ArticleBMC nursing2026
Effectiveness of a scenario-based interactive E-book in enhancing nursing students' health literacy: a quasi-experimental study.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth literacy is essential for safe and effective nursing practice, yet traditional teaching methods may not fully address students' needs. This study evaluated a scenario-based interactive e-book integrating multimedia elements (e.g., videos, quizzes, and case-based activities) delivered through a digital learning platform to enhance nursing students' health literacy performance.
methodsA quasi-experimental design was conducted with 55 fourth-year nursing students from a Taiwanese university. Students were assigned to an experimental group (n = 28) that received a structured, instructor-guided e-book intervention within a course session or a control group (n = 27) that received traditional teaching. The 26-item Health Literacy Performance Scale, demonstrating strong validity and reliability, was administered three weeks before and immediately after the intervention. For educational parity, the control group accessed the e-book after data collection.
resultsGeneralized Estimating Equations revealed no significant effects of time or time × group interaction. However, after adjusting for age, the main effect of group was significant (p = .015). Post hoc analysis showed that the experimental group scored higher on the post-test (p = .035), particularly in interpreting health education materials, assessing care needs, and correctly using medication, suggesting improved application of health literacy skills in clinical contexts.
conclusionsFindings indicate that the scenario-based e-book effectively improved nursing students' health literacy performance. This study highlights the value of integrating interactive, scenario-based digital learning tools into nursing education to support the development of practical communication and decision-making competencies.
Indexed as
Identifiers
What OpenQuestion holds
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.