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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Nicole Gibson


Healthcare literacy, patient activation, Ask Me 3, Patient Activation Measurement (PAM) score


The National Institutes of Health recommends promoting health literacy by developing ways to mitigate misunderstanding of health information provided to patients. Healthcare literacy, or the understanding one has of his or her basic health information, is essential in making health-related decisions. Healthcare literacy affects a person’s ability to navigate the healthcare system, engage in selfcare and disease management, and understand the concepts behind risky behaviors associated with poor health. One way to mitigate these issues is to increase a patient’s ability to translate medical verbiage into information patients can use that is clear and concise. Patients need tools to boost their ability to assume an active, rather than passive role in their healthcare. Patients across the United States risk not understanding information about their medical conditions due to lack of clear communication and understanding. After an extensive search of the literature, a gap in information remains as to how the healthcare team successfully assists patients in their learning, using clear communication tools, and if those tools translate into an increase in patient activation. Continued research is needed to address the gap in what a patient is told and what they understand to apply to their unique health needs.

Library of Congress Subject Headings

Health literacy.
Self-care, Health.
Patient education.
Hospitals -- After care.
Hospitals -- Admission and discharge.



Number of Pages



South Dakota State University


Copyright © 2020 Ruth Hernandez