Aligned and discordant profiles of nursing informatics competency and information-security attitudes among clinical nurses: a single-centre study in China.
- 1Department of Gastroenterology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
- 2School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Abstract
Secure digital nursing practice requires both nursing informatics competency and favourable information-security attitudes, yet these domains may not develop in parallel within individual nurses. This study aimed to identify joint profiles of nursing informatics competency and information-security attitudes among clinical nurses, examine characteristics associated with profile membership, and compare nurse-perceived nurse-patient relationship quality across profiles. A single-centre cross-sectional survey was conducted among a convenience sample of 1,149 clinical nurses at a tertiary hospital in China between February and June 2026. Latent profile analysis used nine standardised competency and attitude dimensions. Three-step analyses examined profile correlates and differences in nurse-perceived nurse-patient relationship quality. A complementary configurational analysis examined combinations associated with high and non-high relationship quality. Six competency-attitude profiles were identified, comprising aligned low and high patterns, two contrasting discordant patterns and two mixed patterns. A more favourable perceived hospital ethical climate was consistently associated with the high competency-high attitude profile, which retained the highest adjusted nurse-perceived nurse-patient relationship quality, although between-profile differences were attenuated after adjustment. High competency-high attitude profile membership combined with a favourable perceived hospital ethical climate formed the core configuration associated with high relationship quality. Nursing informatics competency and information-security attitudes do not necessarily develop in parallel. Joint assessment may reveal combinations of strengths and support needs obscured when the domains are considered separately, and these findings may inform more differentiated professional development and workplace support for secure digital nursing practice.
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BibTeX
@article{wang2026aligned,
title = {{Aligned and discordant profiles of nursing informatics competency and information-security attitudes among clinical nurses: a single-centre study in China.}},
author = {Xiwei Wang and Qiongfang Wang and Dongxia Cao},
journal = {Frontiers in medicine},
year = {2026},
month = oct,
doi = {10.3389/fmed.2026.1987978},
url = {https://europepmc.org/article/MED/42952820},
note = {CC BY},
}
RIS
TY - JOUR
TI - Aligned and discordant profiles of nursing informatics competency and information-security attitudes among clinical nurses: a single-centre study in China.
AU - Xiwei Wang
AU - Qiongfang Wang
AU - Dongxia Cao
PY - 2026
DA - 2026/10/14
JO - Frontiers in medicine
DO - 10.3389/fmed.2026.1987978
UR - https://europepmc.org/article/MED/42952820
AB - Secure digital nursing practice requires both nursing informatics competency and favourable information-security attitudes, yet these domains may not develop in parallel within individual nurses. This study aimed to identify joint profiles of nursing informatics competency and information-security attitudes among clinical nurses, examine characteristics associated with profile membership, and compare nurse-perceived nurse-patient relationship quality across profiles. A single-centre cross-sectional survey was conducted among a convenience sample of 1,149 clinical nurses at a tertiary hospital in China between February and June 2026. Latent profile analysis used nine standardised competency and attitude dimensions. Three-step analyses examined profile correlates and differences in nurse-perceived nurse-patient relationship quality. A complementary configurational analysis examined combinations associated with high and non-high relationship quality. Six competency-attitude profiles were identified, comprising aligned low and high patterns, two contrasting discordant patterns and two mixed patterns. A more favourable perceived hospital ethical climate was consistently associated with the high competency-high attitude profile, which retained the highest adjusted nurse-perceived nurse-patient relationship quality, although between-profile differences were attenuated after adjustment. High competency-high attitude profile membership combined with a favourable perceived hospital ethical climate formed the core configuration associated with high relationship quality. Nursing informatics competency and information-security attitudes do not necessarily develop in parallel. Joint assessment may reveal combinations of strengths and support needs obscured when the domains are considered separately, and these findings may inform more differentiated professional development and workplace support for secure digital nursing practice.
SN - 2296-858X
ER -