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A Descriptive Study on Health Literacy: Knowledge, Application, and Confidence of Student Nurses in the U.S
Marguerite DeBello1, Tsu Yin Wu1
1School of Nursing, Eastern Michigan University, Ypsilanti, MI, USA.
SAGE Open Nursing
|September 8, 2025
Summary
Nursing students show gaps in health literacy knowledge, impacting patient care. Enhancing health literacy education in nursing curricula is crucial for better clinical preparation and improved patient outcomes.
Area of Science:
- Nursing Education
- Health Literacy
- Patient Outcomes
Background:
- Health literacy is vital for patient outcomes.
- Nurses often lack adequate knowledge in health literacy.
- This gap hinders effective patient care and education.
Purpose of the Study:
- Assess nursing students' knowledge, application, and confidence in health literacy strategies.
- Evaluate the cognitive, psychomotor, and affective domains related to health literacy.
- Identify specific areas for improvement in nursing education.
Main Methods:
- Descriptive study design.
- 344 nursing students participated.
- Health Literacy Knowledge, Application, and Confidence Scale used, with established validity and reliability.
Main Results:
- Students could apply some strategies but lacked fundamental knowledge.
- Deficiencies noted in identifying at-risk populations and appropriate reading levels.
- Confidence correlated with strategy use, but knowledge did not predict application.
Conclusions:
- Significant knowledge gaps in health literacy exist among nursing students.
- Confidence is linked to strategy use, but knowledge is insufficient.
- Nursing curricula require enhanced health literacy education for improved clinical readiness.
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