Organizational health literacy responsiveness within Danish maternity care: a qualitative study exploring health professionals’ experiences

Figures & data

Table 1. Participant characteristics.

Profession	Years in current position	ID
Midwife	12	ID1
Midwife	11	ID2
Midwife	9	ID4
Midwife	12	ID8
Midwife	9	ID12
Team manager (midwife)	13	ID5
Team manager (midwife)	12	ID13
Social worker	1	ID6
Social worker	5	ID9
Nurse auxiliary	4	ID7
Obstetrician	10	ID3
Obstetrician	11	ID10
Obstetrician	6	ID11

Figure 1. Deductive content analysis categorization matrix based on the seven domains underpinning the organizational health literacy responsiveness framework (Org. HLR) (Trezona et al., 2017).

Table 2. Categories and underlying themes identified from the content analysis.

Category	Underlying theme
Impact of strengths	Managers adapt, create leeway and balance political influence. Holistic and person-centred culture for care. Effective program planning increases successful internal interdisciplinary collaboration. Beneficial partnerships with a range of stakeholders and wider social network. Strategic meetings guide coordination and collaboration. Use of different learning styles support communication and delivery of information. Strategies to accommodate accessibility and navigation skills in a heterogeneous group of women.
Barriers for responsiveness	Stigmatization within the organizational culture as a barrier to delivering holistic and person-centred care. Resistance towards services and non-attenders decrease health professionals’ perceived possibilities for responsiveness. Health professionals provide information overload and the risk of misunderstandings increases. Different digital communication needs and platform preferences between health professionals and pregnant women. External interdisciplinary collaboration presents a challenge.
Strength or barrier depending on availability	The balance of different funding and time availability between care programs present a challenge. Ongoing development and educational support for staff.

Trezona, A., Dodson, S., & Osborne, R. H. (2017). Development of the organisational health literacy responsiveness (Org-HLR) framework in collaboration with health and social services professionals. BMC Health Services Research, 17(1), 513.

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Data availability statement

The authors confirm that the data supporting the findings of this study are available on request to the corresponding author.