When patients and providers have cultural differences, health outcomes are likely to be adverse. Health negative cases will happen through unrelated concepts of health, poor communication, and sickness. Health illiteracy leads to disparities through poor adherence and misunderstanding. Many researchers have focused on addressing the dispute between providers and patients. Health syllabus can be approached from two perspectives; closing literacy gap and through cross-cultural care. The areas which cross-over; a culture of medicine, communication skills among others. Health literacy, for example, causes variations when patients are representing themselves. This is because of religious, age, health perceptions, gender in addressing cross-cultural matters.
Gillian Rowlands, Adrienne Shaw, Sabrina Jaswal, Sian Smith, Trudy Harpham; Health Literacy and the social determinants of health: a qualitative model for adult learners. Health Promot Int 2017; 32 (1): 130-138. doi: 10.1093/heapro/dav093
Gillian et al., came up with a health literacy model associated with adult learners experience. Gillian et al., defines health literacy as social resources and personal characteristics for communities and individuals to understand, use information, access and appraise information of services that will aid in making decisions revolving around health. This study gave adult learners an ear to comprehend their perspectives on understanding, gathering and using health information. The study used a qualitative approach. The model used in this study is an iterative linear journey to health that begins from family culture, ethnicity, and history with its learning examined at the context of the community, work situations, community and with health. Thus, from this study, reading and comprehending health data environment and functional health literacy skills and how they acquiring of knowledge at the same time, social determinants like work, social activity, money and local community affect knowledge translation into health behaviors.
The study was conducted using adult learners with a perception to collect, understand and utilize health information. The participants of this research came from community health literacy unit, numeracy course and adult basic literacy. According to the participants who gave a description of a health journey, they claimed that it always began from a personal family, culture and ethnicity. Functional or basic health literacy skills were prerequisite for gathering and understanding every information. When it came to making health decisions and evaluation of importance and relevance of information gathered, more interactive and complex health literacy were required. From the study, health literacy skills that are critical can be used to adapting negative external aspects that can inhibit health promotion. The model in use by Gillian et al., is an iterative linear. This model moves from culture, ethnicity, lifestyle, and community to health. Thus, the study is shaped on current models that emphasizes on the connotation of SDH in translations of the newly acquired health knowledge to existing models through highlighting the significance of health literacy that qualifies individuals to overcome health barriers.
From the work of Gillian et al, it evident that health literacy show a discrepancy in conceptual models. Gillian et al, suggest that the health journey starts from family health history, ethnicity and culture, unlike other models. Gillian et al continues to follow an evolution that is constant through knowledge to health and the points at which health literacy and wider SDH impact progression along the pathway. Thus, this work of Gillian et al has a limited scope and context. It wont add much to with the current state it is. Thus, the study will embrace the SDH which will be in use in the translation of new health knowledge. But it requires an extensive further research to bridge its limited context and scope.
Singleton, K., Krause, E., (Sept. 30, 2009) "Understanding Cultural and Linguistic Barriers to Health Literacy" OJIN: The Online Journal of Issues in Nursing. Vol. 14, No. 3, Manuscript 4.DOI: 10.3912/OJIN.Vol14No03Man04
CASE Study Case 3: Public Health Literacy Domain
The qualitative Public Health Literacy Domain case study will be illustrating on the how the linguistic and way of life can implicate someones experience within three useful areas relevant to health literacy. The useful areas of health literacy include; communal health fields, health scheme navigational and the clinical field
Singleton and Krauses case study helps one to comprehend the cultural and literacy barriers that are within the health care. For example, the use of a 38-year-old African American woman who lives in Houston was among persons displaced by Hurricane of Katrina. Despite the strict and compulsory order of emigration put in place by the Louisiana's authorities, the 38 year old never departed from her locality. In her temporary shelter, she is followed by a nurse who is part of the larger group of response team. The nurse and the response team had to partner with her in giving her medication needs. After medication, she was transitioned into her primary and specialty care. All these procedures undertaken were hard since she had no health records with her thus making her health records history complicate for her to recount on.
This article is significance to the study since it offers a background of sufficient information on the application of health literacy. At the same not, this article will serve well other researchers who would love to combine it with other relevant studies. At a time this article was published, the techniques of interviewing was useful, but with the emerging of the current research, its applicability is doubtful. The objectivity of this article was to help nurses apprehend how language can impact ones health literacy and also show need for nurses interventions that will fully integrate the health literacy.
Kathleen F. Harrington, Melissa A. Valerio A conceptual model of verbal exchange health
literacy Health Literacy University of Alabama at Birmingham, Birmingham, USA
University of Texas Health Science Center at Houston, School of Public Health, San Antonio, USA Received 20 June 2013, Revised 10 October 2013, Accepted 26 October 2013, Available online 5 November 2013
The core objective of this article is to address a cavity in understanding of oral and aural verbal exchange health in literacy by embracing a systematic development of a Verbal Exchange Health Literacy (VEHL) description and using a model that hypothesizes the main role of VEHL in all health outcomes. The systematic development of VEHL is denoted as that ability to listen and speak. VEHL also facilitates the interpretation, understanding and exchange of information that is health which helps in making health decision, navigate the system of health care and help in management of diseases. The article employed grounded theory approach to systematically review the communication literature and current health literacy combined with the patient and provider qualitative data to determine the verbal exchange health of literacy. Equally, Kathleen and Melissa presented a model depiction that aids in mediating and influencing all factors as presented. Kathleen and Melissa found out that formative data and current literature analysis point out the significance of verbal exchange that is clinically set. The article also revealed that numerous elements which are associated with patient characteristics and patient provide relationship influence the decisions made and subsequent health behaviors. Kathleen and Melissa concludes by stating that, the model of VEHL and its definition is a huge step that has been realized that is key to addressing the health literacy knowledge gap. Similarly, the model of VEHL provides a base that will be used for examining the impact of VEHL on all health outcomes.
VEHL is deemed to be an extension to the current health literacy description. VEHL subsequently has adverse inferences for health decisions and patient provider communication. Their existence a systematic review of health literacy and communication literature which came about by data analyzed of both health providers and patients. The data analysis indicates the existence of an implication of exposes of factors related to the association of patient provider and communication under a health setting. It also indicates significance of issues that affect directly behaviors and decisions arrived. The model of VEHL provides a base that will is used for examining the impact of VEHL on all health outcomes. Health literacy is easily influenced by some skills. These skills that influence health literacy include; reading, speaking, listening, writing and numeracy. The ability to listen and speak facilitates the interpretation and comprehension of all health information formed by three phases that are interlocked.
The study will implement the VEHL model which serve as a good passage to linking the gap of health literacy. Equally, this study will use the VEHL model that not only bridges the gap of health literacy but lays a good foundation that has a lasting influence in all outcomes. Hence, VEHL model creates a research gap that most researchers in the field of health will explore. At the same note, the qualitative data used by Kathleen and Melissa can be reused since its biasness were minimized by a group of four individuals.
Comprehending patients' level of hea...
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