Health Literacy: Exploring Nursing Challenges to Providing Support and Understanding
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BACKGROUND: As patient advocates, oncology nurses must attend to varying levels of health literacy among patients and families. However, little is known about nurses' experiences and comfort with health literacy assessment and providing health literacy support. . OBJECTIVES: The purpose of this study is to explore nurse communication and patient health literacy. . METHODS: A cross-sectional survey design (N = 74) was used to explore nurse communication challenges with low-literacy patients and to measure nurses' frequency of assisting with patient literacy needs, perceived degree of difficulty communicating with low-literacy populations, and perceived comfort with health literacy support. . FINDINGS: A majority of the nurses reported communication challenges with patients who spoke English as a second language. Oncology nurses did not identify patient communication behaviors that indicated low health literacy. Nurses were least comfortable identifying low-literacy patients and assessing a patient's health literacy level. More experienced nurses reported more difficulty with low-literacy populations than less experienced nurses. Providing health literacy support to patients should be a core nursing skill.
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Patients with low health literacy usually face obstacles in engaging with the healthcare system, including difficulties completing questionnaires, understanding clinicians' professional terms and language, and knowing when to return for follow-up care.
“Patients with low health literacy usually face obstacles in engaging with the healthcare system, including difficulties completing questionnaires [55], understanding clinicians’ professional terms and language [56,57], and knowing when to return for follow-up care [58,59].”
From Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors (2026) · cites this paper as [57]
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Cerar, J., Bryant, K., Shoemaker, S., Battiato, L. A., & Wood, G. (2020) · Clinical journal of oncology nursing · doi:10.1188/20.cjon.153-159
Being the Voice of Reason Within Your School Community During a Pandemic and Beyond
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The Concept, Structure and Practice of Community Literacy in the Context of Community Governance
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PERRIN, A., Damiolini, E., Schott, A., Zermati, J., Bravant, E., Delahaye, F., Dima, A. L., & Haesebaert, J. (2021) · Research Square · doi:10.21203/rs.3.rs-1050514/v1
The competence of novice nurses in providing health education to patients in South Africa
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Advancing health literacy assessment in baccalaureate nursing education: A scoping review
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- Authors
- Wittenberg, E., Ferrell, B., Kanter, E., & Buller, H.
- Affiliations
- City Of Hope National Medical Center (US)
- Chapman University (US)
- Venue
- Clinical Journal of Oncology Nursing
- Publisher
- Oncology Nursing Society (ONS)
- Published
- 2018-02-01
- Volume
- 22
- Issue
- 1
- Pages
- 53-61
- ISSN
- 1092-1095 (ISSN-L)
- 1538-067X
- PMC
- PMC5776742
- OpenAlex
- W2783696070
- Cited by
- 81
- References
- 38
- Citations by year
- 2026: 7 · 2025: 15 · 2024: 8 · 2023: 9 · 2022: 15 · 2021: 9 · 2020: 7 · 2019: 9 · 2018: 2
- FWCI
- 10.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical journal of oncology nursing (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R25CA174627)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › General Health Professions › Interpreting and Communication in Healthcare
- Keywords
- health literacy, oncology nursing, nurse-patient communication, low-literacy patients, English as a second language, health literacy assessment, nurse comfort, nurses' experiences, patient advocacy, family caregivers
- MeSH terms
- Adult, Communication, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Nurse-Patient Relations, Oncology Nursing, Patient Education as Topic, Professional-Family Relations, Surveys and Questionnaires, Terminal Care, United States, Health Literacy
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