title: Measuring health literate discharge practices.
abstract: Purpose Health literate discharge practices meet patient and family health literacy needs in preparation for care transitions from hospital to home. The purpose of this paper is to measure health literate discharge practices in Ontario hospitals using a new organizational survey questionnaire tool and to perform psychometric testing of this new survey. Design/methodology/approach This survey was administered to hospitals in Ontario, Canada. Exploratory factor analysis and reliability testing were performed. Findings The participation rate of hospitals was 46 percent. Exploratory factor analysis demonstrated that there were five factors. The survey, and each of the five factors, had moderate to high levels of reliability. Research limitations/implications There is a need to expand the focus of further research to examine the experiences of patients and families. Repeating this study with a larger sample would facilitate further survey development. Practical implications Measuring health literate discharge practices with an organizational survey will help hospital managers to understand their performance and will help direct quality improvement efforts to improve patient care at hospital discharge and to decrease hospital readmission. Originality/value There has been little research into how patients are discharged from hospital. This study is the first to use an organizational survey tool to measure health literate discharge practices.
authors.affiliation: Lawrence S. Bloomberg Faculty of Nursing, University of Toronto , Toronto, Canada.
authors.forename: Jennifer
authors.identifier: http://orcid.org/0000-0002-3496-4428
authors.initials: J
authors.lastname: Innis
authors.affiliation: Institute of Health Policy, Management and Evaluation, University of Toronto , Toronto, Canada.
authors.forename: Jan
authors.initials: J
authors.lastname: Barnsley
authors.affiliation: Institute of Health Policy, Management and Evaluation, University of Toronto , Toronto, Canada.
authors.forename: Whitney
authors.initials: W
authors.lastname: Berta
authors.affiliation: Institute of Health Policy, Management and Evaluation, University of Toronto , Toronto, Canada.
authors.forename: Imtiaz
authors.initials: I
authors.lastname: Daniel
mesh_terms: D003266:Continuity of Patient Care / Q000592:standards*; D003697:Delphi Technique; D057220:Health Literacy; D006801:Humans; D009864:Ontario; D010351:Patient Discharge; D011795:Surveys and Questionnaires
keywords: Care transitions; Health literacy; Hospital discharge; Hospitals; Readmission; Survey development