Health Literacy and Clear Bedside Communication: A Curricular Intervention for Internal Medicine Physicians and Medicine Nurses

Introduction Communication remains the backbone of patient-provider relationships, and many health outcomes have been directly attributed to both effective and ineffective communication. We developed an educational intervention to improve bedside communication and increase use of health literacy pri...

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Autores principales:	Jill Allenbaugh, Carla L. Spagnoletti, Laurie Rack, Doris Rubio, Jennifer Corbelli
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Health Literacy Patient Experience Clear Communication Bedside Communication Multidisciplinary Education Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/2443f34b700e4399a604234b993f88d3
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spelling	oai:doaj.org-article:2443f34b700e4399a604234b993f88d32021-11-22T13:39:34ZHealth Literacy and Clear Bedside Communication: A Curricular Intervention for Internal Medicine Physicians and Medicine Nurses10.15766/mep_2374-8265.107952374-8265https://doaj.org/article/2443f34b700e4399a604234b993f88d32019-01-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10795https://doaj.org/toc/2374-8265Introduction Communication remains the backbone of patient-provider relationships, and many health outcomes have been directly attributed to both effective and ineffective communication. We developed an educational intervention to improve bedside communication and increase use of health literacy principles, in part as a response to suboptimal inpatient satisfaction scores. Methods Our intervention consisted of a beside communication curriculum among 37 attending medicine physicians, 76 internal medicine residents, and 85 bedside nurses. The 1- to 1.5-hour curriculum included a didactic session to teach health literacy principles, video demonstrations, group discussion, and role-play. Attending physicians' health literacy knowledge, attitudes, and confidence were evaluated using pre- and postsurveys. Evaluation of the curriculum included Likert-type questions and free-text responses. Results Attending physicians' knowledge and confidence improved (74% correct pre, 100% correct post, p < .001; 4.41 pre, 4.68 post, p = .002, respectively). Certain attitude domains also improved, including importance of team introductions and nurse contributions to bedside rounds (p < .001). Both residents and nurses found the curriculum valuable and planned to incorporate it into their bedside rounding. Discussion A brief, low-cost curricular intervention focusing on clear communication skills and health literacy principles resulted in significant improvements in knowledge and attitudes of attending physicians and was readily incorporated by resident physicians and nurses. This curriculum can be easily implemented in a variety of settings to improve bedside patient-physician communication.Jill AllenbaughCarla L. SpagnolettiLaurie RackDoris RubioJennifer CorbelliAssociation of American Medical CollegesarticleHealth LiteracyPatient ExperienceClear CommunicationBedside CommunicationMultidisciplinary EducationMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Health Literacy Patient Experience Clear Communication Bedside Communication Multidisciplinary Education Medicine (General) R5-920 Education L
spellingShingle	Health Literacy Patient Experience Clear Communication Bedside Communication Multidisciplinary Education Medicine (General) R5-920 Education L Jill Allenbaugh Carla L. Spagnoletti Laurie Rack Doris Rubio Jennifer Corbelli Health Literacy and Clear Bedside Communication: A Curricular Intervention for Internal Medicine Physicians and Medicine Nurses
description	Introduction Communication remains the backbone of patient-provider relationships, and many health outcomes have been directly attributed to both effective and ineffective communication. We developed an educational intervention to improve bedside communication and increase use of health literacy principles, in part as a response to suboptimal inpatient satisfaction scores. Methods Our intervention consisted of a beside communication curriculum among 37 attending medicine physicians, 76 internal medicine residents, and 85 bedside nurses. The 1- to 1.5-hour curriculum included a didactic session to teach health literacy principles, video demonstrations, group discussion, and role-play. Attending physicians' health literacy knowledge, attitudes, and confidence were evaluated using pre- and postsurveys. Evaluation of the curriculum included Likert-type questions and free-text responses. Results Attending physicians' knowledge and confidence improved (74% correct pre, 100% correct post, p < .001; 4.41 pre, 4.68 post, p = .002, respectively). Certain attitude domains also improved, including importance of team introductions and nurse contributions to bedside rounds (p < .001). Both residents and nurses found the curriculum valuable and planned to incorporate it into their bedside rounding. Discussion A brief, low-cost curricular intervention focusing on clear communication skills and health literacy principles resulted in significant improvements in knowledge and attitudes of attending physicians and was readily incorporated by resident physicians and nurses. This curriculum can be easily implemented in a variety of settings to improve bedside patient-physician communication.
format	article
author	Jill Allenbaugh Carla L. Spagnoletti Laurie Rack Doris Rubio Jennifer Corbelli
author_facet	Jill Allenbaugh Carla L. Spagnoletti Laurie Rack Doris Rubio Jennifer Corbelli
author_sort	Jill Allenbaugh
title	Health Literacy and Clear Bedside Communication: A Curricular Intervention for Internal Medicine Physicians and Medicine Nurses
title_short	Health Literacy and Clear Bedside Communication: A Curricular Intervention for Internal Medicine Physicians and Medicine Nurses
title_full	Health Literacy and Clear Bedside Communication: A Curricular Intervention for Internal Medicine Physicians and Medicine Nurses
title_fullStr	Health Literacy and Clear Bedside Communication: A Curricular Intervention for Internal Medicine Physicians and Medicine Nurses
title_full_unstemmed	Health Literacy and Clear Bedside Communication: A Curricular Intervention for Internal Medicine Physicians and Medicine Nurses
title_sort	health literacy and clear bedside communication: a curricular intervention for internal medicine physicians and medicine nurses
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/2443f34b700e4399a604234b993f88d3
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Health Literacy and Clear Bedside Communication: A Curricular Intervention for Internal Medicine Physicians and Medicine Nurses

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