Health Professionals’ Experience with the First Implementation of the Organizational Health Literacy Self-Assessment Tool for Primary Care (OHL Self-AsseT)—A Qualitative Reflexive Thematic Analysis

Stuermer, Natascha; Gani, Saskia Maria De; Beese, Anna-Sophia; Evack, Jennifer Giovanoli; Jaks, Rebecca; Nicca, Dunja

doi:10.3390/ijerph192315916

Cited by 5 publications

(11 citation statements)

References 36 publications

(58 reference statements)

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“…Our results show that the developed OHL Self-AsseT could be a useful tool to (1) assess OHL in primary care organizations, and (2) to implement first initiatives and measures to strengthen OHL. The present study—as part of a larger study program [ 2 , 15 ]—demonstrates that the sustainable implementation of health literacy into patient pathways as well as into organizational structures and processes contains great potential to enhance healthcare quality and coordination in the long term. Nonetheless, further research in this area is necessary.…”

Section: Discussionmentioning

confidence: 99%

“…The present study is part of a larger mixed method study program to develop, evaluate and scale the OHL Self-AsseT for primary care in Switzerland [ 2 , 15 ]. The present study includes the elaboration of the knowledge and attitudes of health professionals towards OHL prior to the application of the OHL Self-AsseT.…”

Section: Methodsmentioning

confidence: 99%

“…It analyzes health professionals’ OHL ratings of their organizational entities, describes for which of the six OHL dimensions health professionals identified the strongest need to act and which measures they planned to improve their level of OHL. The qualitative counterpart of this evaluation explores how the OHL Self-AsseT was implemented, understood and applied by primary care organizations and is published separately (the manuscript focusing on the qualitative evaluation analysis of this study program was submitted parallel to this IJERPH Special Issue “Health Literacy and Social Contexts”) [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

“…The application of the OHL Self-AsseT, i.e., the assessment and the intervention, took place in interdisciplinary and cross-hierarchical groups of health professionals, with the aim of incorporating different experiences and perspectives into the assessment and planning of the improvement measures. Therefore, in all participating primary care teams, so-called self-assessment teams were formed [ 15 ]. Wherever possible, the self-assessment team consisted of people from different professional groups (e.g., medical doctors, medical practice staff, nursing staff), hierarchical levels (e.g., organizational management, team management, staff) and employment relationships (e.g., full-time, part-time, self-employed, employed).…”

Section: Methodsmentioning

confidence: 99%

“…This need is underlined by further qualitative findings. As the study at hand was embedded in a larger study program, additional auspicious findings from this study can be found elsewhere [ 15 ]. Both quantitative and qualitative evaluation studies combined provide a new orientation on how health professionals rate their OHL in primary care and on implementation processes to further develop and scale up the OHL Self-AsseT as a practice-oriented tool to strengthen OHL in healthcare.…”

Section: Limitations and Strengthsmentioning

confidence: 99%

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How Do Primary Care Organizations Rate Their Level of Organizational Health Literacy? Results of a Swiss Pilot-Study

Beese¹,

Nicca

Jaks³

et al. 2022

IJERPH

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Primary care organizations offer a suitable setting to promote organizational health literacy (OHL) since they are a crucial interface for patients and clients. However, a clear picture on the OHL situation in primary care is lacking. The aim of this study was to assess OHL in Swiss primary care organizations by evaluating (i) how they rate their level of OHL and which improvement measures they accordingly plan (organizational level), (ii) what knowledge and attitudes among health professionals in primary care regarding OHL exist (individual level) and (iii) how teams working in general practitioners’ practices and a home care service organization differ regarding OHL (organizational and individual level). The research design included an online survey (N = 74, health professionals) on the individual level and a checklist and intervention documentation (N = 10, primary care teams) on the organizational level. The study reveals a crucial demand regarding organizationally embedded OHL practices in the participating primary care teams, despite a rather comprehensive understanding of the concept. The greatest need for action was identified in strengthening health literacy of staff members, which underlines the necessity to develop interventions to systematically strengthen the health literacy of health professionals.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Limitations and Strengthsmentioning

confidence: 99%

See 3 more Smart Citations

How Do Primary Care Organizations Rate Their Level of Organizational Health Literacy? Results of a Swiss Pilot-Study

Beese¹,

Nicca

Jaks³

et al. 2022

IJERPH

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Development, pretesting and evaluation of self-assessment tools to assess the level of organizational health literacy in healthcare institutions

László,

Spatzier,

Rathmann

2024

Präv Gesundheitsf

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Zusammenfassung Hintergrund Im Projekt „Entwicklung der Gesundheitskompetenz in Einrichtungen der Gesundheitsversorgung“ (EwiKo) wurden fünf Selbstbewertungsinstrumente (Selbstchecks) zur Erfassung der organisationalen Gesundheitskompetenz (OGK) in Einrichtungen der Gesundheitsversorgung (Krankenhaus, Einrichtungen der (Alten‑)Pflege und Eingliederungshilfe sowie in Leichter Sprache) entwickelt, gepretestet und in Piloteinrichtungen erprobt. Ziel Ziel des Beitrags ist es, den mehrstufigen, partizipativen Entwicklungsprozess der Selbstchecks zu beschreiben sowie die Anpassungen an den deutschsprachigen Kontext und an die genannten Einrichtungsarten im Projekt „EwiKo“ darzustellen. Methodik Auf Basis des „International Self-Assessment Tool for Organizational Health Literacy of Hospitals v1.0“ (SAT-OHL-Hos-v1.0; n = 8 Standards, n = 21 Substandards, n = 155 Items) wurden fünf Selbstchecks (für das Krankenhaus, Einrichtungen der (Alten‑)Pflege, Eingliederungshilfe und in Leichter Sprache für Menschen mit kognitiven Beeinträchtigungen) entwickelt. Die Selbstchecks wurden von n = 9 Expert*innen aus n = 7 Gesundheitseinrichtungen gepretestet. Nach den Pretests wurde das Instrument überarbeitet und im Projekt „EwiKo“ mit n = 43 Vertreter*innen in n = 6 Piloteinrichtungen erprobt. Die Änderungsbedarfe der Piloteinrichtungen wurden in Fokusgruppeninterviews erfasst und die Selbstchecks nach der Pilotphase (15–18 Monate) angepasst. Ergebnisse Vor den Pretests umfassten die Selbstchecks (Ausnahme: Leichte Sprache) n = 8 Standards der OGK, n = 21 Substandards, n = 102 Items. Nach den Pretests wurden die Selbstchecks gekürzt und enthielten n = 8 Handlungsfelder (HF) der OGK, n = 20 Substandards und n = 77–89 Items. Nach der Erprobung der Instrumente wünschten sich die Piloteinrichtungen eine differenziertere Ausformulierung der Items. Die Bezeichnung „Standards“ wurde zu „Handlungsfelder der OGK“ umbenannt. Nach der Überarbeitung umfassten die Selbstschecks n = 8 HF der OGK, n = 21 Substandards und n = 81–93 Items. Der Selbstcheck in Leichter Sprache wurde erstmalig entwickelt, dem Pretest unterzogen und enthielt in der pilotierten Version 20 Items. Schlussfolgerung Die Erfassung der OGK in Einrichtungen der Gesundheitsversorgung mit validierten Instrumenten ist unabdingbar, um Maßnahmen zur Stärkung der GK bedarfsspezifisch zu planen und umsetzen zu können. Mit den Selbstchecks ist es künftig möglich, die OGK nach Einrichtungsart zu erfassen und den Erfolg der durchgeführten Maßnahmen zur Stärkung der OGK – im Sinne eines Monitorings – kontinuierlich zu überprüfen.

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Multi-staged development and pilot testing of a self-assessment tool for organizational health literacy

Klockmann,

Jaß,

Härter

et al. 2023

BMC Health Serv Res

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Background Until now a comprehensive, consensus-based tool that can be used by a variety of health care organizations for assessing their organizational health literacy (OHL) is not available. Therefore, we aimed to develop and test a literature- and consensus-based self-assessment tool. Methods The study is based on a scoping review that was previously published by the authors. For the development of the self-assessment tool, the criteria identified in the literature were synthesized with criteria gained through group discussions with representatives of different types of health care organizations (N = 27) all based in Hamburg (Germany). Consensus on the criteria was reached by conducting a Delphi process (N = 22). A review by the project’s patient advisory council was included in the process. The self-assessment tool was converted into an online tool and refined by a pretest. Finally, the online survey was piloted (N = 53) and the reliability and item loadings for each scale were analyzed. Results In total, 77 criteria (items) characterizing a health literate health care organization were developed and grouped into five main categories (scales): (1) “easy access and navigation”, (2) “integration, prioritization, and dissemination of OHL”, (3) “qualification, quality management, evaluation, and needs assessment”, (4) “communication with target groups”, and (5) “involvement and support of target groups”. The results of the online survey showed that the tool is suitable for assessing an organization’s status quo on OHL. The psychometric analysis showed good to excellent internal consistency. Item analyses of the developed self-assessment tool was satisfactory. Conclusions We were able to define a set of 77 items to characterize OHL, which were integrated into a new, comprehensive, and consensus-based self-assessment tool to identify areas for improvement. We found evidence that the self-assessment tool, based on the identified criteria, consists of the assumed five scales. Further research should analyze the validity of the self-assessment tool on a higher detail level.

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Health Professionals’ Experience with the First Implementation of the Organizational Health Literacy Self-Assessment Tool for Primary Care (OHL Self-AsseT)—A Qualitative Reflexive Thematic Analysis

Cited by 5 publications

References 36 publications

How Do Primary Care Organizations Rate Their Level of Organizational Health Literacy? Results of a Swiss Pilot-Study

How Do Primary Care Organizations Rate Their Level of Organizational Health Literacy? Results of a Swiss Pilot-Study

Development, pretesting and evaluation of self-assessment tools to assess the level of organizational health literacy in healthcare institutions

Multi-staged development and pilot testing of a self-assessment tool for organizational health literacy

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