Health Professionals’ Experience with the First Implementation of the Organizational Health Literacy Self-Assessment Tool for Primary Care (OHL Self-AsseT)—A Qualitative Reflexive Thematic Analysis

Natascha Stuermer, Saskia Maria De Gani, Anna-Sophia Beese, Jennifer Giovanoli Evack, Rebecca Jaks and Dunja Nicca ()
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Natascha Stuermer: Epidemiology, Biostatistics and Prevention Institute, University of Zurich, 8001 Zurich, Switzerland
Saskia Maria De Gani: Center for Health Literacy, Careum Foundation, 8032 Zurich, Switzerland
Anna-Sophia Beese: Center for Health Literacy, Careum Foundation, 8032 Zurich, Switzerland
Jennifer Giovanoli Evack: Epidemiology, Biostatistics and Prevention Institute, University of Zurich, 8001 Zurich, Switzerland
Rebecca Jaks: Center for Health Literacy, Careum Foundation, 8032 Zurich, Switzerland
Dunja Nicca: Epidemiology, Biostatistics and Prevention Institute, University of Zurich, 8001 Zurich, Switzerland

IJERPH, 2022, vol. 19, issue 23, 1-22

Abstract: Organizational health literacy (OHL) is crucial for public health, in turn health care organizations play vital roles in improving populations’ health literacy. Therefore, the aim of this qualitative study was to explore how the organizational health literacy self-assessment tool (OHL Self-AsseT) was implemented, used, and understood by primary care teams from a network of general practices and a Home Care Service Organization in Zurich, Switzerland. Reflexive thematic analysis with a constructivist orientation was used to analyze data from 19 interviews pre- and post-OHL Self-AsseT use. Normalization Process Theory supported structuring of inductively developed themes. Findings show that the participants experienced working with the OHL Self-AsseT meaningful, as it helped with “Addressing OHL construction sites” so that they could “build momentum for change”. The experience of “Succeeding together in construction” led to a “feeling of team-efficacy during change”. Practical use of the tool and/or discussions about OHL led to a growing conceptual understanding, which was described as “Using a construction plan–making sense of ongoing OHL activities”. To conclude, the OHL Self-AsseT encouraged teams to initiate change, led to greater team-efficacy and supported the construction of OHL. Improved implementation strategies will support this intervention’s scale-up as a base for effectiveness testing.

Keywords: organizational health literacy; implementation; Normalization Process Theory; self-assessment; primary care setting; reflexive thematic analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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