Numeracy Education for Health Care Providers: A Scoping Review.

INTRODUCTION: Health numeracy (numerical literacy) refers to an individual's ability to use numerical information to make effective health decisions. Numeracy is fundamental in the role of a health care provider, forming the basis of evidence-based medicine and effective patient-provider communication. Despite a high level of education, many health care providers struggle with numeracy. Numeracy is often integrated into training curricula; however, teaching modality, competencies covered, learner satisfaction, and effectiveness of these educational interventions varies. METHOD: A scoping review was conducted to explore and summarize what is known about numeracy skills education programs for health care providers. A comprehensive literature search was conducted from January 2010 to April 2021 in 10 databases. Controlled vocabulary terms and text words were used. The search was restricted to human studies, adults, and the English language. Articles were included if they were related to numeracy education for health care providers or trainees and provided details regarding methods, evaluation, and results. RESULTS: The literature search retrieved 31,611 results and 71 met the inclusion criteria. Most interventions were conducted in a university setting, and targeted nursing students, medical students, resident physicians, and pharmacy students. Common numeracy concepts included statistics/biostatistics, medication calculations, evidence-based medicine, research methodology, and epidemiology. A variety of teaching modalities were used, which most often combined active approaches (eg, workshops, laboratories, small-group exercises, and discussion boards) with passive approaches (eg, traditional lectures and didactic teaching). Measured outcomes included knowledge and skills, self-efficacy, attitudes, and engagement. DISCUSSION: Although efforts have been made to incorporate numeracy into training curricula, greater emphasis should be placed on developing strong numeracy skills in health care providers, particularly given the role numerical information plays in clinical decision making, evidence-based practices, and patient-provider communication.

Associations of Health Literacy and Health Outcomes Among Populations with Limited Language Proficiency: A Scoping Review.

Populations with limited language proficiency (LLP) experience difficulties understanding health information and accessing care. This study aimed to explore health literacy and LLP by examining the published literature on the barriers and facilitators to health care. METHODS: A scoping review of studies with populations in countries and regions where they have LLP in the locally dominant language was conducted. RESULTS: One-hundred and forty-three (143) articles met eligibility criteria. Most studies were conducted in North America (n = 99, 69.2%) and the primary language of study participants was Spanish (n = 32; 22.4%). Limited language proficiency was associated with low health literacy. Age was a consistent predictor of LLP, while education was predictive of low health literacy. Low health literacy was associated with poorer health outcomes. DISCUSSION: This review synthesizes the existing research regarding populations with LLP and their health literacy, demonstrating the importance that the intersection between the two has on patient experiences and behaviors.

Promises and Presuppositions of Biomimicry.

Under the umbrella of biologically informed disciplines, biomimicry is a design methodology that proponents often assert will lead to a more sustainable future. In realizing that future, it becomes necessary to discern specifically what biomimicry's "promises" are in relation to sustainable futures, and what is required in order for them to be fulfilled. This paper presents research examining the webpages of the Biomimicry Global Network (BGN) to extract the claims and promises expressed by biomimicry practitioners. These promises are assessed using current literature to determine their presuppositions and requirements. Biomimicry's promises are expressed in terms of potential for innovation, sustainability, and transformation and appear to depend on perceived relationships between humanity and nature; nature and technology; the underlying value judgements of practitioners. The findings emphasize that in order for the communicated promise of biomimicry to be realized, a particular ethos and respectful engagement with nature must accompany the technological endeavors of the practice.