Objective To understand the attitudes of hospital nursing managers toward implementation of telenursing and the barriers in China, so as to provide reference for developing measures to advance telenursing. Methods Eighty-six nursing managers from 86 secondary or tertiary hospitals in 11 provinces in China were invited to fill out a self-designed questionnaire regarding their sociodemographic data, attitudes toward telenursing and the barriers. Results Their attitudes toward implementation of telenursing scored 3.87±0.71, which were affected by the hospital location and their professional title （P＜ 0.05 for both）.Barriers to implementing telenursing scored 3.84±0.62, with the highest score in the organization related domain （4.20±0.91） and the lowest score in the nurses′ work and operation domain （3.65±0.81）. Conclusion Nursing managers have a positive attitude towards implementation of telenursing, and their attitudes may be affected by their professional title and the location of the hospital.Organizational and technical factors may hinder the development of telenursing. Relevant administrative departments should actively respond to, solve problems, and take measures to promote the development of telenursing in China.