{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:01:22Z","timestamp":1791324082327,"version":"4.3.1"},"reference-count":55,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"vor","delay-in-days":105,"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>Aim<\/jats:title>\n                    <jats:p>To examine the level of technophobia and identify its associated sociodemographic, occupational, and psychosocial factors among registered nurses in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The rapid digital transformation of healthcare systems demands that nurses effectively adopt and use digital technologies. Technophobia\u2014defined as negative emotional reactions toward technology\u2014may impede nurses\u2019 adaptation to technological innovations. However, no study is currently available on technophobia and its associated factors in registered nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A multicenter, cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 1559 registered nurses from two university\u2010affiliated tertiary hospitals in Northeast China were surveyed between September and October 2025. Data were collected using a self\u2010administered questionnaire including sociodemographic factors, occupational factors, the validated Chinese version of the Technophobia Scale, the Multidimensional Scale of Perceived Social Support, and the Athens Insomnia Scale. A generalized linear model was fitted to identify independent predictors of technophobia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The nurses\u2019 median technophobia score was 26.00 (P\n                      <jats:sub>25<\/jats:sub>\n                      \u2013P\n                      <jats:sub>75<\/jats:sub>\n                      : 13.00\u201339.00), indicating a low\u2010to\u2010moderate level overall. The generalized linear model revealed that male gender (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.201), having one child (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.130), living alone (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.091), having a higher perceived workload (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.048), and poorer sleep quality (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.015) were independently associated with greater technophobia. Conversely, higher job satisfaction (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.081) and stronger social support (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.003) were independently associated with lower technophobia; however, the effect size for social support was relatively small, all\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Technophobia among registered nurses in China is at a moderately low level. Interventions targeting modifiable factors\u2014such as workload management, sleep health, job satisfaction, and social support\u2014through structured digital literacy training, peer support mechanisms, and other supportive workplace strategies may help mitigate technophobia and enhance nurses\u2019 readiness for digital transformation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Nurses voluntarily participated in the survey. The findings may indirectly benefit patients through improved nurse engagement with digital health systems and safer, more efficient care delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/9935996","type":"journal-article","created":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T05:50:08Z","timestamp":1776405008000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Technophobia and Its Associated Factors Among Registered Nurses in China: A Cross\u2010Sectional Multicenter Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2985-1919","authenticated-orcid":false,"given":"Xuange","family":"Sun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9075-6076","authenticated-orcid":false,"given":"Xu","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3479-8028","authenticated-orcid":false,"given":"Xiaolin","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5916-0143","authenticated-orcid":false,"given":"Na","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6012-1002","authenticated-orcid":false,"given":"Xiangxiu","family":"Qi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8395-9775","authenticated-orcid":false,"given":"Xiaofei","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,16]]},"reference":[{"key":"e_1_2_14_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103773"},{"key":"e_1_2_14_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13425"},{"key":"e_1_2_14_3_2","article-title":"Accuracy of Diagnostic Codes and Algorithms Used to Identify Rheumatoid Arthritis and Juvenile Idiopathic Arthritis in Administrative Claims and Electronic Health Records: Systematic Review and Meta\u2010Analysis","author":"Saka\u2010Herr\u00e1n C.","year":"2025","journal-title":"Arthritis Care & Research"},{"key":"e_1_2_14_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-23670-8"},{"key":"e_1_2_14_5_2","unstructured":"Chima Survey Report on the Informationization Status of Chinese Hospitals in 2023-2024 2025 https:\/\/www.chima.org.cn\/Html\/News\/Articles\/17294.html."},{"key":"e_1_2_14_6_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2025.1635682"},{"key":"e_1_2_14_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-018-0893-1"},{"key":"e_1_2_14_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12929-025-01131-z"},{"key":"e_1_2_14_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-025-03713-6"},{"key":"e_1_2_14_10_2","doi-asserted-by":"publisher","DOI":"10.1080\/00185868.2018.1488545"},{"key":"e_1_2_14_11_2","article-title":"Nurse Informaticians Report Low Satisfaction and multi-level Concerns with Electronic Health Records: Results from an International Survey","author":"Topaz M.","year":"2017","journal-title":"Paper presented at the AMIA Annual Symposium Proceedings"},{"key":"e_1_2_14_12_2","doi-asserted-by":"publisher","DOI":"10.2196\/15630"},{"key":"e_1_2_14_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.techsoc.2018.03.008"},{"key":"e_1_2_14_14_2","doi-asserted-by":"publisher","DOI":"10.18502\/ijph.v54i1.17575"},{"key":"e_1_2_14_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-093107"},{"key":"e_1_2_14_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s44217-025-00864-1"},{"key":"e_1_2_14_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-025-06304-x"},{"key":"e_1_2_14_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103667"},{"key":"e_1_2_14_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0747-5632(99)00050-3"},{"key":"e_1_2_14_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/10447318.2022.2085398"},{"key":"e_1_2_14_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40299-023-00780-8"},{"key":"e_1_2_14_22_2","article-title":"Strengthening the Nursing and Midwifery Agenda Globally","author":"Organization W. 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