For many Nova Scotians, navigating the health care system can feel overwhelming. Health information is difficult for many people to understand and our health care systems are complex.
October is Health Literacy month, when we take time to recognize the importance of both making the health care system easier to navigate, and ensuring that health information is easy to understand.
Health literacy is both personal and organizational:
Personal health literacy is the degree to which individuals have the ability to find, understand, and use information and services to inform their health-related decisions.1
Organizational health literacy is the degree to which organizations equitably (and fairly) connect with and enable individuals to find, understand, and use information and services to inform individual health-related decisions.1
This post takes a closer look at organizational health literacy and our role as Nova Scotia Health team members in helping to make our health system easier to navigate.
As Brach (2017) highlighted, “even the most skilled, well-intentioned clinician cannot single-handedly overcome the health literacy barriers people face”.2 Indeed, change needs to happen across our health systems and throughout the organization at all levels.
What makes an organization health literate?
Research from the past two decades2, 3 has outlined that health literate organizations:
- Have leadership buy-in
- Prioritize health literacy within planning, evaluation, patient safety, and quality improvement efforts
- Provide health literacy supports and follow-up for employees
- Integrate patients and care partners in the design, implementation, and evaluation of health information and services
- Meet the needs of all individuals, including those with low literacy or other barriers
- Utilize health literacy strategies in all communications, particularly in high-risk scenarios (like ensuring informed consent or medication adherence)
- Provide easy access to health information, services, and navigation assistance
- Design and distribute print and digital content that is easy to find, understand, and use
What are the impacts of low organizational health literacy?
Research has shown that low organizational health literacy (organizations that do not follow the principles listed above) can have a negative impact not only on health outcomes, but on the entire health system, including:
- Increased patient frustration and stress4
- Decreased patient engagement3, 5
- Decreased patient safety3
- Increased adverse outcomes6
- Increased use of health care services6, 7
- Increased health care costs6, 7
It is important that we work together to make real change for our patients and care partners. What can you do within your team to increase health literacy? To learn more about health literacy in health care, register for an upcoming Education and Training session or request a custom session for your colleagues or team.
Read Celebrating Health Literacy Month – Part 2 where we take a look at ways we can increase organizational health literacy within Nova Scotia Health.
References
1. Office of Disease Prevention and Health Promotion. (2024, October). Healthy People 2030: Health Literacy in Healthy People. U.S. Department of Health and Human Services. https://health.gov/healthypeople/priority-areas/health-literacy-healthy-people-2030
2. Brach, C. (2017). The Journey to become a health literate organization: A snapshot of health system improvement. Studies in Health Technology and Informatics, 240, 203–237. https://doi.org/10.3233/978-1-61499-790-0-203
3. Agency for Healthcare Research and Quality. (2012). Ten attributes of health literate health care organizations. NAM Perspectives, 02(6). https://doi.org/10.31478/201206a
4. Yeh, J., & Ostini, R. (2020). The impact of health literacy environment on patient stress: A systematic review. BMC Public Health, 20(1), 749. https://doi.org/10.1186/s12889-020-08649-x
5. Koh, H. K., Brach, C., Harris, L. M., & Parchman, M. L. (2013). A Proposed ‘Health Literate Care Model’ Would Constitute A Systems Approach To Improving Patients’ Engagement In Care. Health Affairs (Project Hope), 32(2), 357–367. https://doi.org/10.1377/hlthaff.2012.1205
6. Lloyd, J. E., Song, H. J., Dennis, S. M., Dunbar, N., Harris, E., & Harris, M. F. (2018). A paucity of strategies for developing health literate organisations: A systematic review. PloS One, 13(4), e0195018. https://doi.org/10.1371/journal.pone.0195018
7. Farmanova, E., Bonneville, L., & Bouchard, L. (2018). Organizational Health Literacy: Review of Theories, Frameworks, Guides, and Implementation Issues. Inquiry : a journal of medical care organization, provision and financing, 55, 46958018757848. https://doi.org/10.1177/0046958018757848
8. Santana, S., Brach, C., Harris, L., Ochiai, E., Blakey, C., Bevington, F., Kleinman, D., & Pronk, N. (2021). Updating Health Literacy for Healthy People 2030: Defining its importance for a new decade in public health. Journal of Public Health Management and Practice, 27(Supplement 6), S258. https://doi.org/10.1097/PHH.0000000000001324

Kallen Rutledge
Librarian Educator, Patient Education Pamphlets Lead
Nova Scotia Hospital, Central Zone
Podcasts can be an excellent, convenient way for healthcare providers to stay current on valuable information for their field. Research shows that healthcare podcasts have great potential as tools for continuing education and professional development in the ever-evolving landscape of healthcare information (Kiernan et al., 2023).
Are you interested in listening to healthcare podcasts, but are not sure where to start or which ones to trust? This post is for you!
The following podcasts are from credible content creators, who engage and inform their audiences:
Canadian Medical Association Journal (CMAJ) Podcasts
Drs. Mojola Omole and Blair Bigham discuss advances and issues at the forefront of Canadian healthcare, including real stories of healthcare professionals and their patients.
Surgery 101
Surgery 101 provides brief introductions of surgical topics for medical students, with easily digestible 10- to 20-minute episodes broken into chapters and key points of the topic.
The Clinical Problem Solvers: Antiracism in Medicine Series
This podcast series from The Clinical Problem Solvers equips listeners from all healthcare backgrounds with tools to practice antiracism in their everyday practice.
Canadian Health Information Podcast
Host Avis Favaro provides in-depth conversations about Canadian healthcare with the people who know it best: those who work on the front lines or behind the scenes, and the patients accessing healthcare. From the Canadian Institute for Health Information (CIHI).
White Coat Black Art with Dr. Brian Goldman
ER doctor Brian Goldman facilitates deep conversations with healthcare professionals and patients to explore what is and is not working in Canada’s healthcare landscape.
The Gritty Nurse Podcast
Canadian nurses Sara Fung and Amie Archibald-Varley tackle the raw realities of working in healthcare through gritty, humorous storytelling. They share experiences and offer stories of hope and resilience while amplifying voices traditionally silenced in healthcare spaces.
Calling All Nurses
A passionate group of newly retired Canadian nurses use their lived experience to help listeners navigate the challenges and opportunities of today’s nursing practice.
EyeCan Podcast: Canadian Lens on Ophthalmology
Hosted by Dr. Guillermo Rocha, Dr. Setareh Ziai, Dr. Mona Dagher, and Dr. Hady Saheb, this series examines all aspects of being an ophthalmologist in Canada. The hosts speak with leaders in the field about their lived clinical experiences and explore current techniques and technologies.
Frankly Speaking About Family Medicine
A weekly podcast series covering newsworthy topics in primary care medicine.
Emergency Medicine Cases
Providing education on emergency medicine for physicians, residents, students, nurses and paramedics.
Evaluating Healthcare Podcasts
How do I know if the information provided in healthcare podcasts is trustworthy and authoritative?
Following and listening to podcasts is an engaging way to learn and stay current, but you need to make sure the information you hear is credible and trustworthy. Whether you’re trying to decide what to listen to, or you’re already actively listening to something, keep these questions in mind:
If you are ever unsure of the quality of information being presented in a healthcare podcast, feel free to reach out to Library Services staff who are happy to discuss in a one-on-one consultation. Be sure to let us know which healthcare podcasts you enjoy listening to.
Happy listening!
References
Kiernan, M. A., Mitchell, B. G., & Russo, P. L. (2023). The power of podcasts: Exploring the endless possibilities of audio education and information in medicine, healthcare epidemiology, and antimicrobial stewardship. Antimicrobial Stewardship & Healthcare Epidemiology, 3(1), e98. https://doi.org/10.1017/ash.2023.178.
Selena MacDonald
Librarian Educator
Nova Scotia Hospital, Central Zone