{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T05:56:41Z","timestamp":1790575001637,"version":"4.1.0"},"reference-count":81,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"vor","delay-in-days":269,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Artificial intelligence (AI) is increasingly integrated into health care; however, how nurses\u2019 attitudes toward AI and creative self\u2010efficacy are associated with perceived clinical competence within different organizational contexts remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine whether perceived climate for innovation statistically mediates the association between nurses\u2019 attitudes toward AI and perceived clinical competence and moderates the association between creative self\u2010efficacy and perceived clinical competence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included 233 nurses recruited online by convenience sampling from hospitals in T\u00fcrkiye between January and March 2026. Self\u2010report measures assessed attitudes toward AI, creative self\u2010efficacy, perceived climate for innovation, and perceived clinical competence. Pearson correlations and PROCESS Models 4 and 1 with 5000 bootstrap samples tested statistical mediation and moderation. Adjusted analyses included age, gender, previous AI\u2010related training and AI use, educational level, professional experience, and institution type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Attitudes toward AI were indirectly associated with perceived clinical competence through perceived climate for innovation; the adjusted indirect association remained significant (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20090.0700, SE\u2009=\u20090.0333, 95% CI [0.0173, 0.1453]), consistent with partial statistical mediation. Perceived climate for innovation also moderated the association between creative self\u2010efficacy and perceived clinical competence after adjustment (interaction\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u2009\u22120.1672, SE\u2009=\u20090.0447, 95% CI [\u22120.2552, \u22120.0792]). This positive association became weaker as perceived climate for innovation increased.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Attitudes toward AI, creative self\u2010efficacy, perceived climate for innovation, and perceived clinical competence were significantly associated, and the statistical mediation and moderation patterns remained after adjustment. The cross\u2010sectional, self\u2010report data do not establish temporal or causal mechanisms or effects on objectively measured clinical performance or patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>Nurse managers may consider supporting AI literacy, safe AI use, team\u2010based learning, and innovation\u2010supportive work environments. These strategies should be evaluated prospectively using objective clinical and patient outcomes before their effectiveness is inferred.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/1528189","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T05:28:35Z","timestamp":1790573315000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Mediating and Moderating Roles of Innovation Climate in the Relationship Between Nurses\u2019 Attitudes Toward Artificial Intelligence, Creative Self\u2010Efficacy, and Clinical Competence"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4526-4619","authenticated-orcid":false,"given":"Ozge","family":"Karakaya 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