Authors :
Joana Aileen G. Mabanta; Aldin D. Gaspar
Volume/Issue :
Volume 10 - 2025, Issue 5 - May
Google Scholar :
https://tinyurl.com/3k6spup5
DOI :
https://doi.org/10.38124/ijisrt/25may1430
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
The management of cardiovascular diseases (CVDs) is increasingly complex, necessitating improved health
management by both patients and providers. This literature review examines the impact of health literacy, patient-centered
care, and nurses' competencies in addressing the challenges posed by CVDs. A literature search was conducted using
databases including PubMed, EBSCOhost, ResearchGate, and Google Scholar. The search focused on studies published
within the last 20 years, using MESH terms and keywords such as "health literacy competency," "patient-centered care,"
and "nurses." The review emphasizes that higher levels of health literacy in the general population contribute to better
overall health, influencing social determinants, health behavior, and health promotion. Limited health literacy is associated
with adverse outcomes, including higher medical costs and lower quality health services. Nurses play a crucial role in
recognizing the impact of limited health literacy and utilizing universal health literacy precautions. Patient-centered care
has demonstrated benefits in managing chronic illnesses like CVDs, improving patient involvement, treatment adherence,
and satisfaction. Effective communication, developing partnerships, and health promotion are key objectives in patient-
centered care delivery.
References :
- DeWalt, D. A., & McNeill, J. (2013). Integrating health literacy with health care performance measurement. NAM Perspectives.
- Brega, A. G., Hamer, M. K., Albright, K., Brach, C., Saliba, D., Abbey, D., & Gritz, R. M. (2019). Organizational health literacy: Quality improvement measures with expert consensus. HLRP: Health Literacy Research and Practice, 3(2), e127-e146.
- Farmanova, E., Bonneville, L. and Bouchard, L. (2018) Organizational health literacy: review of theories, frameworks, guides, and implementation issues. Inquiry, 5., 46958018757848, doi: 10.1177/0046958018757848
- Garcia-Codina, O., Juvinyà-Canal, D., Amil-Bujan, P., Bertran-Noguer, C., González-Mestre, M. A., Masachs-Fatjo, E., Santaeugènia, S. J., Magrinyà-Rull, P., & Saltó-Cerezuela, E. (2019). Determinants of health literacy in the general population: results of the Catalan health survey. BMC public health, 19(1), 1122. https://doi.org/10.1186/s12889-019-7381-1
- Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., Brand, H., & (HLS-EU) Consortium Health Literacy Project European (2012). Health literacy and public health: a systematic review and integration of definitions and models. BMC public health, 12, 80. https://doi.org/10.1186/1471-2458-12-80
- Stormacq, C., Wosinski, J., Boillat, E., & Van den Broucke, S. (2020). Effects of health literacy interventions on health-related outcomes in socioeconomically disadvantaged adults living in the community: a systematic review. JBI evidence synthesis, 18(7), 1389-1469.
- Ayre, J., Zhang, M., Mouwad, D., Zachariah, D., McCaffery, K. J., & Muscat, D. M. (2023). Systematic review of health literacy champions: who, what and how?. Health Promotion International, 38(4), daad074.
- Miller, T. A. (2016). Health literacy and adherence to medical treatment in chronic and acute illness: a meta-analysis. Patient education and counseling, 99(7), 1079-1086.
- Ylitalo, K. R., Meyer, M. R. U., Lanning, B. A., During, C., Laschober, R., & Griggs, J. O. (2018). Simple screening tools to identify limited health literacy in a low-income patient population. Medicine, 97(10), e0110.
- de Melo Ghisi, G. L., da Silva Chaves, G. S., Britto, R. R., & Oh, P. (2018). Health literacy and coronary artery disease: A systematic review. Patient education and counseling, 101(2), 177-184.
- Speros, C. I. (2011). Promoting health literacy: a nursing imperative. Nursing Clinics, 46(3), 321-333.
- Nutbeam, D., & Muscat, D. M. (2021). Health promotion glossary 2021. Health Promotion International, 36(6), 1578-1598.
- Ballard, D. (2016). The nurse’s role in health literacy of patients with cancer. Number 3/June 2016, 20(3), 232-234.
- Tolabing, M. C. C., Co, K. C. D., Mendoza, O. M., Mira, N. R. C., Quizon, R. R., Tempongko, M. S. B., ... & Chang, P. W. (2022). Prevalence of limited health literacy in the Philippines: first national survey. HLRP: Health Literacy Research and Practice, 6(2), e104-e112.
- Yang, Y. (2022). Effects of health literacy competencies on patient-centered care among nurses. BMC Health Services Research, 22(1), 1172.
- Wittenberg, E. (2018). Health literacy: exploring nursing challenges to providing support and understanding. Number 1/February 2018, 22(1), 53-61.
- Chang, L. C., Chen, Y. C., Wu, F. L., & Liao, L. L. (2017). Exploring health literacy competencies towards patient education programme for Chinese-speaking healthcare professionals: a Delphi study. BMJ open, 7(1), e011772.
- Wilandika, A., Pandin, M. G. R., & Yusuf, A. (2023). The roles of nurses in supporting health literacy: a scoping review. Frontiers in Public Health, 11.
- French, K. S. (2015). Transforming nursing care through health literacy ACTS. Nursing Clinics, 50(1), 87-98.
- Nesari, M., Olson, J. K., Nasrabadi, A. N., & Norris, C. (2019). Registered nurses' knowledge of and experience with health literacy. HLRP: Health Literacy Research and Practice, 3(4), e268-e279.
- Hersh, L., Salzman, B., & Snyderman, D. (2015). Health literacy in primary care practice. American family physician, 92(2), 118-124.
- Garcia, S.F., Hahn, E.A., & Jacobs, E.A. (2010). Addressing low literacy and health literacy in clinical oncology practice. Journal of Supportive Oncology, 8, 64–69.
- Jukkala, A., Deupree, J. P., & Graham, S. (2009). Knowledge of limited health literacy at an academic health center. The Journal of Continuing Education in Nursing, 40(7), 298-302.
- Macabasco-O'Connell, A., & Fry-Bowers, E. K. (2011). Knowledge and perceptions of health literacy among nursing professionals. Journal of Health Communication, 16(sup3), 295-307.
- Schwartzberg, J. G., Cowett, A., VanGeest, J., & Wolf, M. S. (2007). Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. American journal of health behavior, 31(1), S96-S104.
- Johnson, A. (2015). Health literacy: how nurses can make a difference. The Australian Journal of Advanced Nursing, 33(2), 21-28.
- Rajah, R., Hassali, M. A. A., & Murugiah, M. K. (2019). A systematic review of the prevalence of limited health literacy in Southeast Asian countries. Public health, 167, 8-15.
- Dickens, C., Lambert, B. L., Cromwell, T., & Piano, M. R. (2013). Nurse overestimation of patients' health literacy. Journal of health communication, 18(sup1), 62-69.
- Kelly, P. A., & Haidet, P. (2007). Physician overestimation of patient literacy: a potential source of health care disparities. Patient education and counseling, 66(1), 119-122.
- Sharifirad, G., Mostafavi, F., Reisi, M., Mahaki, B., Javadzade, H., Heydarabadi, A. B., & Esfahani, M. N. (2015). Predictors of nurses’ intention and behavior in using health literacy strategies in patient education based on the theory of planned behavior. Materia socio-medica, 27(1), 22.
- Cha, J.E., & Kim, M.Y. (2021). The influence of health literacy competencies on patient- centered care among clinical nurses. J Korean Acad Soc Nurs Educ, 27(2):132–43.
- Ayaz-Alkaya, S., & Terzi, H. (2019). Investigation of health literacy and affecting factors of nursing students. Nurse Education in Practice, 34, 31-35.
- Chang, M. C., Yu, J. H., Hsieh, J. G., Wei, M. H., & Wang, Y. W. (2023). Effectiveness of the refined health literacy course on improving the health literacy competencies of undergraduate nursing students: quantitative and qualitative perspectives. Medical Education Online, 28(1), 2173042.
- Allenbaugh, J., Spagnoletti, C. L., Rack, L., Rubio, D., & Corbelli, J. (2019). Health literacy and clear bedside communication: a curricular intervention for internal medicine physicians and medicine nurses. MedEdPORTAL, 15, 10795.
- Kindig, D. A., Panzer, A. M., & Nielsen-Bohlman, L. (Eds.). (2004). Health literacy: a prescription to end confusion.
- Santana, S., Brach, C., Harris, L., Ochiai, E., Blakey, C., Bevington, F., ... & Pronk, N. (2021). Practice full report: Updating health literacy for healthy people 2030: Defining its importance for a new decade in public health. Journal of Public Health Management and Practice, 27(6), S258.
- Lymphoma Coalition. (2023). Health Literacy in Asia-Pacific: National health literacy policies & strategies in the region 2023. Accessed May 17, 2025. 2023_Report_Health_Literacy_In_Asia_Pacific_VF_A4_Digital.pdf
- Cafiero, M. (2013). Nurse practitioners' knowledge, experience, and intention to use health literacy strategies in clinical practice. Journal of health communication, 18(sup1), 70-81.
- Bautista, M. C. G., Acacio-Claro, P. J., Mendoza, N. B., Pulmano, C., Estuar, M. R. J., Dayrit, M. M., ... & Villamor, D. A. (2022). The 2019 Philippine UHC Act, Pandemic Management and Implementation Implications in a Post-COVID-19 World: A Content Analysis. International Journal of Environmental Research and Public Health, 19(15), 9567.
- Amit, A. M. L., Pepito, V. C. F., & Dayrit, M. M. (2022). Advancing Universal Health Coverage in the Philippines through self-care interventions. The Lancet Regional Health–Western Pacific, 26.
- Christie, G. P., & Ratzan, S. C. (2019). Beyond the bench and bedside: Health literacy is fundamental to sustainable health and development. Information Services & Use, 39(1-2), 79-92.
- Domindo, K. (2023). PH is world’s 13th most populous country: POPCOM. ABS-CBN News. https://www.abs-cbn.com/spotlight/11/20/23/ph-is-13th-most-populous-country-popcom
- Lloyd-Jones, D. M., Hong, Y., Labarthe, D., Mozaffarian, D., Appel, L. J., Van Horn, L., ... & Rosamond, W. D. (2010). Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s strategic Impact Goal through 2020 and beyond. Circulation, 121(4), 586-613.
- World Health Organization. (2025). Cardiovascular diseases. Health Topics. https://www.who.int/health-topics/cardiovascular-diseases/#tab=tab_1
- World Health Organization. (2025). Noncommunicable diseases. Health Topics. https://www.who.int/health-topics/noncommunicable-diseases#tab=tab_1
- Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Alonso, A., Beaton, A. Z., Bittencourt, M. S., ... & American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. (2022). Heart disease and stroke statistics—2022 update: a report from the American Heart Association. Circulation, 145(8), e153-e639.
- Okrainec, K., Banerjee, D. K., & Eisenberg, M. J. (2004). Coronary artery disease in the developing world. American heart journal, 148(1), 7-15.
- Philippine Statistics Authority. (2018). Deaths in the Philippines, 2016. https://psa.gov.ph/content/deaths-philippines-2016. Accessed May 17, 2025.
- Kane, P. M., Murtagh, F. E. M., Ryan, K., Mahon, N. G., McAdam, B., McQuillan, R., ... & Daveson, B. A. (2015). The gap between policy and practice: a systematic review of patient-centred care interventions in chronic heart failure. Heart failure reviews, 20, 673-687.
- Journath, G., Hammar, N., Elofsson, S., Linnersjö, A., Vikström, M., Walldius, G., & Hellenius, M. L. (2015). Time trends in incidence and mortality of acute myocardial infarction, and all-cause mortality following a cardiovascular prevention program in Sweden. PloS one, 10(11), e0140201.
- Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Anderson, C. A., Arora, P., Avery, C. L., ... & American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. (2023). Heart disease and stroke statistics—2023 update: a report from the American Heart Association. Circulation, 147(8), e93-e621.
- Hwang, J. I., Kim, S. W., & Chin, H. J. (2019). Patient participation in patient safety and its relationships with nurses' patient-centered care competency, teamwork, and safety climate. Asian nursing research, 13(2), 130-136.
- Marques, M. D. C., Pires, R., Perdigao, M., Sousa, L., Fonseca, C., Pinho, L. G., & Lopes, M. (2021). Patient-centered care for patients with cardiometabolic diseases: An integrative review. Journal of Personalized Medicine, 11(12), 1289.
- Cordero, C. (2011). Advancing effective communication, cultural competence, and patient-and family-centered care: A roadmap for hospitals. Retrieved from National Association of Public Hospitals and Health Systems: http://www. naph. org/Different-Formats/PowerPoint-Only/2711-Joint-Commission-Standards-Webinar. aspx.
- Kitson, A., Marshall, A., Bassett, K., & Zeitz, K. (2013). What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing. Journal of advanced nursing, 69(1), 4–15. https://doi.org/10.1111/j.1365-2648.2012.06064.x
- Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: a new health system for the 21st century. National Academies Press.
- Rose-Facey, W. (2020). Professional Quality of Life and Perceived Patient-Centered Care within the Context of Patient-Centered Care Competency and the Nurse Practice Environment among Medical/Surgical Nurses (Doctoral dissertation, Adelphi University).
- Constand, M. K., MacDermid, J. C., Dal Bello-Haas, V., & Law, M. (2014). Scoping review of patient-centered care approaches in healthcare. BMC health services research, 14, 271. https://doi.org/10.1186/1472-6963-14-271
- Beckman H. B., & Frankel, R. M. (1984). The effect of physician behavior on the collection of data. Annals of Internal Medicine.101(5):692-696.
- Edgman-Levitan, S., & Schoenbaum, S. C. (2021). Patient-centered care: achieving higher quality by designing care through the patient’s eyes. Israel Journal of Health Policy Research, 10, 1-5.
- Locatelli, S. M., & LaVela, S. L. (2015). Professional quality of life of veterans affairs staff and providers in a patient-centered care environment. The Health Care Manager, 34(3), 246-254.
- Rajamohan, S., Porock, D., & Chang, Y. P. (2019). Understanding the relationship between staff and job satisfaction, stress, turnover, and staff outcomes in the person‐centered care nursing home arena. Journal of Nursing Scholarship, 51(5), 560-568.
- Bae, S. H., Lee, I., Kim, J., Oh, S. J., & Shin, S. (2019). Perceptions of patient-centered care and patient-centeredness experiences of patients and nurses in comprehensive nursing care units at general hospitals. Korea Journal of Hospital Management, 24(3), 48-60.
- Hwang, J. I. (2015). Development and testing of a patient‐centred care competency scale for hospital nurses. International Journal of Nursing Practice, 21(1), 43-51.
- Arnetz, J. E., & Zhdanova, L. (2014). Patient involvement climate: views and behaviours among registered nurses in myocardial infarction care. Journal of Clinical Nursing, 24(3–4), 475–485. https://doi.org/10.1111/jocn.12629
- Bagnasco, A., Barisone, M., Aleo, G., Watson, R., Catania, G., Zanini, M., ... & Sasso, L. (2021). An international e-Delphi study to identify core competencies for Italian cardiac nurses. European Journal of Cardiovascular Nursing, 20(7), 684-691.
- Sørensen, K., Levin-Zamir, D., Duong, T. V., Okan, O., Brasil, V. V., & Nutbeam, D. (2021). Building health literacy system capacity: a framework for health literate systems. Health promotion international, 36(Supplement_1), i13-i23.
- Khalifehzadeh, A., Jahromi, M. K., & Yazdannik, A. (2012). The impact of Synergy Model on nurses’ performance and the satisfaction of patients with acute coronary syndrome. Iranian Journal of Nursing and Midwifery Research, 17(1), 16.
- Baker, A. (2001). Crossing the quality chasm: a new health system for the 21st century. Bmj, 323(7322), 1192.
- Nepps, P., Lake, A., Fox, J., Martinez, C., Matsen, P., & Zimmerman, K. (2023). Improving Health Equity Through Health Literacy Education. HLRP: Health Literacy Research and Practice, 7(2), e99-e104.
- Logan, R. A., Wong, W. F., Villaire, M., Daus, G., Parnell, T. A., Willis, E., & Paasche-Orlow, M. K. (2015). Health literacy: A necessary element for achieving health equity. NAM perspectives.
The management of cardiovascular diseases (CVDs) is increasingly complex, necessitating improved health
management by both patients and providers. This literature review examines the impact of health literacy, patient-centered
care, and nurses' competencies in addressing the challenges posed by CVDs. A literature search was conducted using
databases including PubMed, EBSCOhost, ResearchGate, and Google Scholar. The search focused on studies published
within the last 20 years, using MESH terms and keywords such as "health literacy competency," "patient-centered care,"
and "nurses." The review emphasizes that higher levels of health literacy in the general population contribute to better
overall health, influencing social determinants, health behavior, and health promotion. Limited health literacy is associated
with adverse outcomes, including higher medical costs and lower quality health services. Nurses play a crucial role in
recognizing the impact of limited health literacy and utilizing universal health literacy precautions. Patient-centered care
has demonstrated benefits in managing chronic illnesses like CVDs, improving patient involvement, treatment adherence,
and satisfaction. Effective communication, developing partnerships, and health promotion are key objectives in patient-
centered care delivery.