Evidence map›Paper›PMID 41947395›Full record

ArticleJournal of nursing management2026

The Mediating Effect of Innovation Self-Efficacy and Organizational Innovation Atmosphere on Digital Leadership and Green Creativity of Clinical Nurses: A Cross-Sectional Study.

Yu Han, Yanmei Wang, Yan Liu, Zezhou Wang, Xue Dong, Xiaoxuan Zhao, Xinyu Liu, Kui Fang

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yu HanDepartment of Humanistic Nursing, School of Nursing, China Medical University, No.77 Puhe Road Shenyang North New Area, Shenyang, 110122, Liaoning, China, cmu.edu.tw.ORCID https://orcid.org/0009-0005-8262-1269
Yanmei WangDepartment of Humanistic Nursing, School of Nursing, China Medical University, No.77 Puhe Road Shenyang North New Area, Shenyang, 110122, Liaoning, China, cmu.edu.tw.
Yan LiuDepartment of Neurosurgery, The First Affiliated Hospital of China Medical University, Shenyang, China, cmu.edu.cn.
Zezhou WangDepartment of Neurosurgery, The First Affiliated Hospital of China Medical University, Shenyang, China, cmu.edu.cn.
Xue DongDepartment of Neurosurgery, The First Affiliated Hospital of China Medical University, Shenyang, China, cmu.edu.cn.
Xiaoxuan ZhaoDepartment of Humanistic Nursing, School of Nursing, China Medical University, No.77 Puhe Road Shenyang North New Area, Shenyang, 110122, Liaoning, China, cmu.edu.tw.
Xinyu LiuDepartment of Humanistic Nursing, School of Nursing, China Medical University, No.77 Puhe Road Shenyang North New Area, Shenyang, 110122, Liaoning, China, cmu.edu.tw.
Kui FangDepartment of Neurosurgery, The First Affiliated Hospital of China Medical University, Shenyang, China, cmu.edu.cn.ORCID https://orcid.org/0009-0000-0286-0504

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe healthcare industry is facing trends toward digital transformation and sustainable development. Green creativity, defined as nurses' ability to propose innovative environmental solutions in clinical practice, has become an important driving force for the transformation toward green healthcare. Digital leadership, a leadership approach that utilizes digital technology and information tools to achieve sustainable development, is becoming an important driving force for promoting nurses' green creativity. Exploring the interaction mechanism between the two is crucial for cultivating nurses' green creativity.

methodA cross-sectional study was conducted on 500 clinical nurses from 24 provinces and 4 municipalities in China using convenience sampling. The Digital Leadership Scale, Innovation Self-Efficacy Scale, Nurse Organizational Innovation Climate Scale, and Green Creativity Scale were used to measure clinical nurses' digital leadership, innovation self-efficacy, nurse organizational innovation atmosphere, and green creativity, respectively. Pearson correlation analysis and structural equation modeling (SEM) were used to analyze the relationships among digital leadership, innovation self-efficacy, organizational innovation atmosphere, and green creativity.

resultDigital leadership was found to be a positive predictor of both nurses' innovation self-efficacy and organizational innovation atmosphere, with the latter two being significant positive predictors of nurses' green creativity. Innovative self-efficacy and organizational innovation atmosphere played a significant mediating role in the relationship between digital leadership and green creativity.

conclusionBased on the complex adaptive system, this study reveals that digital leadership significantly promotes nurses' green creativity through the chain-mediated pathway of innovative self-efficacy and organizational innovation atmosphere, which provides a theoretical basis and management strategy for subsequent interventions for nurses' green creativity by nursing managers in order to synergistically improve the quality of nursing care and sustainable development.

Indexed as

CreativityLeadershipNursesOrganizational InnovationSelf EfficacyAdultChinaCross-Sectional StudiesFemaleHumansMaleOrganizational CultureSurveys and Questionnairesdigital leadershipgreen creativityinnovative self-efficacynursing managementorganizational innovation atmospheresustainable development

Identifiers

PMID41947395
PMCPMC13057409

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.