Evidence map›Paper›PMID 42310935›Full record

ArticleJournal of nursing management2026

Network Architecture of Digital Leadership: Identifying Affective Commitment Bridges and Intervention Leverage Points Among Chinese Nursing Managers.

Wenyu Yue, Yixin Chen, Xiaoqin Ma

Abstract read
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Wenyu YueSchool of Nursing, Zhejiang Chinese Medical University, No. 548 Binwen Road Binjiang District, Hangzhou, 310053, China, zcmu.edu.cn.ORCID https://orcid.org/0009-0006-3048-3623
Yixin ChenSchool of Nursing, Zhejiang Chinese Medical University, No. 548 Binwen Road Binjiang District, Hangzhou, 310053, China, zcmu.edu.cn.
Xiaoqin MaSchool of Nursing, Zhejiang Chinese Medical University, No. 548 Binwen Road Binjiang District, Hangzhou, 310053, China, zcmu.edu.cn.ORCID https://orcid.org/0009-0004-8623-4023

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital transformation in healthcare frequently underperforms because organizations treat it as technical installation rather than sociotechnical redesign, underinvesting in the human-centered psychological dimensions of change leadership among nursing managers. Prior research has predominantly employed linear, variable-centered models that obscure conditional interdependencies among leadership, commitment, and innovation constructs, leaving the network architecture through which these factors jointly configure transformation readiness largely unmapped.

objectiveTo examine the network structure linking digital leadership, commitment to change, and creative self-efficacy among Chinese nursing managers and identify intervention leverage points for human-centered digital transformation. SETTINGS: Hospitals across multiple Chinese provinces.

methodsCross-sectional network analysis of 2764 nursing managers using validated instruments. Network analysis was selected over conventional regression-based approaches for its capacity to model simultaneous conditional dependencies without imposing a priori directional assumptions. Gaussian graphical models with regularized partial correlations identified conditional dependencies. Centrality metrics and bridge analysis determined node importance and cross-domain connections. Bootstrap procedures assessed stability and parameter accuracy.

resultsAffective commitment exhibited highest expected influence and was identified as the principal psychological bridge linking leadership to innovation. Continuance commitment showed negative expected influence, suggesting an association with inhibitory network patterns. Positive attitude and track record demonstrated strongest bridge connections from leadership to commitment domains, surpassing technical competencies. Network stability analyses confirmed robust interpretability.

conclusionsHuman-centered digital transformation effectiveness appears associated with cultivating authentic affective commitment rather than compliance-driven engagement. Organizations should prioritize emotion-focused leadership development, eliminate coercive change strategies, and select champions based on optimistic orientation and credible success records as approaches that may support innovation capacity.

Indexed as

LeadershipNurse AdministratorsAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPsychometricsSurveys and QuestionnairesadministratorsChinacreativitydigital technologyleadershipnetwork analysisnursespsychometric network modeling

Identifiers

PMID42310935
PMCPMC13276003

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.