal of Rafsanjan University of Medical Sciences. 2013;12(4):309-18.
3. Zolnierek KBH, DiMatteo MR. Physician communication and patient adherence to treatment: a meta-analysis. Med Care. 2009;47(8):826. [DOI:10.1097/MLR.0b013e31819a5acc] [PMID] [PMCID]
4. Howard T, Jacobson KL, Kripalani S. Doctor talk: physicians' use of clear verbal communication. Journal of health communication. 2013;18(8):991-1001. [DOI:10.1080/10810730.2012.757398] [PMID]
5. Kutner M, Greenburg E, Jin Y, Paulsen C. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. NCES 2006-483. National Center for Education Statistics. 2006.
6. Ngoh LN. Health literacy: a barrier to pharmacist-patient communication and medication adherence. Pharmacy Today. 2009;15(8):45-57. [DOI:10.1331/JAPhA.2009.07075]
7. Moser DK, Robinson S, Biddle MJ, Pelter MM, Nesbitt TS, Southard J, et al. Health literacy predicts morbidity and mortality in rural patients with heart failure. J Card Fail. 2015;21(8):612-8. [DOI:10.1016/j.cardfail.2015.04.004] [PMID] [PMCID]
8. Omachi TA, Sarkar U, Yelin EH, Blanc PD, Katz PP. Lower health literacy is associated with poorer health status and outcomes in chronic obstructive pulmonary disease. J Gen Intern Med. 2013;28(1):74-81. [DOI:10.1007/s11606-012-2177-3] [PMID] [PMCID]
9. Reisi M, Javadzade SH, Mostafavi F, Sharifirad G, Radjati F, Hasanzade A. [Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran]. Journal of Education and Health Promotion. 2012;1(1):31. [DOI:10.4103/2277-9531.100160] [PMID] [PMCID]
10. Selden C, Zorn M, Ratzan S, Parker R. Current bibliographies in medicine: health literacy. Bethesda, MD: National Library of Medicine. 2000.
11. Nielsen-Bohlman L, Panzer AM, Kindig DA. Health literacy: a prescription to end confusion: National Academies Press; 2004.
12. Chiovetti A. Bridging the gap between health literacy and patient education for people with multiple sclerosis. J Neurosci Nurs. 2006;38(5):374. [DOI:10.1097/01376517-200610000-00009] [PMID]
13. Paasche-Orlow MK, Riekert KA, Bilderback A, Chanmugam A, Hill P, Rand CS, et al. Tailored education may reduce health literacy disparities in asthma self-management. Am J Respir Crit Care Med. 2005;172(8):980-6. [DOI:10.1164/rccm.200409-1291OC] [PMID] [PMCID]
14. Reisi M, Mostafavi F, Javadzade SH, Mahaki B, Sharifirad G. [Assessment of Some Predicting Factors of Self-efficacy in Patients with Type 2 Diabetes]. Iranian Journal of Endocrinology and Metabolism. 2015;17(1):44-52.
15. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Impact of Health Literacy, Self-efficacy, and Outcome Expectations on Adherence to Self-care Behaviors in Iranians with Type 2 Diabetes. Oman Med J. 2016;31(1):52. [DOI:10.5001/omj.2016.10] [PMID] [PMCID]
16. Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12(1):80. [DOI:10.1186/1471-2458-12-80] [PMID] [PMCID]
17. Aboumatar HJ, Carson KA, Beach MC, Roter DL, Cooper LA. The impact of health literacy on desire for participation in healthcare, medical visit communication, and patient reported outcomes among patients with hypertension. J Gen Intern Med. 2013;28(11):1469-76. [DOI:10.1007/s11606-013-2466-5] [PMID] [PMCID]
18. Mancuso CA, Rincon M. Asthma patients' assessments of health care and medical decision making: the role of health literacy. J Asthma. 2006;43(1):41-4. [DOI:10.1080/02770900500447052] [PMID]
19. Coleman C. Teaching health care professionals about health literacy: A review of the literature. Nurs Outlook. 2011;59(2):70-8. [DOI:10.1016/j.outlook.2010.12.004] [PMID]
20. Volandes AE, Paasche-Orlow MK. Health literacy, health inequality and a just healthcare system. The American Journal of Bioethics. 2007;7(11):5-10.
https://doi.org/10.1080/15265160701769341 [DOI:10.1080/15265160701638520] [PMID]
21. Haun JN, Patel NR, French DD, Campbell RR, Bradham DD, Lapcevic WA. Association between health literacy and medical care costs in an integrated healthcare system: a regional population based study. BMC Health Serv Res. 2015;15(1):1. [DOI:10.1186/s12913-015-0887-z] [PMID] [PMCID]
22. Commission J, Commission J. What did the doctor say?:" improving health literacy to protect patient safety. 2007. The Joint Commission: Oakbrook Terrace, IL. 2009:1-64.
23. Koh HK, Brach C, Harris LM, Parchman ML. A proposed 'health literate care model'would constitute a systems approach to improving patients' engagement in care. Health Aff (Millwood). 2013;32(2):357-67. [DOI:10.1377/hlthaff.2012.1205] [PMID] [PMCID]
24. Cousin G, Mast MS, Roter DL, Hall JA. Concordance between physician communication style and patient attitudes predicts patient satisfaction. Patient Educ Couns. 2012;87(2):193-7. [DOI:10.1016/j.pec.2011.08.004] [PMID]
25. U. S. Department of Health Human Services, Office of Disease Prevention, Health Promotion. Healthy people 2020. 2010.
26. Sudore RL, Schillinger D. Interventions to improve care for patients with limited health literacy. Journal of clinical outcomes management: JCOM. 2009;16(1):20. [PMID] [PMCID]
27. Coleman C, Kurtz-Rossi S, McKinney J, Pleasant A, Rootman I, Shohet L. The Calgary charter on health literacy: Rationale and core principles for the development of health literacy curricula. The Center for Literacy of Quebec. 2008.
28. Tolouei M Dehghan Nayeri N, Faghihzadeh S, SadoughiAsl A, [The Nurses' Motivating Factors هn Relation Patient Training], Hayat, 2006;12(2):43-51.
29. Cormier CM, Kotrlik JW. Health literacy knowledge and experiences of senior baccalaureate nursing students. J Nurs Educ. 2009;48(5):237-48. [PMID]
30. Cannon S, Boswell C. Filling gaps in knowledge: educating nurses to provide appropriate patient materials. J Contin Educ Nurs. 2009;40(4):148-9. [DOI:10.3928/00220124-20090401-01] [PMID]
31. Francke AL, Smit MC, de Veer AJ, Mistiaen P. Factors influencing the implementation of clinical guidelines for health care professionals: a systematic meta-review. BMC Med Inform Decis Mak. 2008;8(1):1. [DOI:10.1186/1472-6947-8-38] [PMID] [PMCID]
32. Perkins MB, Jensen PS, Jaccard J, Gollwitzer P, Oettingen G, Pappadopulos E, et al. Applying theory-driven approaches to understanding and modifying clinicians' behavior: What do we know? Psychiatr Serv. 2007;58(3):342-8. [DOI:10.1176/ps.2007.58.3.342] [PMID]
33. Eccles MP, Hrisos S, Francis J, Kaner EF, Dickinson HO, Beyer F, et al. Do self-reported intentions predict clinicians' behaviour: a systematic review. Implementation Science. 2006;1(1):28. [DOI:10.1186/1748-5908-1-28] [PMID] [PMCID]
34. Ajzen I. Theory of planned behavior. Handb Theor Soc Psychol. 2011;1(2011):438.
35. Godin G, Bélanger-Gravel A, Eccles M, Grimshaw J. Healthcare professionals' intentions and behaviours: A systematic review of studies based on social cognitive theories. Implementation Science. 2008;3(1):1. [DOI:10.1186/1748-5908-3-36] [PMID] [PMCID]
36. Millstein SG. Utility of the theories of reasoned action and planned behavior for predicting physician behavior: a prospective analysis. Health Psychol. 1996;15(5):398. [DOI:10.1037/0278-6133.15.5.398] [PMID]
37. Ko N-Y, Feng M-C, Chiu D-Y, Wu M-H, Feng J-Y, Pan S-M. Applying theory of planned behavior to predict nurses' intention and volunteering to care for SARS patients in southern Taiwan. Kaohsiung J Med Sci. 2004;20(8):389-98. [DOI:10.1016/S1607-551X(09)70175-5]
38. Bunce D, Birdi K. The theory of reasoned action and theory of planned behaviour as a function of job control. Br J Health Psychol. 1998;3(3):265-75. [DOI:10.1111/j.2044-8287.1998.tb00573.x]
39. Renfroe DH, O'Sullivan PS, McGee GW. The relationship of attitude, subjective norm, and behavioral intent to the documentation behavior of nurses. Sch Inq Nurs Pract. 1990;4(1):47-60. [PMID]
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