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OBJECTIVE Health literacy is a critical determinant of health care outcomes, particularly in pediatric inpatient care, where hospitalists play a pivotal role. However, hospitalists often face challenges in effectively addressing health literacy with patients and caregivers. This study evaluated pediatric hospitalists’ attitudes, practices, perceived effectiveness of commonly used communication techniques, and barriers to health-literate communication. METHODS We conducted a multicenter, cross-sectional survey through the Pediatric Research in Inpatient Settings (PRIS) network from July to September 2024. The survey assessed awareness, communication practices, and barriers to health-literate communication using Likert scales and predefined options. Data were analyzed using descriptive statistics. RESULTS A total of 55 out of 100 (55%) PRIS site leads responded. Among respondents, 67% were unaware of the universal precautions approach for health literacy, although those aware reported using it regularly (72%). All agreed that health literacy is either “extremely important” (67%) or “very important” (33%) in inpatient care. The most-frequently employed communication technique was using simple language (98%). Hospitalists viewed simple language (96%) and teach-back (87%) as the most effective strategies. Time constraints (95%), lack of patient-education materials in languages other than English (89%), and volume and complexity of information to be covered (87%) were identified as major barriers for health-literate communication. CONCLUSIONS Pediatric hospitalists recognize the importance of health literacy, but several barriers impact consistent use of health literacy-informed communication strategies. Future work should examine the impact of organizational health literacy approaches and incorporating additional formal communication training for hospitalists.