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Abstract Details

Perceptions of Leadership and Culture Around Organizational Health Literacy in a Neuro ICU
Neuro Trauma and Critical Care
P11 - Poster Session 11 (5:30 PM-6:30 PM)

In alignment with the Healthy People 2030 framework which promotes health literacy, an assessment of perceptions towards leadership and culture around OHL in a quaternary level Neuro ICU was performed. Identification of perceptions around priorities toward OHL is a crucial first step for designing interventions to promote health equity and OHL.

Identify perceptions of leadership and culture around Organizational Health Literacy (OHL) in a quaternary level Neurointensive Care Unit (Neuro ICU)

Stakeholders representing nursing administration, bedside nurses, advance practice providers, and attending physicians from the Neuro ICU convened to participate in a recorded, one-hour long session. The following domains of dimension one in the previously validated Org-HLR tool were discussed: demonstration of leadership and commitment to OHL, the organizational priority of health literacy, promotion of equity and diversity, and promotion of patient-centered philosophies. The session was facilitated by a research team comprising a health literacy expert, research fellows and coordinators. A Likert Scale rating was used to score domains, and a grounded theory approach was used for thematic analysis. Nvivo 14 was used for transcription and data analysis.

Over the course of one hour, six participants representing a multidisciplinary team shared perceptions on the leadership and culture of the Neuro ICU. Three major themes emerged: 1) ICU staff have a clear understanding of the connection between health equity and OHL; 2) a consensus that leadership and culture strive for patient-centered care and advocacy but often cannot provide accessible, understandable, and actionable information to patients; 3) individual values around diversity, equity, and inclusion were not always reflected by institutional values.

This study represents the first OHL assessment of a Neuro ICU and demonstrates interest in promoting OHL and health equity for critically ill patients. Future studies include prioritization and implementation of interventions to promote OHL in ICU settings.

Akashleena Mallick, MD, MBBS (Massachusetts General Hospital- Harvard Medical School)
Dr. Mallick has nothing to disclose.
Taylor McVeigh No disclosure on file
Lindsay Rosenfeld (Harvard TH Chan School of Public Health; Brandeis University, Heller School, ICY) No disclosure on file
Samantha Mora No disclosure on file
Christina Kourkoulis No disclosure on file
Benchize Fleuraguste, RN Ms. Fleuraguste has nothing to disclose.
Chloe Friedman (Massachusetts General Hospital) No disclosure on file
Madison LaFreniere (Mass General) No disclosure on file
Stephanie Qualls (Massachusetts General Hospital) No disclosure on file
Matthew Walsh No disclosure on file
Nirupama Yechoor, MD (MassGeneral Brigham) Dr. Yechoor has nothing to disclose.