Effectiveness of the refined health literacy course on improving the health literacy competencies of undergraduate nursing students: quantitative and qualitative perspectives

ABSTRACTPeople with limited health literacy comprise a high-risk group for adverse health outcomes. Nurses must be made aware of the importance of health literacy and communicate with patients in plain language, which will solve the obstacles for patients using health care services. Providing health...

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Main Authors: Mei-Chuan Chang, Jui-Hung Yu, Jyh-Gang Hsieh, Mi-Hsiu Wei, Ying-Wei Wang
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Medical Education Online
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/10872981.2023.2173042
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author Mei-Chuan Chang
Jui-Hung Yu
Jyh-Gang Hsieh
Mi-Hsiu Wei
Ying-Wei Wang
author_facet Mei-Chuan Chang
Jui-Hung Yu
Jyh-Gang Hsieh
Mi-Hsiu Wei
Ying-Wei Wang
author_sort Mei-Chuan Chang
collection DOAJ
description ABSTRACTPeople with limited health literacy comprise a high-risk group for adverse health outcomes. Nurses must be made aware of the importance of health literacy and communicate with patients in plain language, which will solve the obstacles for patients using health care services. Providing health literacy education for nurses is an important strategy for health literacy practices. This study aimed to develop a refined health literacy course for nursing students and evaluate its effectiveness. The study used a single-group pre- and post-test quasi-experimental design and conducted focus group interviews. The intervention was an eight-hour course and applied team-based learning combined with various teaching methods. The study enrolled second-year nursing students of a university in eastern Taiwan via convenient sampling. A self-reported structured questionnaire was used to compare the participants’ familiarity with health literacy, attitude, confidence in oral communication, and ability in written communication before and after the course. To discuss the learning experience of the course, the study held two focus groups with 12 participants. A total of 81 participants completed the pre- and post-test questionnaires. The results showed that familiarity with health literacy (t=9.12, t<.001), attitude (t=4.89, t<.001), confidence in oral communication (t=4.12, t<.001), and ability in written communication (t=8.83, t<.001) showed improvement after the course. Data analysis of focus group interviews yielded two categories and seven themes for the learning experience, most of which showed participants’ positive learning experiences in the health literacy course. The course effectively enhanced the nursing students’ knowledge and attitude toward health literacy and the ability to communicate with patients using health literacy principles. The results can provide a reference for integrating health literacy education into the undergraduate nursing curriculum.
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spelling doaj.art-14aaa4547f944a9ca5855625634290422023-11-27T16:01:59ZengTaylor & Francis GroupMedical Education Online1087-29812023-12-0128110.1080/10872981.2023.2173042Effectiveness of the refined health literacy course on improving the health literacy competencies of undergraduate nursing students: quantitative and qualitative perspectivesMei-Chuan Chang0Jui-Hung Yu1Jyh-Gang Hsieh2Mi-Hsiu Wei3Ying-Wei Wang4Department of Nursing, College of Medicine, Tzu Chi University, Hualien City, TaiwanDepartment of Public Health, Tzu Chi University, Hualien City, TaiwanDepartment of Family Medicine, Hualien Tzu Chi Hospital, Hualien City, TaiwanDepartment of Communication Studies, Tzu Chi University, Hualien City, TaiwanDepartment of Family Medicine, Hualien Tzu Chi Hospital, Hualien City, TaiwanABSTRACTPeople with limited health literacy comprise a high-risk group for adverse health outcomes. Nurses must be made aware of the importance of health literacy and communicate with patients in plain language, which will solve the obstacles for patients using health care services. Providing health literacy education for nurses is an important strategy for health literacy practices. This study aimed to develop a refined health literacy course for nursing students and evaluate its effectiveness. The study used a single-group pre- and post-test quasi-experimental design and conducted focus group interviews. The intervention was an eight-hour course and applied team-based learning combined with various teaching methods. The study enrolled second-year nursing students of a university in eastern Taiwan via convenient sampling. A self-reported structured questionnaire was used to compare the participants’ familiarity with health literacy, attitude, confidence in oral communication, and ability in written communication before and after the course. To discuss the learning experience of the course, the study held two focus groups with 12 participants. A total of 81 participants completed the pre- and post-test questionnaires. The results showed that familiarity with health literacy (t=9.12, t<.001), attitude (t=4.89, t<.001), confidence in oral communication (t=4.12, t<.001), and ability in written communication (t=8.83, t<.001) showed improvement after the course. Data analysis of focus group interviews yielded two categories and seven themes for the learning experience, most of which showed participants’ positive learning experiences in the health literacy course. The course effectively enhanced the nursing students’ knowledge and attitude toward health literacy and the ability to communicate with patients using health literacy principles. The results can provide a reference for integrating health literacy education into the undergraduate nursing curriculum.https://www.tandfonline.com/doi/10.1080/10872981.2023.2173042Health literacycompetenciescourseundergraduate nursing studentsteam-based learningeffectiveness
spellingShingle Mei-Chuan Chang
Jui-Hung Yu
Jyh-Gang Hsieh
Mi-Hsiu Wei
Ying-Wei Wang
Effectiveness of the refined health literacy course on improving the health literacy competencies of undergraduate nursing students: quantitative and qualitative perspectives
Medical Education Online
Health literacy
competencies
course
undergraduate nursing students
team-based learning
effectiveness
title Effectiveness of the refined health literacy course on improving the health literacy competencies of undergraduate nursing students: quantitative and qualitative perspectives
title_full Effectiveness of the refined health literacy course on improving the health literacy competencies of undergraduate nursing students: quantitative and qualitative perspectives
title_fullStr Effectiveness of the refined health literacy course on improving the health literacy competencies of undergraduate nursing students: quantitative and qualitative perspectives
title_full_unstemmed Effectiveness of the refined health literacy course on improving the health literacy competencies of undergraduate nursing students: quantitative and qualitative perspectives
title_short Effectiveness of the refined health literacy course on improving the health literacy competencies of undergraduate nursing students: quantitative and qualitative perspectives
title_sort effectiveness of the refined health literacy course on improving the health literacy competencies of undergraduate nursing students quantitative and qualitative perspectives
topic Health literacy
competencies
course
undergraduate nursing students
team-based learning
effectiveness
url https://www.tandfonline.com/doi/10.1080/10872981.2023.2173042
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