Investigating How Digital Competency Mediates the Relationship between Administrative Competencies and Professionalism among Nurse Managers

Abstract

Background: Digital transformation in healthcare is reshaping the managerial role of nurse leaders. Beyond traditional administrative competencies, digital competency has emerged as an essential determinant of professional behavior, influencing leadership effectiveness and the quality of care. However, little is known about its mediating role between administrative skills and professionalism. Aim: To examine whether digital competency mediates the relationship between administrative competencies and professionalism among nurse managers in governmental hospitals. Methods: A descriptive, cross‐sectional correlational design was used. The study was conducted in three governmental hospitals in Aswan Governorate, Egypt, with a convenience sample of 120 head nurses. Data were collected using three validated tools: the Digital Competence Scale, the Administrative Competence Scale, and the Nurses’ Professionalism Inventory. Statistical analysis included Pearson’s correlation and Hayes’ PROCESS macro (Model 4) with 5,000 bootstrap samples to assess mediation effects. Results: Nurse Managers reported moderate digital competency (46.7%), high administrative competency (39.2%), and high professionalism (52.5%). Significant positive correlations were observed among all three variables. Mediation analysis confirmed that administrative competencies directly predicted professionalism (β = .345, p < .001) and indirectly influenced it through digital competency (β = .154, p < .01), indicating partial mediation. Conclusion: Administrative competencies significantly influence professionalism among nurse managers, and digital competency strengthens this relationship, confirming its central role in modern nursing leadership. Implications for Nursing and Health Policy: Policymakers should integrate digital competency development into leadership training frameworks for nurse managers. Embedding digital literacy and leadership skills within professional standards and continuing education policies will improve managerial effectiveness, enhance nursing professionalism, and contribute to higher quality patient care and organizational outcomes.