期刊
INTERNATIONAL JOURNAL OF NURSING STUDIES
卷 127, 期 -, 页码 -出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.ijnurstu.2021.104153
关键词
AI; Artificial intelligence; Nursing; Nursing informatics; Scoping review
类别
资金
- Finnish Nursing Education Foundation
- Academy of Finland [315376]
- Brocher Fondation
- National Institute for Nursing Research training grant Reducing Health Disparities through Informatics (RHeaDI) [T32NR007969]
- Academy of Finland (AKA) [315376, 315376] Funding Source: Academy of Finland (AKA)
Research on artificial intelligence-based technologies in healthcare has increased, but there are concerns about data bias and potential implications for certain populations when introducing these technologies into nursing. The existing studies mainly focus on the early stages of technology development, with limited evidence on the impact and implementation of these technologies in practice. Guidelines for research reporting and implementing artificial intelligence-based technologies in nursing are needed, as well as integrating basic knowledge of these technologies into nursing education and increasing the involvement of nurses in the technology research and development process.
Background: Research on technologies based on artificial intelligence in healthcare has increased during the last decade, with applications showing great potential in assisting and improving care. However, in-troducing these technologies into nursing can raise concerns related to data bias in the context of training algorithms and potential implications for certain populations. Little evidence exists in the extant litera-ture regarding the efficacious application of many artificial intelligence-based health technologies used in healthcare. Objectives: To synthesize currently available state-of the-art research in artificial intelligence-based tech-nologies applied in nursing practice.Design: Scoping reviewMethods: PubMed, CINAHL, Web of Science and IEEE Xplore were searched for relevant articles with queries that combine names and terms related to nursing, artificial intelligence and machine learning methods. Included studies focused on developing or validating artificial intelligence-based technologies with a clear description of their impacts on nursing. We excluded non-experimental studies and research targeted at robotics, nursing management and technologies used in nursing research and education.Results: A total of 7610 articles published between January 2010 and March 2021 were revealed, with 93 articles included in this review. Most studies explored the technology development ( n = 55, 59.1%) and formation (testing) ( n = 28, 30.1%) phases, followed by implementation ( n = 9, 9.7%) and operational ( n = 1, 1.1%) phases. The vast majority (73.1%) of studies provided evidence with a descriptive design (level VI) while only a small portion (4.3%) were randomised controlled trials (level II). The study aims, settings and methods were poorly described in the articles, and discussion of ethical considerations were lacking in 36.6% of studies. Additionally, one-third of papers (33.3%) were reported without the involve-ment of nurses. Conclusions: Contemporary research on applications of artificial intelligence-based technologies in nursing mainly cover the earlier stages of technology development, leaving scarce evidence of the impact of these technologies and implementation aspects into practice. The content of research reported is varied. Therefore, guidelines on research reporting and implementing artificial intelligence-based technologies in nursing are needed. Furthermore, integrating basic knowledge of artificial intelligence-related technologies and their applications in nursing education is imperative, and interventions to increase the inclusion of nurses throughout the technology research and development process is needed.(c) 2021 The Author. Published by Elsevier Ltd. This is an open access article under the CC BY license ( http://creativecommons.org/licenses/by/4.0/ )
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