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Oncology nurses face challenges assessing and supporting patient health literacy, particularly with non-native English speakers. Improving health literacy support should be a core nursing skill.

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Area of Science:

  • Nursing
  • Health Literacy
  • Patient Communication

Background:

  • Oncology nurses act as patient advocates and must address diverse health literacy levels.
  • Limited understanding exists regarding nurses' experiences and comfort with health literacy assessment and support.

Purpose of the Study:

  • To explore nurse communication strategies in relation to patient health literacy.
  • To investigate nurses' experiences and comfort levels in assessing and supporting patient health literacy.

Main Methods:

  • Cross-sectional survey design with 74 oncology nurses.
  • Assessed communication challenges with low-literacy patients.
  • Measured frequency of assistance with patient literacy needs, perceived difficulty, and comfort with support.

Main Results:

  • Most nurses reported communication challenges with English as a second language patients.
  • Nurses did not consistently identify patient communication behaviors indicative of low health literacy.
  • Nurses were least comfortable identifying and assessing patient health literacy; experienced nurses reported more difficulty.

Conclusions:

  • Health literacy assessment and support are critical nursing functions.
  • There is a need for enhanced training and resources for oncology nurses in health literacy.
  • Providing health literacy support should be integrated as a core nursing skill.