About this trial
Health promotion is a comprehensive process that includes supporting knowledge, skills, and environmental conditions to improve the health levels of individuals and communities. In nursing practice, health promotion plays a critical role in guiding, educating, and raising awareness among individuals about health. Learning foundational knowledge in health promotion allows first-year nursing students to provide more informed and effective health counseling as they gain clinical experience. Enhancing health awareness among first-year nursing students is vital not only for their personal health but also for their future professional competency. Developing awareness of healthy living can positively influence students' health behaviors, empowering them to make more informed health decisions. Awareness of healthy living habits also helps students acquire knowledge in areas such as stress management, nutrition, exercise, and sleep, which can improve their performance in clinical practice. Moreover, nursing students' level of health literacy is crucial for sustaining health behaviors throughout life. Nurses with high health literacy are better equipped to interpret health information effectively, leading to more informed decisions in patient care and healthcare delivery. Therefore, it is essential that nursing students have a high level of health literacy, as it is necessary for their personal development and for maintaining the health of the individuals they serve. Salutogenesis is an approach that focuses on the factors that support and enhance health rather than simply the absence of disease. This approach emphasizes the active role individuals play in maintaining and improving their health. Thus, it is believed that developing salutogenic health perspectives in nursing students from the beginning of their education is important. This study will be conducted to determine the effects of education aimed at health promotion on nursing students' awareness of healthy living, salutogenic health indicators, and health literacy.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
being 18 and older years old
studying in nursing department
being voluntary to participate in
speaking Turkish as a mother language
Disqualifiers
having any visual and/or hearing disorders
Trial design
Parallel
Treatments tested in this trial
Tailored health promotion education
Other intervention14 weeks tailored education
Routine nursing education
Other intervention14 weeks nursing education
Treatment groups
Trial outcomes
Primary outcomes
Healthy life awareness
The Healthy Life Awareness Scale (HeLAS) was developed by Özer and Yılmaz to determine the healthy life awareness level among individuals (Özer \& Yılmaz, 2020). It is a 5-point Likert-type scale (1:totally disagree-5:totally agree) with fifteen items and four sub-dimensions. The total score can be got from the scale ranges between 15 and 75. There is no cut-off point; the higher the score, the more awareness of healthy life increases. The Cronbach's alpha of the total scale is 0.81 (Özer \& Yılmaz, 2020).
Salutogenetic health indicators
The scale developed by Bringsen and colleagues in 2009, and validated and tested for reliability in Turkish by Acı and colleagues (2024), aims to achieve a salutogenic and holistic perspective in measuring health through health indicators. The scale includes questions related to experience, morale, tension, sleep, concentration, creativity, problem-solving, expression of emotions, illness, energy level, social capacity, and physical function. It consists of 12 items on a 6-point Likert scale and has two sub-dimensions: personal characteristics and interactive function. There are no reverse items on the scale. Participants' views over the past 4 weeks are assessed. Scores on the scale range from 12 to 72. The higher the score, the better the individual's health from a salutogenic perspective. In the scale's validity and reliability study, the Cronbach's alpha reliability coefficient was found to be 0.91 (Acı et al., 2024).
Health literacy
The HLS19-Q12 is a 12-item short version of the 47-item European Health Literacy Scale, developed by Pelikan and colleagues on behalf of the HLS19 Consortium of the WHO Action Network M-POHL team to assess health literacy levels in the general adult population (Pelikan et al., 2022). The Turkish validity and reliability study of the scale was conducted by Terzi and colleagues (Terzi et al., 2024). The scale is onedimensional and in Likert format, with responses ranging from '1=very difficult, 2=difficult, 3=easy, 4=very easy, 99=don't know.' The total score is calculated as a percentage by dividing the number of questions answered as 'easy' or 'very easy' by the number of valid responses and multiplying by 100. Only responses of '1=very difficult, 2=difficult, 3=easy, 4=very easy' are considered valid and included in score calculation. In the validity and reliability study of the scale, the Cronbach's alpha coefficient was found to be 0.886 (Terzi et al., 2024).
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