Effectiveness of a Scenario-Based Interactive E-Book in Enhancing Nursing Students’ Health Literacy

Introduction: Health literacy is essential for safe and effective nursing practice, yet traditional teaching methods may not fully address students’ needs. This study evaluated a scenario-based interactive e-book designed to enhance nursing students’ health literacy performance.Methods: A quasi-experimental design was conducted with 55 fourth-year nursing students from a Taiwanese university. Students were assigned to an experimental group (n = 28) that received e-book instruction or a control group (n = 27) that received traditional teaching. The 26-item Health Literacy Performance Scale, demonstrating strong validity and reliability, was administered before and after the intervention. For educational parity, the control group accessed the e-book after data collection.Results: Generalized Estimating Equations revealed no significant effects of time or time × group interaction. However, after adjusting for age, the main effect of group was significant (p = .015). Post hoc analysis showed that the experimental group scored higher on the post-test (p = .035), particularly in interpreting health education materials, assessing care needs, and correct medication use.Discussion: Findings indicate that the scenario-based e-book effectively improved nursing students’ health literacy performance. This approach demonstrates practical value and suggests potential for broader application in nursing education to strengthen essential competencies.