Assessment of Healthcare Facilities for the Promotion of Health Literacy - A Feasibility Study

Background: Health literacy is defined by the WHO as a "cognitive and social capacity of the individual" to "gain access to, understand and use information, to promote and maintain good health through their own motivation and ability". The strengthening of health literacy also includes people's living conditions, e.g. the environment in which information systems for orientation are available. Verbal and written guidance systems in healthcare facilities are designed differently, which can lead to anger and anxiety on the one hand, and productivity losses on the other hand. In Austria, there are no research papers on the promotion of health literacy in healthcare facilities. The aim of the present survey is to describe the orientation and guidance systems in Austrian health care facilities while examining the practicability of the survey tool. Method: The survey tool "First Impressions & Walking Interview" by Ruddy in the "Health Literacy Environment Activity Packet" was used. The entrance area, verbal information, orientation along the way and observation of the destination are examined. The analysis is carried out by means of a methodical triangulation. This includes a structured qualitative content analysis based on Mayring combined with quantitative elements such as the counting of positive and negative mentions. Results: In pairs, 26 qualified nurses with several years of professional experience completed the assessment each in one of 13 healthcare facilities in Austria after a one-hour training. The results show that the entrance area is often perceived as bright and inviting, but also causes orientation uncertainties. The verbal information is usually experienced as friendly and helpful. However, the visualized control systems are often inconsistent and confusing. Frequently instances were counted, in which the labels, pictograms and guidance systems were described as not helpful; only a few positive mentions were made in which the information system was experienced as understandable, highly visible and stringent. Furthermore, German language literacy is an essential prerequisite for orientation in the healthcare institutions. What is required is the establishment of a professional and stringent information system in all health areas, in the design of which those affected but also all occupational groups are systematically involved.