Accepted Articles
RESEARCH ARTICLE

Nurses’ Knowledge of Health Literacy, Communication Techniques, and Barriers to the Implementation of Health Literacy Programs: A cross‐sectional study

Apiradee Nantsupawat PhD, RN

Corresponding Author

E-mail address: apiradee.n@cmu.ac.th

Faculty of Nursing, Chiang Mai University, Thailand

Correspondence

Apiradee Nantsupawat, Faculty of Nursing, 110/406 Inthawaroros road, Sutep District, Chiang Mai, Thailand, 50200

Email: apiradee.n@cmu.ac.th

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Orn‐Anong Wichaikhum PhD, RN

Faculty of Nursing, Chiang Mai University, Thailand

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Kulwadee Abhichartibutra PhD, RN

Faculty of Nursing, Chiang Mai University, Thailand

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Wipada Kunaviktikul PhD, RN

Faculty of Nursing, Chiang Mai University, Thailand

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Mohd Said Bin Nurumal PhD, RN

Kulliyyah of Nursing, International Islamic University Malaysia, Malaysia

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Lusine Poghosyan PhD, RN

School of Nursing, Columbia University, New York, USA

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First published: 01 March 2020
This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/nhsm.12698.

Abstract

Nurses’ health literacy knowledge and communication skills are essential for improving patients’ health literacy. Yet, research on nurses’ health literacy knowledge and perception is limited. The study aimed to evaluate nurses’ health literacy knowledge, communication techniques, and barriers to the implementation of health literacy interventions. A cross‐sectional study was used. A total of 1,697 nurses in 104 community hospitals in Thailand completed self‐report measures. Approximately 55% of the participants had heard about the concept of health literacy; 9% had received formal training specific to interaction with patients with low health literacy. About 50% of the nurses were aware of their patients’ low health literacy; therefore, they applied the recommended communication techniques for them. Delivery of effective health literacy training was hampered by a lack of assessment tools, health literacy training and specialists, educational materials, and health provider time. Hospital administrators, nurse managers, health leaders should develop strategies to create environments and resources supporting health literacy interventions.

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