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The findings are relevant for a clinical practice that promotes a more family-centred approach to allowing FPDR. Creating policy and providing FPDR education for HCPs based on evidence provide more consistency in clinical practice and help to eliminate the moral distress experienced by clinical nurses forced to make difficult decisions during a stressful event.

Background E-Delphi is a way to access a geographically dispersed group of experts. It is similar to other Delphi methods but conducted online. E-research methodologies, such as the e-Delphi method, have yet to undergo significant critical discussion. Aim To highlight some of the challenges nurse researchers may wish to consider when using e-Delphi in their research. Discussion This paper provides details about the author's approach to conducting an e-Delphi study in which a group of health literacy nurse experts (n=41) used an online survey platform to identify and prioritise essential health literacy competencies for registered nurses. Conclusion This paper advances methodological discourse about e-Delphi by critically assessing an e-Delphi case study. The online survey platform used in this study was advantageous for the researcher and the experts: the experts could participate at any time and place where the internet was available; the researcher could efficiently access a national group of experts, track responses and analyse data in each round. Implications for practice E-Delphi studies create opportunities for nurse researchers to conduct research nationally and internationally. Before conducting an e-Delphi study, researchers should carefully consider the design and methods for collecting data, to avoid challenges that could potentially compromise the quality of the findings. Researchers are encouraged to publish details about their approaches to e-Delphi studies, to advance the state of the science.

Background: Most Americans lack the health literacy skills to function in today's health care environment. The Institute of Medicine's Health Literacy: A Prescription to End Confusion report recommended that health professionals be trained to effectively communicate with patients with low health literacy. Method: An integrative review was conducted, using six electronic databases: CINAHL, ERIC, MEDLINE, PsycINFO, SocINDEX, and Web of Science. Results: Nine articles met the inclusion criteria. Educational interventions include multimodal approaches using didactic content, followed by active learning strategies. Evaluative methods in the classroom were used in all studies; however, only one study assessed students' health literacy skills. Conclusion: Findings support research efforts that (a) clarify where health literacy should be taught, (b) target the assessment of students' health literacy skills, (c) perform rigorous psychometric testing of evaluative instruments used, and (d) create interprofessional learning opportunities. [ J Nurs Educ. 2015;54(12):669–676.]

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