Effectiveness Guideline for Printed Educational Material in Nursing Education
Effectiveness of Printed Educational Material
Effective Reasoning and Linking
If you sunburn easily and have fair skin with red or blonde hair,
you are more likely to get skin cancer. How much time you spend in the sun
affects your risk of skin cancer.
Avoid Rare Vocabulary Words
Use short words and common vocabulary words with only one or two syllables as much as possible. Rely on sight words, known as high-frequency words, which are recognized by almost everyone. The key is to choose words that sound familiar and natural and are easy to read and understand, such as shot rather than injection, doctor rather than physician, and use instead of utilize.
Avoid compound words, such as lifesaver, and words with prefixes or suffixes, such as reoccur or emptying, that create multisyllable words.Also, try to avoid technical words and medical terms (medicalese), and substitute common, nontechnical, lay terms such as stroke instead of cardiovascular accident.
Be sure to select substitutions carefully because they may have a different meaning for some people than for others or in one context versus another. For example, if the word medicine is replaced with the word drug, the latter may be interpreted as the illegal variety. Using modest words is not considered talking down to readers; it is considered talking to them at a more comfortable level.
Avoid Use of Abbreviations
Spell out words rather than using abbreviations or acronyms. That is should be used instead of ie, and for example instead of eg Abbreviations for the months of the year (such as Sept.) or the days of the week (such as Wed.) are a real problem for clients with limited vocabulary. Also do not use acronyms, such as CVA or NPO, unless these medical abbreviations are clearly defined beforehand in the text. Organize information into chunks, which improves recall.
Also, use numbers sparingly and only when absolutely necessary.
Statistics are usually meaningless and are another source of confusion for the
low literate reader. Limit the number of items in any list to no more than
seven. People have a difficult time remembering more than seven consecutive
items (Baddeley, 1994).
Easy Formulation of Sentence
Keep sentences short, preferably not longer than 20 words and fewer
if possible, because they are easier to read and understand for clients with
short-term memories or who struggle decoding words of a sentence. Avoid
subordinate (or dependent) clauses that make the reading more difficult. The
use of commas, colons, or dashes results in long, complex sentences that turn
off the reader. Titles also should be short and convey the purpose and meaning
of the material that follows.
Avoid Use of Unfamiliar or Technical Words
Clearly define any technical or unfamiliar words by using parentheses that include simple terms after difficult words-for example, “bacteria (germ).” A glossary that provides definitions of each difficult term is a helpful tool, but it is highly recommended to spell out terms phonetically immediately following the unfamiliar word within the text--for example, “Alzheimer's (pronounced Alt hi-merz).”
If a new technical vocabulary word
(diabetes) or a new health concept (glycemic control) is introduced, it should
be used and repeated frequently (Brega et al., 2015). Standal's (1981) method
suggests identifying words whose meanings should be taught to the reader prior
to introducing the intersectional material to increase reader comprehension and
to avoid having to make major revisions to a printed piece.
Avoid Multiple Vocabulary of Synonyms
Use words consistently throughout the text and avoid
interchanging words. For example, if discussing diet, continue to use the word
diet rather than substituting other terms for it, such as meal plan, menu, food
schedule, and dietary prescription, which merely confuse readers and can lead
to misunderstanding of instruction.
Avoid to Be Judgmental
Avoid value judgment words with many interpretations, such as
excessive, regularly, and frequently. How much pain or bleeding is excessive?
How often is regularly or frequently? Use exact terms to describe what you mean
by using, for example, a scale of 1-5 or explaining frequency in terms of
minutes, hours, or days. Instead of saying, “drink milk frequently,” you should
be more specific by stating, “drink three full glasses of milk every day.”
Prioritizing and Making Hierarchy
Put the most important information first by prioritizing the need to know. Place essential messages upfront and get rid of extraneous details.
Presentation of Written Materials
Use advance organizers (topic headings or headers) and
subheadings. They clue in the reader to what is going to be presented and help
focus the reader's attention on the message.
Avoid Use of Conjunctions
Limit the use of connectives such as however, consequently, even
though, and in spite of that longer sentences and make them more complex. Also,
avoid and if it connects two different ideas; instead, break the ideas into two
sentences.
Title and Topic Presentation
Make the first sentence of a paragraph the topic sentence, and, if possible, make the first word the topic of the sentence. See a less effective example from an American Cancer Society (1985) pamphlet, followed by more effective examples.
Give your opinion if have any.