Higher Literacy Levels Research Articles

‘If I behave like the stupidly kind character maybe I will stop being accidentally rude to people’: does reading fiction inform the social understanding and masking behaviours of autistic females?

ABSTRACT Girls are consistently found to have higher literacy levels than their male peers and to consume more social narrative fiction. This study conducted interviews with four autistic girls to better understand how reading fiction can inform the camouflaging behaviours of autistic girls. Participants described how imitating characters embodying desired values, such as kindness, provided them with a practical behavioural template. However, literature is only a simulation of reality, and participants described social “failures” where the tone of the imitated text did not align with their social reality.

The impact of virtual learning environment on future teachers’ professional competence in lifelong learning

The study aimed to empirically test the impact of a virtual learning environment on the professional competence of future computer science teachers in lifelong learning by conducting a survey and comparing the professional competence of bachelor and master students, as well as their opinions on the impact of the virtual learning environment on future teachers’ professional competence in lifelong learning. The surveying methods were cognitive, motivational, activity-based, and value-based. A survey of students found that a virtual learning environment has the most significant impact on the activity component of professional competence, and most students are motivated to use virtual learning environments to improve their professional competence. The survey of teaching staff revealed a positive attitude towards professional development through virtual learning environments, the prevalence among students of high and sufficient levels of professional competence and digital literacy. The obtained results can be used to adjust the virtual educational process of future teachers’ professional training in the system of Ukrainian HEIs.

The Mediating Effect of Financial Literacy on the Relationship between Saving Behavior and Financial Well-being of Micro, Small, and Medium Enterprises in Babak District

The Mediating Effect of Financial Literacy on the Relationship between Saving Behavior and Financial Well-being of Micro, Small, and Medium Enterprises in Babak District

Investigation of Financial Literacy Attitudes of University Students in Terms of Some Demographic Characteristics: The Example of Mus Alparslan University Social Sciences Vocational School

Financial literacy enables effective planning of the financial future by accurately analyzing the current financial situation. In our country, which has a young population, high financial literacy levels of university students will contribute to the country's economy. This study aims to determine the financial literacy knowledge levels of university students. In addition, it focuses on examining financial attitudes and behaviors, which are two important components of financial literacy, in terms of demographic characteristics. In addition, the results of the research aim to determine financial literacy training for college students and to develop strategies on the subject. The study consists of 280 university students from different departments of Muş Alparslan University Social Sciences Vocational School in the 2021-2022 academic year. According to the results of the study, it is seen that 41.8 %of university students have a low level of financial literacy, 43.6 % have a medium level of financial literacy, and 14.6 % have a high level of financial literacy. In addition, it is seen that there is a significant difference in the sub-dimensions of expenditure, attitude, perception, and the total score of financial literacy attitude and behavior according to financial literacy knowledge level. According to financial literacy attitude and behavior levels; A significant difference was found in the sub-dimension of expenditure according to gender and education, expenditure according to the time spent at the university, and perception according to attitude and working status. A correlation test was conducted to find the relationship between the age financial literacy attitude, and behavior levels of students. The results revealed a low-level negative significant relationship between the age of the students and the sub-dimensions of expenditure and perception.

Comparing ChatGPT With Experts’ Responses to Scenarios that Assess Psychological Literacy

Progress in understanding students’ development of psychological literacy is critical. However, generative AI represents an emerging threat to higher education which may dramatically impact on student learning and how this learning transfers to their practice. This research investigated whether ChatGPT responded in ways that demonstrated psychological literacy and whether it matched the responses of subject matter experts (SMEs) on a measure of psychological literacy. We tasked ChatGPT with providing responses to 13 psychology research methods scenarios as well as to rate each of the five response options that were already developed for each scenario by the research team. ChatGPT responded in ways that would typically be regarded as displaying a high level of psychological literacy. The response options which were previously rated by two groups of SMEs were then compared with ratings provided by ChatGPT. The Pearson's correlations were very high ( r's = .73 and .80, respectively), as were the Spearman's rhos (rho's = .81 and .82, respectively). Kendall's tau were also quite high (tau's = .67 and .68, respectively). We conclude that ChatGPT may generate responses that match SME psychological literacy in research methods, which could also generalise across multiple domains of psychological literacy.

Investigation of clinical medicine undergraduates’ recognition of narrative medicine

BackgroundNarrative Medicine (NM), a contemporary medical concept proposed in the 21st century, emphasizes the use of narrative as a literary form in medicine. This study aims to explore the understanding about NM and willingness to learn NM among medical students in our hospital.MethodsA questionnaire survey was conducted among 130 students at Xiangya Medical College of Central South University.ResultsThe findings revealed that a small percentage of students (3.1%) were familiar with narrative medicine and its training methods. Knowledge about the treatment skills (77.7%) and core content (55.4%) of narrative medicine was limited among the students. Despite this, a majority (63.1%) expressed a lack of interest in further understanding and learning about narrative medicine. Surprisingly, the survey indicated that students possessed a high level of narrative literacy, even without formal training in narrative medicine. Additionally, over half of the surveyed students (61.5%) believed that narrative medicine could benefit their clinical practice.ConclusionsThis study serves as a preliminary basis for the future development of narrative medicine education in China. It highlights the need to prioritize medical humanities education and provide medical students with more opportunities to access information on narrative medicine. By doing so, we can strive to enhance the visibility and promote the integration of narrative medicine into medical humanities education in China.

EXPLORING THE DIGITAL LITERACY OF PRE-SERVICE TEACHERS: A STUDY ON THE TEACHING ASSISTANCE PROGRAM

In today's educational landscape, digital literacy has emerged as a critical skill for pre-service teachers, enabling them to effectively utilize technology in classrooms and provide students with valuable information technology resources. This study aims to investigate the digital literacy levels of pre-service teachers participating in a teaching assistance program at school. Employing descriptive statistics, the research analyzed data collected from pre-service teachers enrolled in the Teaching Assistance Program, using a framework designed to assess teacher digital literacy across five key dimensions: information management, team-based learning, information processing and presentation, digital integrity, and social responsibility. The findings reveal that pre-service teachers demonstrated a high level of digital literacy across all dimensions. While highlighting their readiness to employ information and communications technology (ICT) for educational purposes, the results also underscore an ongoing need for further development in digital literacy skills. Importantly, these findings contribute significantly to providing insightful data regarding the level of digital literacy of pre-service teachers. Next, future research endeavors should address the limitations of this study by employing diversified methodologies and ensuring broader sample representations.

PENGARUH LITERASI KEUANGAN, DIGITAL PAYMENT DAN KEMAMPUAN MENYUSUN LAPORAN KEUANGAN TERHADAP KINERJA UMKM

MSMEs can drive the country's economic growth, however, the performance of MSMEs has experienced a slowdown due to the Covid 19 pandemic. So, this research aims to find out what factors can encourage the performance of MSMEs. This research uses internal and external organizational factors that can influence MSME performance, such as financial literacy, digital payment, and the ability to prepare financial reports. The population of this research is MSMEs in Bantul Regency. The sampling method uses a purposive sampling technique with the criteria of MSMEs that have used digital payments and financial records. The samples that can be used are 108 MSMEs in Bantul Regency. Data collection was carried out using a questionnaire method which was distributed offline by visiting MSMEs and online using Google from. Data processing uses the SPSS Statistics 26.0 application. Data were analyzed using multiple linear regression analysis. The research results show that financial literacy and the use of digital payments have no effect on MSME performance, while the ability to prepare financial reports has a positive effect on MSME performance. High or low levels of financial literacy and the use of digital payments do not affect the performance of MSMEs. Meanwhile, the higher the ability to prepare financial reports, the higher the performance of MSMEs will be. MSMEs that prepare financial reports can evaluate their business performance.

A health literacy analysis of online patient-directed educational materials about mycobacterium avium complex

IntroductionMycobacterium avium complex (MAC) is a complex lung infection requiring multi-disciplinary approach and management. Due to limited clinician-patient interactions, clinicians may refer patients to online resources to learn about the diagnosis, prognosis, and treatment of MAC. The American Medical Association (AMA) recommends educational materials be written at a sixth-grade reading level and the National Institutes of Health (NIH) recommends that patient education materials be written at an eighth-grade reading level; however, several evaluations found these materials inaccessible due to high literacy levels. To date, there has never been a health literacy assessment of MAC patient education materials. The study aims to assess the health literacy of online patient education materials about MAC. MethodsThe patient education materials were evaluated for readability, actionability, understandability and clarity. Readability was assessed through the Flesch-Kincaid Grade Level Scale (FkGL), SMOG Index, Coleman Liau Index (CLI), Gunning Fog Index (GFI), and Automated Readability Index (ARI). Actionability and understandability was evaluated using the Patient Education Materials Assessment Tool (PEMAT). The Centers for Disease Control (CDC) Clear Communication Index (CCI) was used to assess clarity. ResultsTen patient education resources were evaluated: CDC, Cleveland Clinic, Mayo Clinic, JAMA, American Thoracic Society (ATS), National Jewish Health, UpToDate, CHEST, WebMD, and Medline. The mean readability scores were as follows: FkGL (9.76), SMOG index (9.82), CLI (13.54), GFI (11.66), ARI (9.15). Four patient education materials were written at a sixth-grade reading level and eight patient education materials were written at an eighth-grade reading level. The majority of the materials received a passing score for understandability but failed to achieve a passing score for actionability. Cleveland Clinic, JAMA, and ATS all received a passing clarity score, indicating that they are easy to read. No patient education materials were available on UpToDate. ConclusionMost patient education materials scored poorly for actionability and clarity while scoring highly for readability and understandability. This study should serve as a guide for clinicians interested in offering online education materials to their patients. Increasing access to readable MAC educational materials should be a priority for those working at the intersection of public health, clinical care, and communications.

Health Literacy and Demand for Medical Cannabis use among Colorectal Cancer Patients in Northern Thailand: A Cross-Sectional Study.

This study aimed to explore health literacy and factors associated with demand for medical cannabis (MC) use among colorectal cancer (CRC) patients in Northern Thailand as a target group. This cross-sectional analytical study administered multistage random sampling to recruit 439 CRC patients in northern Thailand. Ethical approval and signed written informed consents were obtained from the patients, prior to the study. A standardized, self-administered structured questionnaire was used to obtain the sociodemographic characteristics, clinical characteristics, social support, attitudes toward MC, knowledge about MC, health literacy about MC, and questions on demand for MC use. The scores from all questionnaires were converted to percentages before analysis. A total of 146 (33.26%) of patients with CRC reported demand to use MC. The multivariable analysis revealed that factors associated with demand for MC among CRC patients included: had high levels of health literacy about MC (adj.OR = 7.71; 95% CI: 4.28 to 13.87), aged less than 45 years (adj.OR =5.09; 95% CI: 2.78 to 9.34), positive attitudes toward MC use (adj.OR = 4.66; 95% CI: 2.68 to 8.10), and higher levels of social support (adj.OR =4.14; 95% CI: 2.39 to 7.17) when controlling effect of other covariates. Health literacy is an important factor affecting the demand for MC use of CRC patients. Therefore, improving health literacy, social support, and attitudes about MC especially among younger CRC patients, could help increase demand for MC as a complementary and alternative medicine alongside cancer treatment.

Necessary prerequisites for evidence-based practice: results of investigating nurses’ informatics competency and information literacy skills

Abstract This study aimed to evaluate the correlation between nursing informatics (NI) competency and information literacy skills for evidence-based practice (EBP) among intensive care nurses. This cross-sectional study was conducted on 184 nurses working in intensive care units (ICUs). The study data were collected through demographic information, Nursing Informatics Competency Assessment Tool (NICAT), and information literacy skills for EBP questionnaires. The intensive care nurses received competent and low-moderate levels for the total scores of NI competency and information literacy skills, respectively. They received a moderate score for the use of different information resources but a low score for information searching skills, different search features, and knowledge about search operators, and only 31.5% of the nurses selected the most appropriate statement. NI competency and related subscales had a significant direct bidirectional correlation with information literacy skills for EBP and its subscales (P < 0.05). Nurses require a high level of NI competency and information literacy for EBP to obtain up-to-date information and provide better care and decision-making. Health planners and policymakers should develop interventions to enhance NI competency and information literacy skills among nurses and motivate them to use EBP in clinical settings.

The Relationships between Pedagogical and Technological Competence and Digital Literacy Level of Teachers

With the use of technology in education, the integration of digital literacy and technological skills with pedagogy has become one of the important competencies that teachers need to master. Thus, the study investigated the digital literacy, technological and pedagogical competencies of primary school teachers in Kazakhstan on a relational basis. The study was conducted with 223 primary school teachers working in various schools in Almaty. 'Digital Literacy Scale', 'Pedagogical Competence Scale' and 'Technological Competence Scale' were used to collect the data. T and F tests were used to compare school teachers' digital literacy, pedagogical and technological competencies based on gender and professional seniority. 'Multiple Regression Technique' was used to analyze the relationships between the variables of school teachers' digital literacy, pedagogical and technological competencies. The findings revealed that the pedagogical competencies of primary school teachers were high, while their digital literacy and technological competencies were at a moderate level. Pedagogical and technological efficacy and digital literacy of primary school teachers differed significantly based on gender and professional seniority. Male primary school teachers had high levels of technological competence and digital literacy, whereas female primary school teachers had high levels of pedagogical competence. Multiple regression analysis indicated that teachers' digital literacy significantly predicted their pedagogical and technological competencies.

Evaluating financial literacy and behavior among online sellers in Zambales

This study was solely focused on the financial literacy level and financial behavior of the online sellers in Iba, Zambales as to their cash management; expenditure; savings; and investments. The researchers utilized the quantitative descriptive correlational research design with questionnaire as the main instrument in gathering data from the one hundred forty (140) online sellers in Iba, Zambales who were randomly selected. The researchers found out that the majority of the respondents are female in their early adulthood, single, college undergraduate major in business, with meagre income, had monthly expenses more than the income and saving, and neophyte in online selling business. The respondents stood well-educated on the dimensions towards the factors of financial literacy as to cash management, expenditures, savings and investment. The respondents strongly agreed on the dimensions towards the factors of financial behavior as to cash management, expenditures, savings and investment. There were significant differences on the perceptions of the respondents when grouped towards dimensions on financial literacy as to their monthly income, monthly expenses and monthly savings, highest educational attainment, and years in online selling respectively. There are significant differences on the perceptions of the respondents when grouped towards dimensions on financial behavior as to their monthly income, monthly expenses and monthly savings, and area of specialization respectively. There is positive moderate relationship between financial literacy and financial behavior. Based on the summary of the investigations conducted, and the conclusions arrived at, the researchers recommended that online sellers are still encouraged to attend financial management seminars to maintain a high level of financial literacy and behavior to prevent losses, financial squander, and misuse; establish a family savings culture; have a financial record management to sustain the monitoring of their inventory and future decisions; and lastly, future researchers may conduct a replication of this study.

Racial Differences in Shared Decision-Making About Critical Illness

Shared decision-making is the preferred method for evaluating complex tradeoffs in the care of patients with critical illness. However, it remains unknown whether critical care clinicians engage diverse patients and caregivers equitably in shared decision-making. To compare critical care clinicians' approaches to shared decision-making in recorded conversations with Black and White caregivers of patients with critical illness. This thematic analysis consisted of unstructured clinician-caregiver meetings audio-recorded during a randomized clinical trial of a decision aid about prolonged mechanical ventilation at 13 intensive care units in the US. Participants in meetings included critical care clinicians and Black or White caregivers of patients who underwent mechanical ventilation. The codebook included components of shared decision-making and known mechanisms of racial disparities in clinical communication. Analysts were blinded to caregiver race during coding. Patterns within and across racial groups were evaluated to identify themes. Data analysis was conducted between August 2021 and April 2023. The main outcomes were themes describing clinician behaviors varying by self-reported race of the caregivers. The overall sample comprised 20 Black and 19 White caregivers for a total of 39 audio-recorded meetings with clinicians. The duration of meetings was similar for both Black and White caregivers (mean [SD], 23.9 [13.7] minutes vs 22.1 [11.2] minutes, respectively). Both Black and White caregivers were generally middle-aged (mean [SD] age, 47.6 [9.9] years vs 51.9 [8.8] years, respectively), female (15 [75.0%] vs 14 [73.7%], respectively), and possessed a high level of self-assessed health literacy, which was scored from 3 to 15 with lower scores indicating increasing health literacy (mean [SD], 5.8 [2.3] vs 5.3 [2.0], respectively). Clinicians conducting meetings with Black and White caregivers were generally young (mean [SD] age, 38.8 [6.6] years vs 37.9 [8.2] years, respectively), male (13 [72.2%] vs 12 [70.6%], respectively), and White (14 [77.8%] vs 17 [100%], respectively). Four variations in clinicians' shared decision-making behaviors by caregiver race were identified: (1) providing limited emotional support for Black caregivers, (2) failing to acknowledge trust and gratitude expressed by Black caregivers, (3) sharing limited medical information with Black caregivers, and (4) challenging Black caregivers' preferences for restorative care. These themes encompass both relational and informational aspects of shared decision-making. The results of this thematic analysis showed that critical care clinicians missed opportunities to acknowledge emotions and value the knowledge of Black caregivers compared with White caregivers. These findings may inform future clinician-level interventions aimed at promoting equitable shared decision-making.

A survey of mental health literacy in parents and guardians of teenagers.

Parents and guardians (hereafter caregivers) of teenagers need high levels of mental health literacy (MHL) to manage mental health problems arising in teenagers in their care. Previous studies assessing MHL levels in caregivers of teenagers have reported mixed results, making it difficult to clearly estimate caregiver MHL levels. This study aimed to investigate MHL levels in Japanese caregivers of regular teenagers. Responses from caregivers (n = 1,397) of students entering junior and senior high schools to a self-administered online questionnaire were analyzed. The questionnaire assessed (a) knowledge about mental health/illnesses and (b) attitudes towards mental health problems in teens in their care (e.g., recognition of depression as a medical illness and intention to engage in helping behaviors). The average proportion of correct answers to the knowledge questions (n = 7) was 55.4%; about one tenth (9.2%) of caregivers correctly answered only one or none of the questions. Few caregivers correctly answered about the life-time prevalence of any mental illnesses (46.1%) and appropriate sleep duration for teenagers' health (16.5%). The proportions of caregivers who had the intention to listen to the teen in their care, consult another person, and seek professional medical help if the teen suffered from depression were 99.5%, 91.5% and 72.7%, respectively. Many teenagers' caregivers appeared to be willing to help the teens in their care if they were suffering from mental health problems. However, there was much room for improvement in knowledge on mental health/illnesses and intention to seek help from medical professionals. Efforts toward better education should be made.

What predicts health facility delivery among women? analysis from the 2021 Madagascar Demographic and Health Survey

BackgroundOne of the pivotal determinants of maternal and neonatal health outcomes hinges on the choice of place of delivery. However, the decision to give birth within the confines of a health facility is shaped by a complex interplay of sociodemographic, economic, cultural, and healthcare system-related factors. This study examined the predictors of health facility delivery among women in Madagascar.MethodsWe used data from the 2021 Madagascar Demographic and Health Survey. A total of 9,315 women who had a health facility delivery or delivered elsewhere for the most recent live birth preceding the survey were considered in this analysis. Descriptive analysis, and multilevel regression were carried out to determine the prevalence and factors associated with health facility delivery. The results were presented as frequencies, percentages, crude odds ratios and adjusted odds ratios (aORs) with corresponding 95% confidence intervals (CIs), and a p-value < 0.05 was used to declare statistical significance.ResultsThe prevalence of health facility delivery was 41.2% [95% CI: 38.9–43.5%]. In the multilevel analysis, women aged 45–49 [aOR = 2.14, 95% CI = 1.34–3.43], those with secondary/higher education [aOR = 1.62, 95% CI = 1.30–2.01], widowed [aOR = 2.25, 95% CI = 1.43–3.58], and those exposed to mass media [aOR = 1.18, 95% CI = 1.00-1.39] had higher odds of delivering in health facilities compared to those aged 15-49, those with no formal education, women who had never been in union and not exposed to mass media respectively. Women with at least an antenatal care visit [aOR = 6.95, 95% CI = 4.95–9.77], those in the richest wealth index [aOR = 2.74, 95% CI = 1.99–3.77], and women who considered distance to health facility as not a big problem [aOR = 1.28, 95% CI = 1.09–1.50] were more likely to deliver in health facilities compared to those who had no antenatal care visit. Women who lived in communities with high literacy levels [aOR = 1.54, 95% CI = 1.15–2.08], and women who lived in communities with high socioeconomic status [aOR = 1.72, 95% CI = 1.28–2.31] had increased odds of health facility delivery compared to those with low literacy levels and in communities with low socioeconomic status respectively.ConclusionThe prevalence of health facility delivery among women in Madagascar is low in this study. The findings of this study call on stakeholders and the government to strengthen the healthcare system of Madagascar using the framework for universal health coverage. There is also the need to implement programmes and interventions geared towards increasing health facility delivery among adolescent girls and young women, women with no formal education, and those not exposed to media. Also, consideration should be made to provide free maternal health care and a health insurance scheme that can be accessed by women in the poorest wealth index. Health facilities should be provided at places where women have challenges with distance to other health facilities. Education on the importance of antenatal care visits should also be encouraged, especially among women with low literacy levels and in communities with low socioeconomic status.

E-health literacy level of university teachers attending first level health centers in South Lima

E-health literacy is very important nowadays, since it allows the population to have access to care, but many people do not know about it or do not know how to use it, which is why the objective of the research is to determine the level of e-health literacy of university teachers who attend health centers at the first level of care in southern Lima. This is a quantitative, descriptive, cross-sectional and non-experimental study, with a population of 400 university teachers, who answered a questionnaire on socio-demographic aspects and the e-health scale. In the results, 18.3% (n=73) of the university teachers have a high level of e-health literacy, 31.5% (n=126) medium level, 21.5% (n=86) basic level and 28.8% (n=115) elementary level. In conclusion, it is necessary to provide programs on e-health education, as this implementation would make it more feasible for health workers to carry out safe online practices also for the population.

Gender and Social Determinants of Health: A Mixed Method Study in Khyber Pakhtunkhwa, Pakistan

Gender is recognized as a fundamental social determinant within the overarching framework of the World Health Organization's Social Determinants of Health (SDH). It is conceptualized as a central factor influencing population health and contributing to health inequalities. Objective: To investigate disparities based on gender in the social determinants of health and assess gender inequities in Khyber Pakhtunkhwa, Pakistan. Methods: A mixed-methods approach, comprising both a survey and an exploratory qualitative study, was employed at Mardan Medical Complex Hospital in Mardan. A total of 10 interviews were conducted with healthcare workers (HCWs), and the study included 210 patients. Results: Out of the 210 patients, the majority were female (107/210, 51%), while 103/210 (49%) were male. 80 out of 103 (77%) females were house wives. More female (30 out of 103) is illiterate than male (21 out of 107) in the study participants, men (25 out of 107) are more educated in the secondary and higher education than women (16 out of 103). Women have high literacy level in religious education (12 out of 103). Women (25 out of 103) are more prone to partner’s verbally or physical aggression than men (15 out of 107). Among female patients, predominant challenges encompass domestic concerns, experiences of violence and abuse, a deficit of trust, and socio-cultural barriers. In contrast, a prevalent social determinant of health for males was identified as financial responsibility, contributing to a notable incidence of mental health illnesses. Conclusions: In conclusion, the study sheds light on significant gender-based disparities in social determinants of health (SDH) and their profound impact on the well-being of individuals.

Effectiveness of digital rhetoric persuasion on GenZ consumer purchasing decisions

Purpose The study aims to analyze the effectiveness of digital rhetoric persuasion on GenZ purchase decision. Digital rhetoric (DR) is an art of persuasion used in social media communication to shape and influence the course of an individual. It has been used in social media advertisements (SMAs) to increase its perceived effectiveness. GenZ consumers are more vibrant than previous generations’ consumers because of high levels of literacy and capacity to adapt to new technology. Therefore, understanding the effects of rhetorical support decisions to act on and mold consumers’ reasoning and judgment is particularly significant in relation to GenZ purchasing decisions and the rhetorical persuasive methods. Concurrently, the moderating effect of generation cohort theory also needs to be examined. Design/methodology/approach The threshold model for consumers’ purchase decisions in the form of logistic regression has been applied to examine the impact of DR through SMAs on the purchase intention (PI) of GenZ consumers. Simultaneously, the moderating effect of generation cohort theory is being examined by comparative analysis of different generations’ PI moderation by DR effect. Findings The results of the current study reveal that DR via SMAs has a positive and significant influence on GenZ consumers’ PI, whereas other older generation consumers do not get similarly affected by the same. Originality/value In an emerging economy like India, where 30% of the population belongs to the GenZ category and the digital advertising industry is growing by double digits, the present study takes a novel approach to examine the impact of DR via SMAs on GenZ consumers’ PI. Concurrently, it also provides an understanding of the moderation effect of generation cohort theory on perceived effectiveness of DR.

Patterns of information literacy and their predictors among emergency department nurses: a latent profile analysis based on the person-context interaction theory

BackgroundWith the development of information technology, information has been an important resource in clinical medicine, particularly within the emergency department. Given its role in patient rescue, the emergency department demands a high level of information literacy from nurses to effectively collect, analyze, and apply information due to the urgency and complexity of emergency nursing work. Although prior studies have investigated the information literacy of nursing staff, little has been undertaken in examining the patterns of information literacy and their predictors among emergency department nurses.AimTo clarify the subtypes of information literacy among nurses in the emergency department and explore the factors affecting profile membership.MethodsA cross-sectional study was conducted among a convenience sample of 2490 nurses in the emergency department from April to June 2023. The clinical nurses completed the online self-report questionnaires including the general demographic questionnaire, information literacy scale, self-efficacy scale and social support scale. Data analyses involved the latent profile analysis, variance analysis, Chi-square tests and multivariate logistic regression.ResultsFour latent profiles were identified: ‘Low information literacy (Class 1)’, ‘Moderate information knowledge (Class 2)’, ‘High information knowledge and support (Class 3)’ and ‘High information literacy (Class 4)’, accounting for 20.14%, 42.11%, 23.36% and 14.39%, respectively. Each profile displayed unique characteristics representative of different information literacy patterns. Age, years of work, place of residence, hospital grade, title, professional knowledge, using databases, reading medical literature, participating in information literacy training, self-efficacy, and social support significantly predicted information literacy profile membership.ConclusionsInformation literacy exhibits different classification features among emergency department nurses, and over half of the nurses surveyed were at the lower or middle level. Identifying sociodemographic and internal-external predictors of profile membership can aid in developing targeted interventions tailored to the needs of emergency department nurses. Nursing managers should actively pay attention to nurses with low information literacy and provide support to improve their information literacy level.Relevance to clinical practiceInsights from the current study of the latent profile analysis are beneficial to hospital managers in understanding the different types of emergency department nurses’ information literacy. These insights serve as a reference for managers to enhance nurses’ information literacy levels.