Holt Kamila Adellund, Overgaard Dorthe, Engel Lisbeth Vinberg, Kayser Lars
Faculty of Health, Department of Nursing and Nutrition, University College Copenhagen, Copenhagen N, Denmark.
2Department of Public Health, Section of Health Service Research, University of Copenhagen, Øster Farimagsgade 5, 1353 Copenhagen, Denmark.
BMC Nurs. 2020 Apr 10;19:22. doi: 10.1186/s12912-020-00418-w. eCollection 2020.
The increasing number of people living with one or more chronic conditions imposes a growing demand on healthcare providers. One way to handle this challenge is by re-orientating the way care is provided, empower people and increase their ability to manage their condition. This requires, amongst other factors, sufficient level of health literacy (HL) and digital competences among both patients and the healthcare providers, who serve them. The focus of this study is the level of HL, digital literacy (DL), and eHealth literacy (eHL) in nursing students in Denmark.The objective was to examine the level of these three literacies in entry- and graduate-level nursing students and examine sociodemographic characteristics and self-rated health (SRH) associations.
A cross sectional study was conducted among 227 students at entry-level and 139 students at graduate-level from a nursing program. The survey consisted of the health literacy questionnaire (HLQ (nine scales)), the eHealth Literacy Assessment toolkit (eHLA (seven scales)), the eHealth Literacy Questionnaire (eHLQ (seven scales)), questions soliciting sociodemographic data, and a single item assessing the students' SRH. Pearson's chi-square test and the Mann-Whitney test were used to examine the differences in HL, DL, and eHL and between groups, and Kendall's tau-b test to examine correlations between SRH and HL, DL, and eHL.
The level of HL, DL and eHL tended to be higher among graduate-level students than in entry-level students and was satisfactory. Age, sex, country of origin, and parents' educational level and occupational background influenced students' HL levels. SRH was higher in students at the graduate level. Amongst entry-level students, SRH was positively associated to seven HLQ, four EHLA and four eHLQ, amongst graduate-level students, SRH was positively associated to seven HLQ and six eHLQ.
Educators must be aware of how sociodemographic factors affects students' literacies and increase learning opportunities by mixing students when planning activities. Considering the higher SRH in graduate-level students, HL, DL, and eHL levels indicate that current curricula and study activities are appropriate, but there is still room for improvement.
患有一种或多种慢性病的人数不断增加，这对医疗服务提供者的需求也日益增长。应对这一挑战的一种方法是重新调整护理提供方式，赋予人们权力并提高他们管理自身病情的能力。这除其他因素外，还需要患者及其服务的医疗服务提供者具备足够水平的健康素养（HL）和数字能力。本研究的重点是丹麦护理专业学生的健康素养、数字素养（DL）和电子健康素养（eHL）水平。目的是检查本科和研究生阶段护理专业学生的这三种素养水平，并研究社会人口学特征和自评健康（SRH）之间的关联。
对一个护理专业项目中的227名本科学生和139名研究生进行了横断面研究。调查包括健康素养问卷（HLQ（九个量表））、电子健康素养评估工具包（eHLA（七个量表））、电子健康素养问卷（eHLQ（七个量表））、征集社会人口学数据的问题，以及一个评估学生自评健康的单项问题。使用Pearson卡方检验和Mann-Whitney检验来检查本科和研究生组之间HL、DL和eHL的差异，使用Kendall's tau-b检验来检查SRH与HL、DL和eHL之间的相关性。
研究生阶段学生的HL、DL和eHL水平往往高于本科学生，且水平令人满意。年龄、性别、原籍国、父母的教育水平和职业背景会影响学生的HL水平。研究生阶段学生的SRH更高。在本科学生中，SRH与七个HLQ量表、四个eHLA量表和四个eHLQ量表呈正相关，在研究生阶段学生中，SRH与七个HLQ量表和六个eHLQ量表呈正相关。
教育工作者必须意识到社会人口学因素如何影响学生的素养，并在规划活动时通过混合不同学生来增加学习机会。考虑到研究生阶段学生的SRH较高，HL、DL和eHL水平表明当前的课程和学习活动是合适的，但仍有改进空间。
