The impact of digital literacy on digital resilience among nursing interns: the mediating role of self-efficacy

Objective: This study aimed to investigate the current status of digital resilience among nursing interns, analyze its relationship with digital literacy and self-efficacy, and examine the mediating role of self-efficacy between digital literacy and digital resilience. Methods: A cross-sectional study was conducted from August to November 2025 using convenience sampling. A total of 823 nursing interns from eight tertiary Grade A hospitals in China were surveyed using the Digital Resilience Scale for Undergraduate Nursing Students, the Medical Students' Digital Literacy Scale, and the General Self-Efficacy Scale. Results: < 0.01). Self-efficacy partially mediated the relationship between digital literacy and digital resilience, accounting for 19.10% of the total effect. Conclusion: Digital resilience among nursing interns is moderate with room for improvement. Digital literacy and self-efficacy are significant predictors of digital resilience, with self-efficacy playing a mediating role. These findings suggest that nursing education should integrate digital competency development with psychological empowerment strategies to enhance interns' adaptability in digital healthcare environments.