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Grade Students: 132 record(s)

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Adsitt, Sylvia M 157066 Active 0

Aguilar, Shelly L 133487 Active 0

Alderson, Jennifer L 162922 Active 0

Alojamiento, Mercedes 131961 Active 0

Ambrose, Trisha R 159268 Active 0

Baitch, Brooke 168564 Active 0

Balete, Leila G 149326 Active 0

Batino, Ronnie A 150856 Active 0

Bezaire, Renee M 156801 Active 0

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Binnix, Pamela L 161944 Active 0

Bond, Cheryl E 165721 Active 0

Boose-Shutes, Linda 134110 Active 0

Boyle, Yvette 135576 Active 0

Brdar, Rositza T 137065 Active 0

Brugman, Jane 135803 Active 0

Buck, Linda J 134892 Inactive 0

Buenaventura, Cara 137637 Active 0

Cairney, Janet A 133287 Active 0

Cevallos, Jeanine M 149313 Active 0

Conley-Prince, Laura A 157815 Active 0

Cosio, Mandy K 149327 Active 0

Dao, Khanh P 136666 Active 0

DiGennaro, Deborah 167105 Active 0

Dragoo, Susan 169065 Active 0

Duesler, Linda 134480 Inactive 0

Duncan, Susan 132995 Active 0

Dureault, Kathy 131435 Active 0

Egan, Cherilyn M 136114 Inactive 0

Escobedo, Wendy A 132679 Active 0

Esposito-Nguyen, Enza 187009 Active 0

Farrington, Leslie A 137216 Active 0

Fischer, Doris J 134758 Inactive 0

Fritz, Desiree A 191924 Active 0

Garcia, Robert 134719 Active 0

Genova, Michelle L 137596 Active 0

Gomez, Yolanda G 165683 Active 0

Gull, Paula 134353 Active 0

Hampton-Ash, Susan 133979 Active 0

Hatch, Beverly J 132284 Active 0

Hayes, Amy D 135538 Active 0

Head, Nicolette E 132440 Active 0

Heim, Kristin N 183193 Active 0

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Hein, Susan 133441 Active 0

Henke, Mary S 155577 Active 0

Hockett, Pamela A 182974 Active 0

Holmes, Kacie C 159588 Active 0

Ingles, Aileen A 135261 Active 0

Jaker, Cynthia L 156980 Active 0

Jones, James M 134016 Active 0

Keefer Lynch, Ann Marie 131391 Active 0

Khandan-Bogert, Soudabeh 136402 Active 0

Kim, Soon D 173829 Active 0

Kleinheinz, Sharon 133549 Active 0

Landayan, Concepcion T 136539 Active 0

Laske, Jessica D 137472 Active 0

Liwag, April Y 160861 Active 0

Loats, Thomas J 136241 Active 0

Lopez, Gilia E 131362 Active 0

Loucks, Jeannine S 150120 Active 0

Luriz, Liberty O 151711 Active 0

Mabie, Susan L 135692 Active 0

Magante, Karen 136986 Inactive 0

Maggio, August J 149631 Inactive 0

Majeski, Kathleen 145122 Active 0

Marshall, Christine 135584 Active 0

Mc Carthy, Allison S 143220 Active 0

Messana, Anthony J 152695 Active 0

Miller, Laurie A 144451 Active 0

Montejo, Dennis B 154413 Active 0

Morton, Cynthia J 133848 Active 0

Muller, Lisa D 133482 Active 0

Munoz, Paz 137593 Active 0

Ng, Jenny 187190 Active 0

Nguyen, Darleen T 136808 Active 0

Nguyen, Vi Van D 164625 Active 0

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Norman, Vivian 132966 Active 0

Pai, Debra L 132994 Active 0

Peeples, Carla M 135273 Active 0

Perez, Cintia A 169095 Active 0

Perez, Vanessa 154628 Active 0

Peterson, Darcie A 133595 Active 0

Phipps, Christine 136920 Active 0

Pitts, Misty D 132922 Active 0

Puruganan, Valerie T 155129 Active 0

Quinal, Leonida R 133156 Active 0

Rae, Caroline E 136031 Inactive 0

Rahyab, Lina 191915 Inactive 0

Raup, Glenn H 191009 Active 0

Retrosi, Tina M 132668 Active 0

Richard, Christine Y 137249 Inactive 0

Richardson, Regina 134610 Active 0

Rico, Anna T 180166 Active 0

Rivada, Lucylyn C 131288 Active 0

Robinson, Tara E 191931 Active 0

Rossillo, Kim N 131895 Active 0

Saroha, Jessica O 191934 Active 0

Saucedo, Maria D 132688 Active 0

Scott, Stephanie M 137096 Active 0

Seidl, Gemma 172853 Active 0

Servais, Mary D 134578 Active 0

Seth, Pratibha 136956 Active 0

Shum, Andrea H 191917 Active 0

Skelton, Catherine G131322 Active 0

Stice, Tiffany B 192144 Active 0

Strahan, Brittany C 185771 Active 0

Stricker, Dorothea J 160200 Active 0

Sturm, Jennifer 132066 Inactive 0

Suchy, Carol L 133733 Active 0

Taing, Yee L 187920 Inactive 0

Thakur, Rachna 131311 Active 0

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Toledo, Andrea C 155276 Active 0

Trone, Vera R 133306 Active 0

Truitt, Karen 132134 Active 0

Underwood, Robin L 131671 Active 0

Urbina, Josephine 191583 Active 0

Vargas, Mirna 132765 Active 0

Vasiloff, Michelle M 132975 Active 0

Verona, Sharon V 136754 Active 0

Vicuna, Laura M 151339 Active 0

Villanueva, Clara X 140167 Active 0

Villasenor, Beth C 132645 Active 0

Violette, Susan 131714 Active 0

Walsh, Margaret A 132981 Active 0

Warren, Darlene M 136159 Active 0

Weeks, Katherine P 168892 Active 0

Weil, Marya 133677 Active 0

Wile, Rebecca L 171434 Active 0

Williams, Agnieszka D 136260 Inactive 0

Willson, Amber E 150357 Inactive 0

Wilson, Nyela H 191928 Active 0

Winokur, Elizabeth J 131226 Active 0

Zirschky, Diana 133394 Active 0

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Health Literacy

Investigators

• Primary investigator • Amber Willson, RN, BSN, CEN, CN IV

• Co-investigators • Susan Ash – translator • Victoria Morrison, RN, MSN, FNP

• Study Coordinator • Beth Winokur, RN, PhD, CEN

Health(care) Literacy

• The capacity to obtain, understand, and act on basic health-related information, to make appropriate health decisions.

• Inherent that the patient can comprehend and use the information in a meaningful way

• Education, reading level, and other demographic factors do not accurately predict health literacy. (Shah, West, Bremmeyr, Savoy-Moore; Welch, VanGeest, Caskey, 2011).

Prose Literacy

• Measures understanding and use of information from printed materials

• Used to answer questions and to learn how to do something

• Example: • A patient has some scheduled laboratory

tests and is instructed in writing to fast the night before the test.

Document Literacy

• Measures how well an individual can locate and use information in forms, schedules, charts, graphs and other tables of information.

• Example: the patient is told to check his blood sugar 30 minutes before meals and before bed. If the number is higher than 200 he should call the physician’s office.

Numeracy (Quantitative) Literacy

• Measures the use of numbers found in printed materials.

• Different from prose and document literacy because in addition to using text, math is used to get the required information.

• Example: a patient is given a prescription for a medication to be taken at a specific dose twice daily.

Background

• Low health literacy is associated with: • Reduced likelihood of compliance with medical

instructions and adherence to prescribed treatment

• Underuse of preventive services • Delayed presentation and diagnosis with

increased hospitalizations and length of stay • Higher medical costs • Poorer health outcomes (Shah, West, Bremmeyr, Savoy-Moore; Welch, VanGeest, Caskey, 2011).

Background

• Poor parental literacy is associated with poor health outcomes in children (DeWalt et al., 2007).

• Numeracy, one component of health literacy, has not been adequately evaluated.

Purpose

To assess the health literacy of both

English and Spanish-speaking parents of ill children seen the RADIT (Rapid Assessment and Discharge in Triage) area of the emergency department (ED) prior to the development of educational materials.

Methods – Sample & Setting

• 150 parents of children admitted to the RADIT area in the St. Joseph emergency department were eligible for participation.

• Inclusion criteria • Children 0-17 years of age • No delay in care • A minimum of 25 parents must be Spanish-

speaking.

Measures

• Day of week & time of day • English or Spanish speaking • The Newest Vital Sign (NVS) tool (Weiss et al., 2005)

in English & Spanish. • 6 questions about ice cream label • Questions read to participants • Scored as correct (1 pt) or incorrect (0 points) • Assesses reading, comprehension, numeracy,

and health literacy

The Newest Vital Sign Assessment

Procedures

• Script • Administered to the English & Spanish-

speaking parents in RADIT by the translator (co-investigator)

• Consent waived • Administered in a private area

RESULTS

Participants

• Spanish Speaking = 79 • English Speaking = 71

Question 1

NO (INCORRECT)

YES (CORRECT)

TOTAL

LANGUAGE ENGLISH

SPANISH TOTAL

27 46 73

44 33 77

71 77 150

If you eat the entire container how many calories will you eat?

Measures Numeracy Literacy

QUESTION 2

NO (INCORRECT)

YES (CORRECT)

TOTAL

LANGUAGE ENGLISH

SPANISH TOTAL

25 36 61

46 43 89

71 79 150

If you are allowed to eat 60 grams of carbohydrate in a snack, how much ice cream could you have?

Measures Document Literacy

QUESTION 3

NO (INCORRECT)

YES (CORRECT)

TOTAL

LANGUAGE ENGLISH

SPANISH TOTAL

38 56 94

33 23 56

71 79 150

Your doctor advices you to reduce the amount of saturated fat in your diet. You usually have 42 g of saturated fat every day including one serving of ice cream. If you stopped eating the ice cream how many grams of saturated fat would you be eating every day?

Measures Document Literacy

QUESTION 4

NO (INCORRECT)

YES (CORRECT)

TOTAL

LANGUAGE ENGLISH

SPANISH TOTAL

47 70 117

24 9 33

71 79 150

If you usually eat 2,500 calories in a day, what percentage of your daily value of calories will you be eating if you eat one serving?

Measures Numeracy Literacy

QUESTION 5

NO (INCORRECT)

YES (CORRECT)

TOTAL

LANGUAGE ENGLISH

SPANISH TOTAL

7 27 34

64 52 116

71 79 150

Pretend that you are allergic to the following substances: penicillin, peanuts, latex gloves, and bee stings. Is it safe for you to eat this ice cream?

Measures Prose literacy

QUESTION 6

NO (INCORRECT)

YES (CORRECT)

TOTAL

LANGUAGE ENGLISH

SPANISH TOTAL

10 32 42

61 46 107

71 79 150

Pretend that you are allergic to the following substances: penicillin, peanuts, latex gloves, and bee stings. Is it safe for you to eat this ice cream? Why not?

Measures Prose Literacy

Health Literacy

• English speaking – 3.82 • Spanish speaking – 2.61

• Less than 4 is at risk for low health

literacy.

Regression Equation

• Was language a statistically significant predictor of health literacy in this population?

Independent variable

Unstandardized beta

Standardized beta

T Sig.

Dependent Variable: Health Literacy

Language Spoken

-1.209 -.345 -4.486 <.001

Discussion -Implications

• Health literacy for both English and Spanish speaking patients is inadequate

• Suggests that health information and discharge instructions may not be adequately understood or followed.

• Suggests the need for alternative measures for providing instructions and care.

Limitations

• Small study with results that cannot be generalized beyond the immediate geographic area

grade students may magnet meeting€¦binnix, pamela l 161944 active 0 bond, cheryl e 165721 active...

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