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• W4328049485 abstract "Health literacy (HL) is an essential ability used by people throughout life to access, understand, appraise, and apply health related information and services and is widely recognized as a key determinant of health. HL has been the focus of increasing international attention in the 21st century, with the World Health Organization identifying HL as a 2030 sustainable development target (World Health Organization, 2016). Strengthening health communication and improving HL nationwide is also an issue targeted in a Taiwan government white paper for improvement by 2025. Key related actions and strategies noted in this paper include investigating the HL of each life course; disseminating accurate, easy-to-access, and implementable health and safety information; improving the public's awareness and use of mobile tools; using multiple marketing models (public, organization, interpersonal communication); combining cloud technology to develop a health management system; setting up websites; providing cloud care; and developing other e-media (Ministry of Health and Welfare, 2016). The COVID-19 pandemic has greatly challenged the global healthcare system as well as individual health. Due to the difficulties and uncertainties associated with emerging diseases, updating regularly changing information in a timely manner is not easy. Ensuring public access to and application of updated information is a key challenge to improving public HL. Abel & McQueen (2020) pointed out that critical health literacy, the ability of individuals to reflect on complex health issues and critically evaluate available information, will be the key to promoting and enhancing healthy behaviors in response to emerging diseases. Taiwan is rapidly moving toward becoming a super-aged society, at which time frail older adults, individuals with dementia, and individuals with disabilities and multiple chronic diseases are expected to be the primary targets of healthcare system services. During the pandemic, many individuals in vulnerable groups died quickly due to COVID-19-related severe illnesses, leaving their families with insufficient time to respond and adjust. This experience highlights the importance of palliative and end-of-life care communication with clients and of permitting family members to grieve. In addition, disease control measures such as isolation, wearing masks, and reducing visits to patients have also affected communication between people, widening the distance between patients, their families, and healthcare professionals. This experience has made us reflect on how to better use online and mobile tools to support self-care for patients and their families. In this issue, Professor Li first expounds on promoting HL in the elderly through the use of health education strategies such as formulating public policies related to HL, adjusting the orientation of health services, constructing a friendly environment for HL information dissemination, strengthening community resources for HL education, and promoting geriatric learning and shared decision-making. Professor Wu encourages nurses in long-term care facilities to apply the U-R-PEACE strategy to promote understanding, respect, planning, expression, act, care, and education in a manner that facilitates effective palliative care communication with patients and their families as early as possible. Because dementia care relies heavily on family caregivers, Professor Luo suggests using family-caregiver-created and managed Facebook groups to share health information and facilitate social support, shedding light on how to use social media to effectively empower caregivers. Interactions between patients and healthcare professionals are critical to effective healthcare delivery. The unequal power dynamic between physicians and patients may lead to communication conflicts, especially as generational replacement progresses and public health awareness improves. Facing the differences between these two interest groups, Professor Ye suggest nurses handle conflicts proactively by increasing their emotional drive to address disagreements, enhancing their cognitive abilities to handle interpersonal dynamics, and engaging actively in communicative measures.護理人員於增進健康識能的角色—後疫情時代的病人培力.健康識能是人們在整個生命過程中，取得、理解、分析及運用健康資訊和服務的基本能力，亦是健康的關鍵決定因子。二十世紀末至今，健康識能持續受到國際關注，世界衛生組織將其列為2030年永續發展的重要議題（World Health Organization, 2016）。台灣亦於2025年的衛生福利白皮書中，將「強化健康傳播，增進國人健康識能」納入國家政策並提出具體策略，包括：調查各生命週期的健康識能、傳播正確、易取得、可落實的健康及安全資訊、提升民眾對行動載具的認知與運用、利用多元行銷模式（大眾、組織、人際傳播）、結合雲端科技發展健康管理系統、設置多元網站、提供雲端照護、e媒體等（衛生福利部，2016）。COVID-19的大流行給全球醫療保健體系及個人帶來巨大挑戰，由於新興疾病的知識難度與不確定性高，要理解變動的資訊並不容易，如何運用正確的資訊於個人的行為改變，再再考驗民眾的健康識能。Abel及McQueen（2020）指出，「批判性健康識能」為個人對複雜的健康問題進行反思並批判性地評估可用訊息的能力，將是促進與增強健康行為，以因應新興疾病的關鍵。台灣已進入超高齡社會，高齡、衰弱、失智與失能的多重慢性病者將成為醫療體系的主要服務對象。疫情期間許多脆弱族群於確診新冠肺炎後快速死亡，令家屬來不及反應與調適，凸顯出提供個案與家屬臨終關懷與緩和療護溝通的重要性。此外，隔離、戴口罩、減少探病等防疫措施，亦影響人與人之間的溝通，拉大病人與專業人員及家屬的距離，讓人省思如何運用網路與行動工具，支持病人與家屬的居家自我照顧。本期專欄首先由李碧玉老師闡述促進高齡者健康識能之衛生教育策略，包括形成健康識能公共政策、調整健康服務取向、建構健康識能友善資訊環境、強化社區健康識能教育資源、促進高齡學習及醫病共享決策等。吳宏蘭老師接著鼓勵長照機構的護理人員，運用具體的U-R-PEACE溝通策略，即理解（understanding）、尊重（respect）、計畫（plan）、表達（expression）、行動（act）、關懷（care）和教育（education），及早與病人開啟安寧緩和照護的溝通。由於失智症照護大量仰賴家庭照顧者，羅彥傑老師根據自身的社群媒體觀察經驗，提出臉書的家庭照顧者社團，有助於家庭照顧者獲取健康資訊與社會支持，提供我們思考，如何有效的運用社群媒體，達到照顧者之培力與賦能。護病之間的互動溝通對於醫療保健服務的提供至關重要，隨著世代更迭與民眾的健康意識提升，醫病間因不對等的權力關係易造成溝通衝突。面對雙方的歧見，葉蓉慧老師建議主動進行衝突管理，即提高個人回應分歧的動機（情感），相信自己能掌握整個互動過程（認知），然後投入實際的溝通行動（行為）。." @default.
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• W4328049485 date "2023-04-01" @default.
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• W4328049485 title "[The Role of Nurses in Bridging the Health Literacy Gap: Empowering Patients in the Post-Pandemic Era]." @default.
• W4328049485 doi "https://doi.org/10.6224/jn.202304_70(2).01" @default.
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