Citation: Nock, A.M.; Metzing, S.; Jürgensen, I.-N.; Petersen-Ewert, C. Health Literacy in Adults with Chronic Diseases in the Context of Community Health Nursing: A Scoping Review. Nurs. Rep. 2023, 13, 823–834. https://doi.org/10.3390/ nursrep13020072 Academic Editor: Mellisa A. Hall Received: 7 February 2023 Revised: 11 May 2023 Accepted: 17 May 2023 Published: 24 May 2023 Copyright: © 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). Review Health Literacy in Adults with Chronic Diseases in the Context of Community Health Nursing: A Scoping Review Annike Morgane Nock 1,2, * , Sabine Metzing 2 , Ivonne-Nadine Jürgensen 1 and Corinna Petersen-Ewert 1 1 Department of Nursing and Management, Faculty of Business and Social Science, University of Applied Sciences Hamburg, 20099 Hamburg, Germany 2 School of Nursing Science, Faculty of Health, Witten/Herdecke University, 58455 Witten, Germany * Correspondence: annike.nock@uni-wh.de Abstract: Background: Health literacy was identified as a main determinant in self-care of chronic diseases. This results in responsibilities for health professionals for daily practice. For primary care setting, special requirements arise due to the heterogeneity of communities. The objective of this scoping review was to explore and map the scope of the research material on strategies led by community health nurses to improve health literacy in (patients with) chronic diseases. This review aimed to identify gaps in the literature and existing approaches on promoting health literacy by community nurse practitioners. Methods: The following criteria were included for the research: Adults with chronic diseases, health literacy, community health nursing and primary healthcare. All types of searches for studies from 1970 to present were carried out in electronic databases and in a Google and a Google Scholar search. The search procedure is presented in a flow chart. Results: From all reviewed studies, nine records were included in the review. Findings with regard to the increase in health literacy in self-management of chronically ill patients were identified. Conclusion: Studies focusing on specific demands with regard to the role of community health nurses need to be carried out in depth. Keywords: health literacy; chronic disease; community health nursing; health literacy strategies; primary healthcare 1. Introduction In the midst of the global crises and an epidemiological change, the world is currently experiencing the value of health-related communication in a particular way. The ability to find, understand, navigate, explain and to apply health information intensified in individuals and populations. This can be observed in dealing with acute events, such as the COVID-19 pandemic [1], when rapid awareness of relevant information is important [2]. However, notably, it seems fairly relevant in coping with long-term conditions that require the comprehension of complex information [3]. Studies report higher needs for consumer’s understanding in the context of chronic illness [4,5]. With the increased number of options in today’s world, new challenges arise for individuals in order to make well informed decisions for themselves and for their rela- tives. The worth of personal expertise became more essential; for instance, to identify misinformation due to the increasing quantity of information (“infodemic”) in social and mass media [6]. Hence, the availability of quickly comprehensible information is gaining importance, especially in places where people spend their time, such as social media chan- nels (TikTok ® ). Consequently, the concept of health literacy received quite an attention since the pandemic [2] and the increased burden of chronic disease [7]. For researchers, responsibilities of healthcare organizations to provide information and targeting personal competencies are of growing interest in this context. Nurs. Rep. 2023, 13, 823–834. https://doi.org/10.3390/nursrep13020072 https://www.mdpi.com/journal/nursrep