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Background <p>Healthcare organisations and healthcare professionals have a&#xa0;major influence on the health literacy (HL) of patients. The decisive factor is how well the healthcare system as a whole recognises and promotes the HL of their recipients, thereby enabling well-informed health decisions. The authors suspect that nursing professional structures and processes—organisational and professional concept elements for promoting HL—are included even if they are not perceived or named as such by nursing professionals.</p> Study design <p>The aim of the study is to identify structural and process-related measures of the nursing organisation that contribute to the promotion and strengthening of HL. To this end, an ethnographic–qualitative study was conducted on internal medicine wards in six hospitals. Data collection was based on 12&#xa0;participant observations and ad hoc interviews. The data was analysed using content-structuring content analysis.</p> Results <p>No significant differences of the nursing organisations could be identified between the wards studied. The selected nursing care structures and processes could not be observed in the study. No further structures or processes that would support the patients’ HL could be identified. A&#xa0;higher mix of qualifications has a&#xa0;reducing effect on the interaction time between nurses and patients. The patient–nurse ratio neither positively nor negatively influences the implementation of health literacy-promoting measures.</p> Discussion <p>A&#xa0;lack of knowledge about HL-promoting elements in nursing professional processes and a&#xa0;high qualification mix are possible reasons why health literacy-promoting measures are not implemented. In addition, it has been shown that corresponding processes that could integrate health-promoting elements are not implemented in practice. This explains why structured and process-based HL promotion for patients in acute inpatient care often fail to materialise.</p> Conclusion <p>An awareness among nursing staff of HL promotion in everyday inpatient care as well as a&#xa0;critical examination of HL-promoting elements and their integration into organisational nursing structures and processes could enable the targeted and sustainable promotion of patients’ HL. Concepts of organisational and professional HL should be incorporated into the implementation and further development of professional nursing structures and processes.</p>

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Gesundheitskompetenz und Pflege: Förderung der professionsbezogenen Gesundheitskompetenz in der akutstationären Pflegeorganisation – Analyse des aktuellen Stands mittels teilnehmender Beobachtung

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  • 发表日期：

    2025年4月3日

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  • Nadine Fischbock,
  • Aurélia Naoko Naef,
  • Katharina Rathmann,
  • Marie-Luise Dierks

摘要

Background

Healthcare organisations and healthcare professionals have a major influence on the health literacy (HL) of patients. The decisive factor is how well the healthcare system as a whole recognises and promotes the HL of their recipients, thereby enabling well-informed health decisions. The authors suspect that nursing professional structures and processes—organisational and professional concept elements for promoting HL—are included even if they are not perceived or named as such by nursing professionals.

Study design

The aim of the study is to identify structural and process-related measures of the nursing organisation that contribute to the promotion and strengthening of HL. To this end, an ethnographic–qualitative study was conducted on internal medicine wards in six hospitals. Data collection was based on 12 participant observations and ad hoc interviews. The data was analysed using content-structuring content analysis.

Results

No significant differences of the nursing organisations could be identified between the wards studied. The selected nursing care structures and processes could not be observed in the study. No further structures or processes that would support the patients’ HL could be identified. A higher mix of qualifications has a reducing effect on the interaction time between nurses and patients. The patient–nurse ratio neither positively nor negatively influences the implementation of health literacy-promoting measures.

Discussion

A lack of knowledge about HL-promoting elements in nursing professional processes and a high qualification mix are possible reasons why health literacy-promoting measures are not implemented. In addition, it has been shown that corresponding processes that could integrate health-promoting elements are not implemented in practice. This explains why structured and process-based HL promotion for patients in acute inpatient care often fail to materialise.

Conclusion

An awareness among nursing staff of HL promotion in everyday inpatient care as well as a critical examination of HL-promoting elements and their integration into organisational nursing structures and processes could enable the targeted and sustainable promotion of patients’ HL. Concepts of organisational and professional HL should be incorporated into the implementation and further development of professional nursing structures and processes.