Analysis on current situation and influencing factors of health literacy competence among clinical nurses in Guangdong Province

Abstract

Abstract:

Objective To understand the overall status of health literacy competence among clinical nurses in Guangdong Province and to explore its influencing factors，in order to provide references for nursing administrators to develope targeted intervention strategies. Methods From January to March 2025，a convenience sampling method was used to recruit 472 clinical nurses from 20 hospitals across 12 cities in Guangdong Province. A general information questionnaire and the instrument of health literacy competencies（IOHLC） were used for investigation，and univariate analysis and multiple linear regression were applied to examine factors influencing health literacy competence. Results The mean total score of health literacy competence among 472 nurses was （174.50±14.67）points. The average score rate was 84.33% in the skills domain and 61.44% in the knowledge domain. Multiple linear regression analysis indicated that educational level，years of work experience，training experience，sense of achievement in health education，confidence in diverse health education，routine health education activities in the department，hospital level，and implementation of staff health promotion programs were significant factors influencing nurses' health literacy competence（β=0.090-0.125，all P<0.05）. Conclusion Clinical nurses demonstrate a moderately high level of health literacy competence，but there was a considerable discrepancy between practical skills and knowledge reserves. Nursing managers should simultaneously strengthen personal development support and workplace environment construction，foster intrinsic motivation，and collaboratively enhance nurses’ capabilities in health education and health promotion，thereby contributing to the improvement of patient health literacy and better health outcomes.

Key words: Clinical nurses, Health literacy competence, Health education, Health promotion, Influencing factors

CLC Number:

R192.6

XIE Linxin, FAN Xiaoqi, SHU Ting, YUAN Zijun, JIANG Mengwei, XIE Hongzhen. Analysis on current situation and influencing factors of health literacy competence among clinical nurses in Guangdong Province. [J]OCCUPATION AND HEALTH, 2026, 42(21): 2953-2957.

Figures/Tables 4

References 27

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项目	条目数	得分（$\bar{x}±s$）	得分率（%）
健康素养胜任力总分	49	174.50±14.67	83.49
知识	9	5.53±1.40	61.44
检查理解力	5	21.01±3.04	84.04
跨专业合作为低健康素养患者设计健康教育计划	4	17.07±2.20	85.35
为服务对象设计实用的教学材料	7	29.07±3.40	83.06
检测服务对象理解程度	5	20.73±2.43	82.92
为低健康素养服务对象进行多途径教学	15	64.04±7.40	85.39
营造友好环境	4	17.04±2.15	85.20

项目	条目数	得分（$\bar{x}±s$）	得分率（%）
健康素养胜任力总分	49	174.50±14.67	83.49
知识	9	5.53±1.40	61.44
检查理解力	5	21.01±3.04	84.04
跨专业合作为低健康素养患者设计健康教育计划	4	17.07±2.20	85.35
为服务对象设计实用的教学材料	7	29.07±3.40	83.06
检测服务对象理解程度	5	20.73±2.43	82.92
为低健康素养服务对象进行多途径教学	15	64.04±7.40	85.39
营造友好环境	4	17.04±2.15	85.20

自变量	赋值方式
年龄（岁）	>18~<30=1；30~<40=2；40~<50=3；≥50=4
文化程度	中专=1；大专=2；本科=3；硕士及以上=4
工作年限（年）	0~<10=1；10~<20=2；20~<30=3；≥30=4
平均月收入（元）	0~<6 000=1；6 000~<15 000=2；≥15 000=3
参与健康素养相关培训次数（次）	0=1；1~2=2；≥3=3
实施宣教获得成就感	无=0；有=1
应对多样化健康宣教的信心	无=0；有=1
科室定期开展宣教	无=0；有=1
医院级别	一级=1；二级=2；三级=3
医院实施职工健康促进项目	无=0；有=1

自变量	赋值方式
年龄（岁）	>18~<30=1；30~<40=2；40~<50=3；≥50=4
文化程度	中专=1；大专=2；本科=3；硕士及以上=4
工作年限（年）	0~<10=1；10~<20=2；20~<30=3；≥30=4
平均月收入（元）	0~<6 000=1；6 000~<15 000=2；≥15 000=3
参与健康素养相关培训次数（次）	0=1；1~2=2；≥3=3
实施宣教获得成就感	无=0；有=1
应对多样化健康宣教的信心	无=0；有=1
科室定期开展宣教	无=0；有=1
医院级别	一级=1；二级=2；三级=3
医院实施职工健康促进项目	无=0；有=1

变量	B值	$s_{\bar{x}}$	β值	t值	P值
文化程度	2.453	1.081	0.107	2.269	0.024
工作年限	1.456	0.651	0.101	2.237	0.026
参与健康素养相关培训次数	2.082	0.975	0.111	2.136	0.033
实施宣教获得成就感	7.288	3.487	0.090	2.090	0.037
应对多样化健康宣教的信心	4.759	2.289	0.095	2.079	0.038
科室定期开展宣教	5.865	2.343	0.115	2.503	0.013
医院级别	2.384	0.970	0.125	2.457	0.014
职工健康促进实施	3.582	1.668	0.097	2.148	0.032
常数项	135.511	4.440		30.523	<0.001