Abstract
This study examined the reading level of patient education materials commonly used by nurses in a local health department, a community health center, and a home health care agency, and it also examined the cultural and ethnically related information included in the content of the selected educational materials. Results showed that a ninth-grade reading level was required for these patient education materials. A commercially developed booklet on parenting skills for teenage parents required the lowest reading level (fifth grade). In contrast, graduate reading level was required for materials dealing with the patient's bill of rights. Culturally sensitive information was found in only 4 of the 47 materials. In the clinical settings in which these materials were used, more than 90 ethnic and cultural groups were served. The materials used to educate these groups failed to recognize cultural beliefs, values, languages, perceptions, and attitudes held by patients and families.

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