Health Literacy as the Foundation of Nursing Education in the Era of Digital Transformation

Hardjito S Darmojo, Partono Siswosuharjo, M. Adila Rossa

Abstract


Digital transformation has significantly changed the way health information is accessed, understood, and utilized, thus requiring nursing staff to have adequate digital health literacy competencies. Health literacy is no longer limited to the ability to understand conventional health information, but also includes critical skills in navigating and evaluating digital-based health information sources. This study aims to analyze the role of health literacy as a foundation in developing digital health literacy in nursing students in the era of digital transformation. The study used a quantitative design with a descriptive-correlation survey approach. The sample consisted of 200 nursing students selected through stratified random sampling. Data were collected using the Health Literacy Questionnaire (HLQ) and the eHealth Literacy Scale (eHEALS), then analyzed using descriptive statistics, Pearson correlation, and multiple linear regression. The results showed that the level of health literacy and digital health literacy of students was in the moderate to high category. There was a significant positive relationship between general health literacy and digital health literacy (r = 0.53; p < .001). The regression analysis showed that general health literacy was the main predictor of digital health literacy, followed by technology-based learning experiences. However, the ability to evaluate the credibility of digital health information remains the lowest. This finding underscores the importance of systematically integrating digital health literacy into the nursing education curriculum to equip students with critical, adaptive, and professional competencies to face the challenges of nursing practice in the digital era

Keywords


Health Literacy; Digital Health Literacy; Nursing Education; Digital Transformation; Nursing Students

Full Text:

PDF

References


Kim, S., & Oh, J. (2021). The relationship between e-health literacy and health-promoting behaviors in nursing students: A multiple mediation model. International Journal of Environmental Research and Public Health, 18(11), 5804. https://doi.org/10.3390/ijerph18115804

Ayaz-Alkaya, S., & Terzi, H. (2019). Investigation of health literacy and affecting factors of nursing students. Nurse Education in Practice, 34, 31-35. https://doi.org/10.1016/j.nepr.2018.10.009

Lestari, H., & Hariyati, R. S. S. (2022). Pengaruh literasi digital terhadap pelaksanaan asuhan keperawatan. Journal of Telenursing (JOTING), 5(2). https://doi.org/10.31539/joting.v5i2.5012

Putri, K. Y. S., Mulyana, D., Istiyanto, S. B., Zakiah, L., & Hafni, R. D. (2021). Transformation of health communication literacy in the pandemic era. Informasi, 51(1), 93–110. https://doi.org/10.21831/informasi.v51i1.38290

Destrity, N. A., Rakhmawati, F. Y., & Alfira, N. (2021). Pengaruh literasi digital terhadap literasi kesehatan digital tenaga kesehatan di Indonesia. KOMUNIKATIF: Jurnal Ilmiah Komunikasi, 14(1). https://doi.org/10.33508/jk.v14i1.6040

Liu, L., Fu, M., & Wang, H. (2021). Digital health literacy among undergraduate nursing students in China: Associations with health lifestyles and psychological resilience. BMC Medical Education. https://doi.org/10.1186/s12909-024-06075-w

Mukhtar, T. (2021). Digital health literacy: A systematic review of interventions. Journal of Digital Health Literacy. (Publikasi 2021).

Elsharkawy, N. B., et al. (2025). Neonatal nurses’ e-health literacy and technology-mediated clinical practice. BMC Nursing, 24, 1199. https://doi.org/10.1186/s12912-025-03839-7

Santoso, F. S., Ramadhani, P. A., Amnamuchlisah, D., & Purba, S. H. (2021). Transformasi digital dalam sektor kesehatan: Kajian literatur. Cindoku: Jurnal Keperawatan dan Ilmu Kesehatan. https://doi.org/10.61492/cindoku.v2i1.240

Kim, S., et al. (2021). The relationship between e-health literacy and health-promoting behaviors in nursing students. Int J Environ Res Public Health, 18, 5804. https://doi.org/10.3390/ijerph18115804

Holt, K. A., Overgaard, D., Engel, L. V., & Kayser, L. (2020). Health literacy, digital literacy and eHealth literacy in Danish nursing students at entry and graduate level: a cross sectional study. BMC Nursing, 19(1), Article 22. https://doi.org/10.1186/s12912-020-00418-w

Akca, A. T., Terzi, H., & Ayaz-Alkaya, S. (2021). Effectiveness of health literacy education for nursing students: A randomized controlled trial (NCT04868487). International Journal of Nursing Practice. https://doi.org/10.1111/ijn.12981

Kim, S., & Jeon, J. (2021). The relationship between eHealth literacy and health-promoting behaviors in nursing students. International Journal of Environmental Research and Public Health, 18(11), 5804.https://doi.org/10.3390/ijerph18115804

Norman, C. D., & Skinner, H. A. (2006). eHealth Literacy: Essential Skills for Consumer Health in a Networked World. Journal of Medical Internet Research, 8(2), e9. https://doi.org/10.2196/jmir.8.2.e9

Akca, A. T., Terzi, H., & Ayaz-Alkaya, S. (2021). Effectiveness of health literacy education for nursing students: A randomized controlled trial. International Journal of Nursing Practice. https://doi.org/10.1111/ijn.12981

Rathnayake, S., & Senevirathna, A. (2019). Self-reported eHealth literacy skills among nursing students. Nurse Education Today, 78, 50-56. https://doi.org/10.1016/j.nedt.2019.04.006

Akca, A. T., et al. (2021). Randomized controlled trials on health literacy in nursing. International Journal of Nursing Practice. https://doi.org/10.1111/ijn.12981

Soriano, G. P., et al. (2021). Relationship between eHealth literacy and health-promoting behaviors among nursing students. Jurnal Keperawatan Padjadjaran, 12(2), 193-200. http://dx.doi.org/10.24198/jkp.v12i2.2353

González-López, J. R., et al. (2022). Do health literacy levels of nursing students change over their studies? BMJ Open, 12(1), e047712. https://doi.org/10.1136/bmjopen-2020-047712

Munangatire, T., et al. (2022). Nursing students’ understanding of health literacy and health practices. BMC Nursing, 21(8), e21ED8. https://doi.org/10.1186/s12912-021-00776-z

Wilandika, A., et al. (2021). The supportive roles of nurses in health literacy: A scoping review. Public Health Reviews. https://doi.org/10.1186/2049-3258-41-20

Bulfone, G., et al. (2021). Nursing students’ health literacy skills: Scoping review. Nurse Education Today. https://doi.org/10.1016/j.nedt.2024.105-?

Kim, K., et al. (2021). eHealth literacy and health behaviors: meta-analysis. J Med Internet Res, 25, e40778. https://doi.org/10.2196/40778

Chang, M. C., et al. (2021). Effectiveness of refined health literacy course for nursing students. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2023.9891155




DOI: https://doi.org/10.46749/jiko.v6i2.187

Refbacks

  • There are currently no refbacks.


Copyright (c) 2026 JIKO (Jurnal Ilmiah Keperawatan Orthopedi)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Ilmiah Keperawatan Orthopedi is Indexed By :

Creative Commons License
Jurnal Ilmiah Keperawatan Orthopedi Ciptaan disebarluaskan di bawah Creative Commons Attribution-ShareAlike 4.0 International License.

View My Stats