Journal of Health And Care
Volume 25, Issue 3 (Autumn 2024)
JHC 2024, 25(3): 220-233 |
Back to browse issues page
Ethics code: IR.IAU.ARDABIL.REC.1400.087
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hoshmandi S, Soleimani T, Hatami J, GHaffari R. Designing and Validating the Health Literacy Improvement Model for Teaching Staff of Ardabil University of Medical Sciences: a Mixed Methods Study. JHC 2024; 25 (3) :220-233
URL: http://hcjournal.arums.ac.ir/article-1-1489-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1489-en.html
PhD student, Department of Educational Sciences, Ardabil Branch, Islamic Azad University, Ardabil, Iran
Abstract: (347 Views)
Background & aim: Health literacy is a global issue and its education and improvement has become an important measure in this direction. Therefore, medical science universities have an urgent need to realize and substantiate the health literacy of their employees. However, for this reason, a comprehensive model for universities of medical sciences has not yet been identified and formulated, and many of its antecedents remain unknown. The purpose of the present research was to design and validate the health literacy improvement model for teaching staff of Ardabil University of Medical Sciences.
Methods: The current research was a mixed methods studyusing a grounded theory approach for the qualitative part and a survey for the quantitative part. In the qualitative phase, the in-depth interviews with experts and eminent professors of Ardabil University of Medical Sciences were conducted based on the purposeful sampling method. Theoretical saturation was reached after 10 participant interviews. After analyzing the qualitative data through coding inspired by Glaser's theory and using MaxQDA v.21 software, the model was designed. In the quantitative phase, the model was validated using structural-interpretive equation modeling method and smart PLS software was used. For this purpose, 234 teaching staff at Ardabil University of Medical Sciences was randomly selected to complete a questionnaire consisting of 24 questions.
Results: According to the results, in open coding, 213 primary codes, in axial coding 71 major categories and in selective coding 11 core categories in the form of causal, contextual, intervening conditions, strategies/actions, consequences and the main phenomenon (health literacy) was classified. In this section, health literacy was designed as the main phenomenon in the form of a logical model and based on its understanding with conditions (causal, contextual and intervening), strategies/measures and consequences. Finally, the results of structural-interpretive equation modeling showed that the final model obtained from the qualitative part of the research had a good validity.
Conclusion: In general, due to the high validity of the designed model, it can be implemented in universities of medical sciences and with its implementation; we can expect a fundamental improvement in the health literacy of the teaching staff of Ardabil University of Medical Sciences.
Methods: The current research was a mixed methods studyusing a grounded theory approach for the qualitative part and a survey for the quantitative part. In the qualitative phase, the in-depth interviews with experts and eminent professors of Ardabil University of Medical Sciences were conducted based on the purposeful sampling method. Theoretical saturation was reached after 10 participant interviews. After analyzing the qualitative data through coding inspired by Glaser's theory and using MaxQDA v.21 software, the model was designed. In the quantitative phase, the model was validated using structural-interpretive equation modeling method and smart PLS software was used. For this purpose, 234 teaching staff at Ardabil University of Medical Sciences was randomly selected to complete a questionnaire consisting of 24 questions.
Results: According to the results, in open coding, 213 primary codes, in axial coding 71 major categories and in selective coding 11 core categories in the form of causal, contextual, intervening conditions, strategies/actions, consequences and the main phenomenon (health literacy) was classified. In this section, health literacy was designed as the main phenomenon in the form of a logical model and based on its understanding with conditions (causal, contextual and intervening), strategies/measures and consequences. Finally, the results of structural-interpretive equation modeling showed that the final model obtained from the qualitative part of the research had a good validity.
Conclusion: In general, due to the high validity of the designed model, it can be implemented in universities of medical sciences and with its implementation; we can expect a fundamental improvement in the health literacy of the teaching staff of Ardabil University of Medical Sciences.
Keywords: Health Literacy, Grounded Theory Approach, Structural-interpretive Equations Modeling, Teaching Staff, University of Medical Sciences
Type of Study: article |
Subject:
Nursing Management
Received: 2023/07/13 | Accepted: 2023/12/12 | Published: 2024/01/30
Received: 2023/07/13 | Accepted: 2023/12/12 | Published: 2024/01/30
References
1. Lakbala P, Mazemmat F, Arzaghi Z, Miri N. The health literacy status of students in allied medical sciences, Hormozgan University of Medical Sciences. Journal of Management Information Systems. 2022;8(1):48-61 [Persian].
2. Zaidman EA, Scott KM, Hahn D, Bennett P, Caldwell PH. Impact of parental health literacy on the health outcomes of children with chronic disease globally: a systematic review. Journal of Paediatrics Child Health. 2023;59(1):12-31. [DOI:10.1111/jpc.16297] [PMID]
3. Schaeffer D, Berens EM, Vogt D, Gille S, Griese L, Klinger J, et al. Health literacy in Germany- findings of a representative follow-up survey. Deutsches Ärzteblatt International. 2021;118(43):723-28. [DOI:10.3238/arztebl.m2021.0310] [PMID] []
4. Kickbusch I, Pelikan J, Apfel F, Tsouros AD. The solid facts. WHO regional office for europe, Copenhagen. 2013; 7-8.
5. Buchmann M, Jordan S, Loer AM, Finger JD, Domanska OM. Motivational readiness for physical activity and health literacy: results of a cross-sectional survey of the adult population in Germany. BMC Public Health. 2023;23:331-42. [DOI:10.1186/s12889-023-15219-4] [PMID] []
6. World Health Organization. Health literacy development for the prevention and control of noncommunicable diseases: case studies from WHO national health literacy demonstration projects; 2022.
7. Sorensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80. [DOI:10.1186/1471-2458-12-80] [PMID] []
8. Hussan MS. Role of health literacy and motivational interviewing in building insight for self-management of diabetes mellitus. Middle East Journal of Family Medicine. 2023;7(10):130-42.
9. Moharramzadeh A, Talebi B, Daneshvar Z. Health literacy strategies for human resources (Qualitative study in Iranian bank). Education Strategies in Medical Sciences. 2022;15(4):319-29 [Persian].
10. Cheng BT, Tanna AP. Association of health literacy and health care utilization aAmong glaucoma patients. Journal of Glaucoma. 2023;32(2):139-44. [DOI:10.1097/IJG.0000000000002133] [PMID]
11. Xu L, Xiong Y, Li H, Zhou W, Liu J, Jiao Y, et al. Analysis on the status of health literacy and its influencing factors among residents aged 15-69 years old in Haidian District of Beijing City in 2018. Journal of Hygiene Research. 2020;49(5):738-43.
12. Rajah R, Hassali MA, Lim CJ. Health literacy-related knowledge, attitude, and perceived barriers: a cross-sectional study among physicians, pharmacists, and nurses in public hospitals of Penang, Malaysia. Frontiers in Public Health. 2017;5:281-93. [DOI:10.3389/fpubh.2017.00281] [PMID] []
13. Yujia L, Qiong W, Gu C, Jian C, Honghui R. Research on the influencing factors and countermeasures of health literacy of medical staff in a military hospital in Beijing. Chinese Journal of Health Education. 2019;35(11):983-88.
14. Junmei Z, Yuanyuan Y, Yiming L, Pei-jun L, Yahong L, Baixuan L, et al. Health literacy levels and potential influencing factors in five occupational groups in Gansu Province. Journal of Environmental and Occupational Medicine. 2019;36(1):68-72.
15. Güner MD, Ekmekci PE. A survey study evaluating and comparing the health literacy knowledge and communication skills used by nurses and physicians. Inquiry: The Journal of Health Care Organization, Provision, and Financing. 2019;56:1402732055. [DOI:10.1177/0046958019865831] [PMID] []
16. Nesari M, Olson JK, Nasrabadi AN, Norris C. Registered nurses' knowledge of and experience with health literacy. Health Literacy Research and Practice. 2019;3(4):268-79. [DOI:10.3928/24748307-20191021-01] [PMID] []
17. Moeini B, Rezapur-Shahkolai F, Barati M, Vesali-Monfared E, Parsamajd S, Ezzati Rastegar K. The level of health literacy of the health department employees, one of the social determinants of health: a descriptive-analytical, cross-sectional study. Health-Based Research. 2020;6(2):197-207 [Persian].
18. Lans A, Bales JR, Fourman MS, Borkhetaria PP, Verlaan J-J, Schwab JH. Health Literacy in Orthopedic Surgery: A Systematic Review. The Musculoskeletal Journal of Hospital for Special Surgery. 2023;19(1):120-27. [DOI:10.1177/15563316221110536] [PMID] []
19. Ghanbari A, Rahmatpour P, Khalili M, Mokhtari N. Health literacy and its relationship with cancer screening behaviors among the employees of Gilan University of Medical Sciences. Journal of Health and Care. 2017;18(4):306-15 [Persian]. [DOI:10.5812/semj.58665]
20. Chang, M-C., Yu J-H., Hsieh J-G., Wei M-H & Wang Y-W. Effectiveness of the refined health literacy course on improving the health literacy competencies of undergraduate nursing students: quantitative and qualitative perspectives. Medical Education Online. 2023;28(1), 217-229. [DOI:10.1080/10872981.2023.2173042] [PMID] []
21. Sadegi M, Shakiba E, Naderi M. The relationship between health literacy and organizational culture among the staff of Rafsanjan University of Medical Sciences. Health-Based Research. 2020;6(1):39-49 [Persian].
22. Glaser B. Doing grounded theory: Issues and discussions. Sociology Press: Mill Valley, CA; 1998.
23. Strauss A, Corbin JM. Basics of qualitative research: techniques and procedures for developing grounded theory. Translated by Mohammadi B, Tehran: Institute of Humanities and Cultural Studies; 2011 [Persian].
24. Chin WW. The partial least squares approach to structural equation modeling. Modern Methods for Business Research. 1998;295(2):295-33.
25. Hair JF, Hult GT, Ringle CM, Sarstedt M. A primer on partial least squares structural equation modeling (PLS-SEM). Sage Publications; 2021. [DOI:10.1007/978-3-030-80519-7]
26. Denison D. Organizational culture: Can it be a key lever for driving organizational change?" in S. Cartwright and C. Cooper. (Eds.) The Handbook of Organizational Culture. London: John Wiley & Sons; 2000.
27. Mirkamali SM, Javanak Liavali M, Yeganeh MR. Correlation between organizational culture with clinical governance in public hospitals in Rasht. Journal of Hayat. 2014;20(1):15-25 [Persian].
28. Delavar F, Pashaeypoor S, Negarandeh R. Health literacy index: a new tool for health literacy assessment. Journal of Hayat. 2018;24(1):1-6 [Persian].
29. Andrade I, Silva C, Martins AC. Application of the health literacy INDEX on the development of a manual for prevention of falls for older adults. Patient Education and Counseling. 2017;100(1):154-59. [DOI:10.1016/j.pec.2016.07.036] [PMID]
30. Kaphingst KA, Kreuter MW, Casey C, Leme L, Thompson T, Cheng MR, et al. Health literacy INDEX: development, reliability, and validity of a new tool for evaluating the health literacy demands of health information materials. Journal of Health Communication. 2012;3:203-21. [DOI:10.1080/10810730.2012.712612] [PMID]
31. Lee Y-M, Yu HY, You M-A, Son Y-J. Impact of health literacy on medication adherence in older people with chronic diseases. Collegian. 2017;24(1):11-18. [DOI:10.1016/j.colegn.2015.08.003] [PMID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |