Cross-sectional survey reveals a significant indirect effect of digital health literacy on burnout in nursing students, indicating enhanced communication skills reduce negative outcomes.
Purpose: This study examined the association between nursing assessment communication competence and practice burnout among nursing students, and tested the mediating role of digital health literacy in this relationship.Methods: A cross-sectional survey was conducted with 147 third- and fourth-year nursing students from four universities in Gyeonggi-do, Gangwon-do, and Chungcheong-do, South Korea. Structured, self-administered questionnaires were used to assess nursing assessment communication competence, digital health literacy, and practice burnout. Data were analyzed using descriptive statistics, Pearson’s correlation coefficients, independent t-tests, and mediation analysis with bootstrapping (5,000 resamples).Results: Nursing assessment communication competence was negatively correlated with practice burnout (r= -.45, p<.001) and positively correlated with digital health literacy (r=.55, p<.001). Digital health literacy was negatively correlated with practice burnout (r=-.35, p<.001) and partially mediated the relationship between nursing assessment communication competence and practice burnout, with a significant indirect effect (a×b= -.61, 95% confidence interval= -.80~-.41).Conclusion: Enhancing both nursing assessment communication competence and digital health literacy could help reduce practice burnout among nursing students. Integrating these competencies into nursing curricula may improve clinical adaptability and preparedness for professional roles.
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An et al. (2025) studied this question.
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