Health Knowledge Acquisition and Health Communication Ability of Nurses: A Chain Mediating Model of Health Literacy and Health Education Competence

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-02-07 DOI:10.1111/jan.16728

Congying Liu, Zhiqian Chen, Han Qin, Ya Yang, Xiaoling Cui, Ruifang Lei, Baohua Li

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Abstract

Background

The health communication ability of nurses significantly impacts patients' health positively. A strong knowledge base is essential for nurses to deliver high-quality health communication.

Aim

This study aims to explore the mechanisms linking nurse health knowledge acquisition and health communication ability.

Design

A cross-sectional study.

Methods

This cross-sectional study utilised convenience sampling of 667 nurses from nine county-level hospitals. Questionnaires were used to assess health knowledge acquisition, health literacy, health education competence and health literacy communication ability in nurses. Structural equation modelling was employed to investigate the mechanisms linking nurse health knowledge acquisition and health literacy communication ability.

Results

The correlation analysis revealed significant positive relationships among nurses' health knowledge acquisition, health literacy, health education competence and health communication ability. The chain-mediating model indicated that health knowledge acquisition significantly influences health communication ability, with a total effect, comprising a direct effect and an indirect effect. The indirect effects were mediated either independently by health education competence or through a combination of health literacy and health education competence.

Conclusion

A structural equation model was developed to provide a comprehensive framework for understanding the complex interplay among nurses' health knowledge acquisition, health literacy, health education competence and health communication ability. The model demonstrates that health knowledge acquisition has a significant overall effect and indirect effect on the improvement of health communication ability. Assisting nurses in translating health knowledge into health literacy may be a crucial step in enhancing their competence in health education.

Impact

These findings enhance our understanding of the predictive effects of health knowledge acquisition on health communication ability and offer practical implications for the promoting and intervening in the health communication ability of nurses.

Reporting Method

STROBE statement.

Patient or Public Contribution

No patient or public contribution.

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护士健康知识获取与健康沟通能力：健康素养与健康教育能力的连锁中介模型

护士的健康沟通能力对患者健康有显著的正向影响。强大的知识基础对于护士提供高质量的健康沟通至关重要。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.