Jessica Kagan

Date of Award


Document Type

Evidence Based Nursing Education Project

Degree Name

Master Of Science In Nursing

Colleges & School

Ruth S. Coleman College Of Nursing And Health Sciences

First Advisor

Donald Miller, MSN, RN

Library of Congress Subject Heading

Informed consent (Medical law); Patient education; Literacy


Purpose: Previous research has been inadequate on determining the influence of interventions on improving the informed consent process. Approximately one-third to one-half of the United States is either illiterate or has low literacy skills. This literature review explores the research on health literacy as it pertains to the informed consent process and interventions designed to improve participant’s comprehension of informed consent documents in which they are signing. Design: An integrated literature review of qualitative and quantitative studies was completed that included research designed to identify interventions to improve informed consent procedures. Methods: Eleven research studies were identified through a search of Cumulative Index to Nursing and Allied Health Literature (CINHAL), Medline, Medline with full text, and Health Source: Nursing Academic Addition databases to search the literature for studies meeting the following criteria: (a) published between January 1, 2008, and January 1, 2016, (b) published in a peer-reviewed journal, (c) written in English, (d) research articles (e) written in full text (f) academic journals (g) assessed participants comprehension and satisfaction with interventions used to simplify the informed consent process. Findings and Conclusion: The results showed that the use of multimedia presentations, simplified consent forms, the teach-back method, fact sheets, question and answer sessions, and information websites were effective in improving comprehension and satisfaction with the informed consent process for literate and low literacy patients. Relevance to Nursing Education: These studies provide important information to guide practice and education in order to improve comprehension and satisfaction with the informed consent process.


On-Campus Access

OCLC Number