Evidence map›Paper›PMID 41464296›Full record

ArticleHealthcare (Basel, Switzerland)2025

Digital and Navigational Health Literacy in Surgical Patients: Vulnerabilities in the Transition to Post-Discharge Care.

Patrícia Valentim, Miguel Arriaga, Paulo Nogueira, Andreia Costa

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Patrícia ValentimNursing Research Innovation and Development Centre of Lisbon (CIDNUR), School of Nursing, University of Lisbon, 1600-190 Lisbon, Portugal.ORCID 0000-0001-5514-1431
Miguel ArriagaNursing Research Innovation and Development Centre of Lisbon (CIDNUR), School of Nursing, University of Lisbon, 1600-190 Lisbon, Portugal.ORCID 0000-0002-9183-9121
Paulo NogueiraNursing Research Innovation and Development Centre of Lisbon (CIDNUR), School of Nursing, University of Lisbon, 1600-190 Lisbon, Portugal.ORCID 0000-0001-8316-5035
Andreia CostaNursing Research Innovation and Development Centre of Lisbon (CIDNUR), School of Nursing, University of Lisbon, 1600-190 Lisbon, Portugal.ORCID 0000-0002-2727-4402

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThe digitalization of healthcare in general, and particularly of surgical care, increasingly requires patients to navigate online information and digital follow-up systems. Limited digital or navigational health literacy may hinder safe recovery and exacerbate health inequities. This study aimed to assess levels of digital and navigational health literacy and their associations in a sample of surgical patients.

methodsA cross-sectional study was conducted with ninety-four adults undergoing elective or emergency surgery, using the validated HLS19-DIGI (digital health literacy) and HLS19-NAV (navigational health literacy) instruments. Data collection took place between March 2025, and 28 August 2025, at a hospital in the Lisbon district. Descriptive analyses, bivariate analysis, and multiple regression were used to identify sociodemographic and clinical predictors.

resultsDigital literacy varied significantly across age groups (

conclusionsThe surgical patients in this study demonstrated marked literacy deficits, particularly older adults and those undergoing emergency procedures. Digital and navigational literacy appear to reflect overlapping competencies. As healthcare shifts toward digital models, it is essential to develop age-adapted strategies to promote equity and prevent exclusion.

Indexed as

care transitiondigital health literacyhospital dischargenavigational health literacysurgical patient

Identifiers

PMID41464296
PMCPMC12732921

What OpenQuestion holds

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Registered trials

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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.