Current trends and future implications in the utilization of ChatGPT in nursing: A rapid review

Manal Kleib , Elizabeth Mirekuwaa Darko , Oluwadamilare Akingbade , Megan Kennedy , Precious Majekodunmi , Emma Nickel , Laura Vogelsang
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Abstract

Background

The past decade has witnessed a surge in the development of artificial intelligence (AI)-based technology systems for healthcare. Launched in November 2022, ChatGPT (Generative Pre-trained Transformer), an AI-based Chatbot, is being utilized in nursing education, research and practice. However, little is known about its pattern of usage, which prompted this study.

Objective

To provide a concise overview of the existing literature on the application of ChatGPT in nursing education, practice and research.

Methods

A rapid review based on the Cochrane methodology was applied to synthesize existing literature. We conducted systematic searches in several databases, including CINAHL, Ovid Medline, Embase, Web of Science, Scopus, Education Search Complete, ERIC, and Cochrane CENTRAL, to ensure no publications were missed. All types of primary and secondary research studies, including qualitative, quantitative, mixed methods, and literature reviews published in the English language focused on the use of ChatGPT in nursing education, research, and practice, were included. Dissertations or theses, conference proceedings, government and other organizational reports, white papers, discussion papers, opinion pieces, editorials, commentaries, and published review protocols were excluded. Studies involving other healthcare professionals and/or students without including nursing participants were excluded. Studies exploring other language models without comparison to ChatGPT and those examining the technical specifications of ChatGPT were excluded. Data screening was completed in two stages: titles and abstract and full-text review, followed by data extraction and quality appraisal. Descriptive analysis and narrative synthesis were applied to summarize and categorize the findings.

Results

Seventeen studies were included: 15 (88.2 %) focused on nursing education and one each on nursing practice and research. Of the 17 included studies, 5 (29.4 %) were evaluation studies, 3 (17.6 %) were narrative reviews, 3 (17.6 %) were cross-sectional studies, 2 (11.8 %) were descriptive studies, and 1 (5.9 %) was a randomized controlled trial, quasi-experimental study, case study, and qualitative study, respectively.

Conclusion

This study has provided a snapshot of ChatGPT usage in nursing education, research, and practice. Although evidence is inconclusive, integration of ChatGPT should consider addressing ethical concerns and ongoing education on ChatGPT usage. Further research, specifically interventional studies, is recommended to ascertain and track the impact of ChatGPT in different contexts.
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在护理工作中使用 ChatGPT 的当前趋势和未来影响:快速回顾
背景在过去的十年中,基于人工智能(AI)的医疗保健技术系统得到了迅猛发展。基于人工智能的聊天机器人 ChatGPT(预训练生成器)于 2022 年 11 月推出,目前正被用于护理教育、研究和实践中。目标简要概述有关 ChatGPT 在护理教育、实践和研究中的应用的现有文献。方法采用基于 Cochrane 方法的快速综述来归纳现有文献。我们在多个数据库中进行了系统检索,包括 CINAHL、Ovid Medline、Embase、Web of Science、Scopus、Education Search Complete、ERIC 和 Cochrane CENTRAL,以确保不遗漏任何出版物。所有类型的初级和中级研究,包括定性、定量、混合方法和文献综述,均以英文发表,内容侧重于 ChatGPT 在护理教育、研究和实践中的应用。论文或论著、会议论文集、政府和其他组织报告、白皮书、讨论稿、观点文章、社论、评论以及已发表的综述协议均不包括在内。不包括涉及其他医护人员和/或学生但不包括护理人员的研究。排除了未与 ChatGPT 进行比较的其他语言模型探索研究,以及对 ChatGPT 技术规格进行研究的研究。数据筛选分两个阶段完成:标题和摘要以及全文审阅,然后进行数据提取和质量评估。结果共纳入 17 项研究:其中 15 项(88.2%)侧重于护理教育,护理实践和研究各一项。在纳入的 17 项研究中,5 项(29.4%)为评估研究,3 项(17.6%)为叙事综述,3 项(17.6%)为横断面研究,2 项(11.8%)为描述性研究,1 项(5.9%)分别为随机对照试验、准实验研究、案例研究和定性研究。尽管证据尚无定论,但整合 ChatGPT 时应考虑解决伦理问题,并持续开展有关 ChatGPT 使用的教育。建议开展进一步研究,特别是干预性研究,以确定和跟踪 ChatGPT 在不同情况下的影响。
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来源期刊
CiteScore
5.80
自引率
0.00%
发文量
45
审稿时长
81 days
期刊最新文献
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