ArticleInternational journal of environmental research and public health2020
Potentials of School Nursing for Strengthening the Health Literacy of Children, Parents and Teachers.
Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Investigating Primary School Nurses' Activities That Are Effective in Health Promotion and Primary Prevention: A Systematic Review.The Journal of school health · 2025Pooled it
- Adolescents' health literacy and health-related quality of life: The mediating role of self-efficacy.Public health in practice (Oxford, England) · 2026Article
- Health literacy and screen use among 13-year-old students in Norway - A cross-sectional study.Scandinavian journal of public health · 2026Article
- Health Literacy and Mental Health in Adolescents: Parental and Self-Reported Cross-Sectional Data in a Bilingual Region.Healthcare (Basel, Switzerland) · 2026Article
- Associations of critical thinking and social media addiction with eHealth literacy among adolescent social media users.BMC nursing · 2026Article
- Exploring school nurses' potential to strengthen young people's resilience to misinformation by promoting critical health literacy in Norway.Health promotion international · 2026Article
- School nursing in Germany - a developing field: results of a mixed methods study.BMC public health · 2025Article
- Does health literacy education in universities contribute to improving health literacy among young people?BMC medical education · 2025Article
- Organizational health literacy of schools in Germany: results of a cross-sectional study.Health promotion international · 2025Article
- Context counts: a qualitative study on how adolescents activate social resources to develop and practice health literacy.BMC public health · 2024Article
- Reading the signs in health visits-Perspectives of adolescents with migration experiences on encounters with school nurses.Nursing open · 2024Article
- Health literacy in the context of child health promotion: a scoping review of conceptualizations and descriptions.BMC public health · 2024Article
- Digital health literacy among primary and secondary school teachers-a quantitative study.Frontiers in public health · 2024Article
- Review
- Community health literacy outcome measurement practices: A scoping review of recent interventions.Health science reports · 2022Article
- Assessment of Health Literacy and Self-reported Readiness for Transition to Adult Care Among Adolescents and Young Adults With Spina Bifida.JAMA network open · 2021Article
- Health Literacy as a Major Contributor to Health-Promoting Behaviors among Korean Teachers.International journal of environmental research and public health · 2021Article
- An International Review to Characterize the Role, Responsibilities, and Optimal Setting for Health Literacy Mediators.Global pediatric health · 2021Review
- Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Health literacy (HL) plays a key role in explaining health disparities. School nurses (SN) provide health related expertise within the school setting. A positive effect on the HL of children but also their teachers and parents has been suggested by some research, but gaps persist in the available information. As a pilot project, SN, which are not common in German schools, were placed in 28 public elementary and secondary schools in two German states. Children (11+ years, n = 2773), parents (n = 3978) and teachers (n = 420) participated in a 2017 baseline (T0) survey. Data collection was repeated in 2018 (T1). HL was measured using the Health Literacy for School-Aged Children scale (HLSAC) (children) and the European Health Literacy Short Scale (HLS-EU-Q16) (adults). Descriptive and multivariate data analyses were carried out. The HL of all groups increased between T0 and T1. Low child HL decreased from 17.9% to 14.9%. Problematic and inadequate HL dropped from 43.8% to 38.8% among parents and from 49.9% to 45.8% among teachers. Improvements were significant for children and parents but not for the teachers. Despite the relatively short intervention period and a relatively non-specific spectrum of interventions, there is some evidence that SN may contribute to strengthening HL within the school setting. The longer-term effects of SN on health literacy and child health should be further examined. For this, a clearer conceptualization of the scope of work of the SN in Germany including their educational interventions is imperative.
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