Feature ArticlesThe COMFORT Communication Model A Nursing Resource to Advance Health Literacy in OrganizationsGoldsmith, Joy V. PhD; Wittenberg, Elaine PhD; Parnell, Terri Ann DNP, MA, RN, FAANAuthor Information Joy V. Goldsmith, PhD, is professor, Health Communication, University of Memphis. Elaine Wittenberg, PhD, is associate professor, Department of Communication Studies, California State University, Los Angeles. Terri Ann Parnell, DNP, MA, RN, FAAN, is principal and founder, Health Literacy Partners, LLC, Garden City, New York. Address correspondence to Joy V. Goldsmith, PhD, Health Communication, University of Memphis, Art and Communication Building, Room 235, Memphis, TN 38152 (firstname.lastname@example.org). This article is informed by Communication in Palliative Nursing: The COMFORT Model (Wittenberg, Goldsmith, Ragan, and Parnell, Oxford University Press). This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. The authors have no conflicts of interest to disclose. Journal of Hospice & Palliative Nursing: June 2020 - Volume 22 - Issue 3 - p 229-237 doi: 10.1097/NJH.0000000000000647 Buy Metrics Abstract The COMFORT Model has recently been revised based on feedback from bedside nurses working in palliative care and oncology and includes the following components: Connect, Options, Making Meaning, Family Caregiver, Openings, Relating, and Team. Based on clinical and nonclinical research in hospital, hospice, palliative care, and interdisciplinary education settings, the authors present the updated COMFORT Model. Originally introduced in 2012 to support the work of the nurse, the model is not a linear guide, an algorithm, a protocol, or a rubric for sequential implementation by nurses, but rather a set of communication principles that are practiced concurrently and reflectively during patient/family care. In its restructuring, we focus on the role of health literacy throughout the COMFORT components in relationship to the health literacy attributes of a health care organization. A brief summary of COMFORT components is provided and includes strategies and competencies contributing to a health-literate care organization. Both health literacy and COMFORT are explored using specific communication challenges that underscore the role of the nurse in accomplishing person-centered and culturally responsive care, especially in chronic and terminal illness. The integration of the COMFORT Model into nursing education is proposed. Copyright © 2020 by The Hospice and Palliative Nurses Association. All rights reserved.