ArticleJournal of nursing management2026
Health-Literate Healthcare Organization Attributes and Perceived Workload Among Nurses and Nursing Coordinators.
Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- Earning Trust Before the Crisis: Health Literacy and Communication Readiness in Healthcare Systems.Healthcare (Basel, Switzerland) · 2026Article
- Health-Literate Healthcare Organization Attributes and Perceived Workload Among Nurses and Nursing Coordinators.Journal of nursing management · 2026Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundHealth-literate healthcare organizations (HLHOs) have been associated with improved clinical outcomes and quality of care for both patients and healthcare services, through the implementation of the "Ten Attributes of HLHOs" which support individuals in navigating, understanding, and using health information and services. Nurses, in both clinical and managerial roles, are crucial in supporting HLHO initiatives. However, a high level of perceived workload may influence their engagement with health literacy-related initiatives. PURPOSE: To assess nurses' and nursing coordinators' perceptions of the implementation of measures aimed at achieving HLHO status and the relationship between HLHO, sociodemographic factors, and participants' perceived workload.
methodsA multicenter, cross-sectional study was conducted among nurses and nursing coordinators employed in four Italian facilities. An online questionnaire was used to collect participants' sociodemographic data, perceived workload, and perceptions of the implementation of the ten HLHO attributes using the HLHO-10 instrument.
resultsA total of 386 participants were included. The HLHO-10 final scores revealed moderate perceptions of the implementation of health literacy measures across participating centers (mean = 4.73 out of 7; SD = 1.93). Higher HLHO levels were significantly associated with lower perceptions of workload. Female nurses and nurses employed in critical care and emergency departments were less likely to report lower workload (all p < 0.001).
conclusionsHigher HLHO levels were associated with lower perceived workload, while differences were observed according to gender and working area. These findings suggest that organizational and contextual factors may be related to workload perceptions and highlight areas for further investigation and potential organizational improvement. IMPLICATIONS FOR NURSING MANAGEMENT: Healthcare organizations should consider integrating HLHO principles into organizational policies and practices while supporting staff education and organizational development. Stronger implementation of HLHO principles may be associated with more favorable workload perceptions and staff well-being. Nurse managers and nursing coordinators can play an important role in promoting OHL initiatives and fostering organizational environments that support both healthcare professionals and high-quality patient care.
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