Trial reportJournal of health communication2013
Nurse overestimation of patients' health literacy.
Trial report in Journal of health communication, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
56 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Agreement between Patients' and Healthcare Professionals' Assessment of Patients' Health Literacy-A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Uncontrolled Web-based administration of surveys on factual health-related knowledge: a randomized study of untimed versus timed quizzing.Journal of medical Internet research · 2015Trial
- Health literacy and vaccination attitudes among parents from different ethnic groups: a health belief model approach.BMC public health · 2026Article
- Changes in Nurse-Patient Communication Through Health Technologies and Nursing Practices to Recognize and Support Limited Digital Health Literacy: Qualitative Study.JMIR nursing · 2026Article
- The Effect of Elderly Patients' Health Information Literacy, Ageism, and Communication Skills on Clinical Nurses' Burnout: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2026Article
- Article
- Care Providers' and Parents' Experiences with Implementing the Conversational Health Literacy Assessment Tool (CHAT)-Maternity-Care in the Netherlands: A Mixed Methods Study.Healthcare (Basel, Switzerland) · 2025Article
- A Delphi study on health literacy competencies for health professionals.BMC medical education · 2025Article
- Cross-sectional study of healthcare professionals' estimates of the health numeracy of inpatients and outpatients in a UK secondary care setting.BMJ public health · 2025Article
- Effect of mothers' health literacy on early childhood allergy prevention behaviours: results from the KUNO-Kids health study.BMC public health · 2024Article
- Health Literacy in Pediatric Consultations on Allergy Prevention.Health literacy research and practice · 2024Article
- Development of the Conversational Health Literacy Assessment Tool for maternity care (CHAT-maternity-care): participatory action research.BMC health services research · 2024Article
- The effectiveness of a health literacy enhancement program on knowledge, self-management behaviors, and clinical outcomes in people with chronic kidney disease: A quasi-experimental study in Thailand.Belitung nursing journal · 2024Article
- Assessment Tools for Measuring Health Literacy and Digital Health Literacy in a Hospital Setting: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
- Fear of cancer recurrence in young women 5 years after diagnosis with a good-prognosis cancer: the VICAN-5 national survey.Journal of cancer survivorship : research and practice · 2023Article
- Health literacy education at the time of COVID-19: development and piloting of an educational programme for university health professional students in 4 European countries.BMC medical education · 2023Article
- Comparison of Newest Vital Sign and Brief Health Literacy Screen scores in a large, urban Hispanic cohort.Patient education and counseling · 2023Article
- Exploring discordance between Health Literacy Questionnaire scores of people with RMDs and assessment by treating health professionals.Rheumatology (Oxford, England) · 2022Article
- Implementation of health literacy training for clinicians in a federally qualified health center.PEC innovation · 2022Article
- How nurses support self-management of hospitalized patients through verbal communication: a qualitative study.BMC nursing · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Patient education and effective communication are core elements of the nursing profession; therefore, awareness of a patient's health literacy is integral to patient care, safety, education, and counseling. Several past studies have suggested that health care providers overestimate their patient's health literacy. In this study, the authors compare inpatient nurses' estimate of their patient's health literacy to the patient's health literacy using Newest Vital Sign as the health literacy measurement. A total of 65 patients and 30 nurses were enrolled in this trial. The results demonstrate that nurses incorrectly identify patients with low health literacy. In addition, overestimates outnumber underestimates 6 to 1. The results reinforce previous evidence that health care providers overestimate a patient's health literacy. The overestimation of a patient's health literacy by nursing personnel may contribute to the widespread problem of poor health outcomes and hospital readmission rates.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.