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A health literacy intervention for registered nurses: Development and feasibility testing.
Malene Nerbøvik Stavdal1,2, Marie Hamilton Larsen3, Ingeborg Strømseng Sjetne4
1Department of Public Health and Interdisciplinary Health Sciences, University of Oslo, Norway.
International Journal of Nursing Studies Advances
|February 18, 2026
Summary
Registered nurses showed improved health literacy sensitivity after a 6-month intervention. This initiative enhanced teamwork and patient care through structured routines and dedicated support, though challenges remain.
Area of Science:
- Healthcare Management
- Nursing Education
- Patient Safety
Background:
- Health literacy is crucial for patient outcomes, quality of care, and safety.
- Supporting registered nurses (RNs) in health literacy practice is essential.
- Limited research exists on developing health literacy sensitivity among healthcare personnel.
Purpose of the Study:
- To develop and assess a health literacy intervention for RNs in a hospital setting.
- To explore changes in RNs' health literacy sensitivity, work-related factors, and well-being post-intervention.
- To evaluate RNs' experiences implementing the intervention.
Main Methods:
- A pre-post feasibility study using qualitative and quantitative approaches.
- Intervention developed with an advisory panel and gap-analysis tool.
- Health literacy sensitivity measured by the Instrument of Health Literacy Competencies; validated surveys used for work factors and well-being.
Main Results:
- Significant improvements in 7 of 9 health literacy sensitivity domains for RNs (N=32).
- Statistically significant improvement in teamwork scores between RNs and physicians.
- Qualitative analysis revealed themes of strengthened collaboration, professional challenges, and increased awareness.
Conclusions:
- The intervention significantly increased RNs' health literacy sensitivity via structured routines, collaboration, resources, and a dedicated nurse.
- Health literacy sensitivity requires balancing engagement with professional responsibility.
- Findings support targeted interventions to enhance RNs' capacity to address patient health literacy needs.
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