Concept analysis of “Insufficient health literacy” in older adults and refinement of a diagnosis proposal

Author:

da Silva Serejo Cardoso Rachel1ORCID,Santana Rosimere Ferreira2ORCID,Delphino Tallita Mello3ORCID,Gomes Brandão Marcos Antônio4ORCID,de Souza Priscilla Alfradique5ORCID,Lopes Camila Takáo6ORCID

Affiliation:

1. Departamento de Enfermagem Universidade Estácio de Sá Rio de Janeiro Brazil

2. Departamento de Fundamentos de Enfermagem Universidade Federal Fluminense Niterói Rio de Janeiro Brazil

3. Departamento de Enfermagem Médico Cirúrgico Universidade do Estado do Rio de Janeiro Rio de Janeiro Brazil

4. Escola de Enfermagem Anna Nery Universidade do Estado do Rio de Janeiro Rio de Janeiro Brazil

5. Departamento de Enfermagem Médico Cirúrgico Escola de Enfermagem Alfredo Pinto Universidade Federal do Estado do Rio de Janeiro Rio de Janeiro Brazil

6. Departamento Médico Cirúrgico Escola Paulista de Enfermagem Universidade Federal de São Paulo São Paulo Brazil

Abstract

AbstractPurposeThis study aims to conduct a thorough analysis of the concept of insufficient health literacy (IHL) in older adults and to refine a nursing diagnosis proposal while considering the specific characteristics of this demographic.MethodsA comprehensive concept analysis was undertaken using Walker & Avant's method as a framework.FindingsA systematic search across seventeen databases yielded 29 relevant studies for inclusion. Through analysis, we identified 15 antecedents, 3 attributes, and 7 consequents associated with IHL in older adults.ConclusionsThe concept analysis brought clarity to the understanding of IHL within older adults, facilitating the refinement of a diagnosis proposal. This process was instrumental in establishing a diagnostic structure that accounts for the unique needs and challenges faced by older adults.Implications for nursing practiceThe structured diagnosis derived from the concept analysis provides a solid theoretical foundation for nurses specializing in Gerontology. By tailoring care interventions to address the specific requirements of older adults, this framework enhances the quality of nursing practice and contributes to improved patient outcomes in geriatric care settings.

Publisher

Wiley

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