{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T06:02:51Z","timestamp":1785132171331,"version":"3.55.0"},"reference-count":50,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"vor","delay-in-days":206,"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"}],"funder":[{"DOI":"10.13039\/100012542","name":"Sichuan Province Science and Technology Support Program","doi-asserted-by":"publisher","award":["2025ZNSFSC0676"],"award-info":[{"award-number":["2025ZNSFSC0676"]}],"id":[{"id":"10.13039\/100012542","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019971","name":"Luzhou Science and Technology Bureau","doi-asserted-by":"publisher","award":["2025JYJ070"],"award-info":[{"award-number":["2025JYJ070"]}],"id":[{"id":"10.13039\/501100019971","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100015375","name":"Affiliated Hospital of Southwest Medical University","doi-asserted-by":"publisher","award":["25050"],"award-info":[{"award-number":["25050"]}],"id":[{"id":"10.13039\/501100015375","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014895","name":"Southwest Medical University","doi-asserted-by":"publisher","award":["2025JC012"],"award-info":[{"award-number":["2025JC012"]}],"id":[{"id":"10.13039\/501100014895","id-type":"DOI","asserted-by":"publisher"}]}],"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>The leadership of nurse managers critically influences the development of nursing teams and advancement of healthcare institutions. However, no validated instrument exists to assess integral leadership among Chinese nurse managers. Recently, the Integral Nursing Leadership Scale (INLS) has been developed and applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To translate the INLS into Chinese, validate the psychometric properties of the Chinese version (CV\u2010INLS), and explore clinical nurses\u2019 evaluations of integral nursing leadership among nurse managers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The INLS was translated into Chinese according to Brislin guidelines. A convenience sample of 662 nurses completed the 30\u2010item CV\u2010INLS. The psychometric properties of CV\u2010INLS, including structural validity and reliability, were evaluated following COSMIN guidelines. The validated CV\u2010INLS was subsequently used to assess clinical nurses\u2019 perceptions of integral nursing leadership among Chinese nurse managers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091, 023).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The content validity (I\u2010CVI\u2009=\u20090.929\u20131.000, S\u2010CVI\/AVE\u2009=\u20090.993) of the CV\u2010INLS was satisfactory. Structural validity supported the four\u2010factor model with an acceptable model fit in the confirmatory factor analysis (CFI\u2009=\u20090.973, TLI\u2009=\u20090.970, RMSEA\u2009=\u20090.069, SRMR\u2009=\u20090.050). Multigroup CFA supported measurement invariance across age and education groups (configural, metric, and scalar\/threshold invariance). Construct validity was supported by evidence of convergent and discriminant validity. In addition, excellent reliability was shown with an ordinal\n                      <jats:italic>\u03b1<\/jats:italic>\n                      of 0.942,\n                      <jats:italic>\u03c9<\/jats:italic>\n                      of 0.943, and an ICC of 0.987. In the validation sample, the clinical nurses\u2019 evaluations of nursing managers indicated moderately high leadership levels, with an overall CV\u2010INLS total score of 118.04\u2009\u00b1\u200929.69. Perceived integral nursing leadership levels were associated with age (30\u201339\u2009years), educational level (bachelor\u2019s degree or higher), years of experience (10\u2009years or more), and working in an ICU setting.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The CV\u2010INLS showed strong psychometric properties and can be used to assess perceived integral nursing leadership among nurse managers. Perceived integral nursing leadership was moderately high among nurses in the surveyed tertiary hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing Management<\/jats:title>\n                    <jats:p>The CV\u2010INLS may provide useful insights into perceived integral nursing leadership among nurse managers and inform leadership development in tertiary hospital settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/3672064","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T05:56:05Z","timestamp":1785131765000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Validation and Application of the Chinese Integral Nursing Leadership Scale Among Clinical Nurses"],"prefix":"10.1155","volume":"2026","author":[{"given":"Jingjing","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenyi","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyu","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingli","family":"Hou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yixuan","family":"Dai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nixi","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6874-4714","authenticated-orcid":false,"given":"Jihui","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9875-5910","authenticated-orcid":false,"given":"Congxia","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,26]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2024.12.010"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/inr.12546"},{"key":"e_1_2_14_3_2","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/3040594"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13321"},{"key":"e_1_2_14_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14805"},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103842"},{"key":"e_1_2_14_7_2","volume-title":"National Nursing Career Development Plan (2021-2025)","author":"Commission N. H. a W.","year":"2022"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18041552"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/9626175"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.5539\/ibr.v11n9p51"},{"key":"e_1_2_14_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.04.016"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.104697"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1108\/01437730010379249"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.explore.2005.04.016"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/4342698"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04242.x"},{"key":"e_1_2_14_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-014-0752-2"},{"key":"e_1_2_14_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03113-w"},{"key":"e_1_2_14_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13628"},{"key":"e_1_2_14_20_2","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/8458533"},{"key":"e_1_2_14_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20199"},{"key":"e_1_2_14_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0013164405282485"},{"key":"e_1_2_14_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/00273171.2022.2163476"},{"key":"e_1_2_14_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-021-01148-x"},{"key":"e_1_2_14_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10490-023-09871-y"},{"key":"e_1_2_14_26_2","doi-asserted-by":"publisher","DOI":"10.1037\/met0000144"},{"key":"e_1_2_14_27_2","doi-asserted-by":"publisher","DOI":"10.22237\/jmasm\/1177992180"},{"key":"e_1_2_14_28_2","doi-asserted-by":"publisher","DOI":"10.6018\/analesps.30.3.199361"},{"key":"e_1_2_14_29_2","first-page":"649","article-title":"Psychometric Properties in Instruments Evaluation of Reliability and Validity","volume":"26","author":"Souza A. C.","year":"2017","journal-title":"Epidemiol Serv Saude"},{"key":"e_1_2_14_30_2","doi-asserted-by":"publisher","DOI":"10.2196\/67948"},{"key":"e_1_2_14_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/002224378101800104"},{"key":"e_1_2_14_32_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13362"},{"key":"e_1_2_14_33_2","first-page":"1533","article-title":"Forecasting Future Demand of Nursing Staff for the Oldest-Old in China by 2025 Based on Markov Model","volume":"11","author":"Zhang L.","year":"2022","journal-title":"International Journal of Health Policy and Management"},{"key":"e_1_2_14_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-017-0237-9"},{"key":"e_1_2_14_35_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13488"},{"key":"e_1_2_14_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2024.104828"},{"key":"e_1_2_14_37_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13304"},{"key":"e_1_2_14_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.leaqua.2010.01.009"},{"key":"e_1_2_14_39_2","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12587"},{"key":"e_1_2_14_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/23743735221079144"},{"key":"e_1_2_14_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.03.012"},{"key":"e_1_2_14_42_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-18908-9"},{"key":"e_1_2_14_43_2","article-title":"Best Practices in Exploratory Factor Analysis: Four Recommendations for Getting the Most From Your Analysis","author":"Costello A. B.","year":"2005","journal-title":"Practical Assessment, Research and Evaluation"},{"key":"e_1_2_14_44_2","doi-asserted-by":"publisher","DOI":"10.1037\/a0029315"},{"key":"e_1_2_14_45_2","doi-asserted-by":"publisher","DOI":"10.1080\/10705510701301834"},{"key":"e_1_2_14_46_2","doi-asserted-by":"publisher","DOI":"10.5116\/ijme.4dfb.8dfd"},{"key":"e_1_2_14_47_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13393"},{"key":"e_1_2_14_48_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1104853"},{"key":"e_1_2_14_49_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.leaqua.2017.06.002"},{"key":"e_1_2_14_50_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1048-9843(96)90003-x"}],"container-title":["Journal of Nursing Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/3672064","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/jonm\/3672064","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/3672064","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T05:56:08Z","timestamp":1785131768000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/jonm\/3672064"}},"subtitle":[],"editor":[{"given":"Justin","family":"Fontenot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":50,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/jonm\/3672064"],"URL":"https:\/\/doi.org\/10.1155\/jonm\/3672064","archive":["Portico"],"relation":{},"ISSN":["0966-0429","1365-2834"],"issn-type":[{"value":"0966-0429","type":"print"},{"value":"1365-2834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-06-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"3672064"}}