This study examined the use of generative artificial intelligence (GAI), factors related to its application, and training expectations among school nurses who enrolled as seed instructors in a GAI training program.
Background
GAI, such as ChatGPT, is reshaping professional environments by simulating human-like interactions. Enhancing user proficiency and reducing the risk of misuse is essential for practical applications.
Methods
This study employed an explanatory sequential mixed-methods design using a purposive sample of 45 school nurses from primary, secondary, and higher education institutions in Taiwan. An online survey assessed attitudes and behaviors related to GAI, followed by six 90-minute focus groups that explored practical use and training needs.
Findings
The survey confirmed the universal adoption of ChatGPT among participants, primarily for information retrieval. Perceived usefulness emerged as a key factor affecting workplace integration. Focus group discussions, guided by quantitative insights, highlighted ChatGPT's role in enhancing work efficiency through personalized educational materials, content creation, and summarization. Concerns included accuracy, ethical risks, and privacy. Participants expected improvements in workflow automation, statistical capabilities, and prompting to optimize AI integration in nursing tasks. However, misaligned expectations regarding automation and statistical capabilities were evident. These findings underscore the need for effective prompting, reliable information retrieval, and targeted AI training to support workplace adoption and critical evaluation.
Conclusion
ChatGPT was mainly used as a GAI tool for health education and content creation. It was valued for its personalized support but raised concerns about accuracy. Perceived usefulness significantly influenced its use, and participants sought training to improve their prompting skills.
Implications for nursing practice and health policy
Future AI training should integrate ethical principles alongside practical applications to minimize misuse, particularly in nursing. Specialized GAI training for nurses should emphasize hands-on application exercises to enhance task-specific efficiency and meet the evolving demands of healthcare.
{"title":"Enhancing Work Efficiency With Generative Artificial Intelligence: Experience and Training Insights From School Nurses Through Focus Groups and Surveys","authors":"Li-Chun Chang, Chun-Hsia Huang, Hsing-Yi Yu, Li-Ling Hung, Hui-Ling Lin, Li-Ling Liao, I-Ju Lai","doi":"10.1111/inr.70076","DOIUrl":"https://doi.org/10.1111/inr.70076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examined the use of generative artificial intelligence (GAI), factors related to its application, and training expectations among school nurses who enrolled as seed instructors in a GAI training program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>GAI, such as ChatGPT, is reshaping professional environments by simulating human-like interactions. Enhancing user proficiency and reducing the risk of misuse is essential for practical applications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed an explanatory sequential mixed-methods design using a purposive sample of 45 school nurses from primary, secondary, and higher education institutions in Taiwan. An online survey assessed attitudes and behaviors related to GAI, followed by six 90-minute focus groups that explored practical use and training needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The survey confirmed the universal adoption of ChatGPT among participants, primarily for information retrieval. Perceived usefulness emerged as a key factor affecting workplace integration. Focus group discussions, guided by quantitative insights, highlighted ChatGPT's role in enhancing work efficiency through personalized educational materials, content creation, and summarization. Concerns included accuracy, ethical risks, and privacy. Participants expected improvements in workflow automation, statistical capabilities, and prompting to optimize AI integration in nursing tasks. However, misaligned expectations regarding automation and statistical capabilities were evident. These findings underscore the need for effective prompting, reliable information retrieval, and targeted AI training to support workplace adoption and critical evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>ChatGPT was mainly used as a GAI tool for health education and content creation. It was valued for its personalized support but raised concerns about accuracy. Perceived usefulness significantly influenced its use, and participants sought training to improve their prompting skills.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice and health policy</h3>\u0000 \u0000 <p>Future AI training should integrate ethical principles alongside practical applications to minimize misuse, particularly in nursing. Specialized GAI training for nurses should emphasize hands-on application exercises to enhance task-specific efficiency and meet the evolving demands of healthcare.</p>\u0000 <","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patients with dementia face challenges in participating in their care, making decisions, and expressing needs, increasing the risk of missed nursing care (MNC).
Aim
To explore the MNC experiences of nurses providing care to patients with dementia.
Method
This phenomenological study involved 13 clinic nurses with at least one year of experience in neurology clinics and care for patients with dementia. Data were collected through semi-structured interviews in May–June 2024. Data were analyzed using reflexive thematic analysis with an inductive approach. The ethical committee approval and institutional permission were obtained to conduct this study. The Consolidated Criteria for Reporting Qualitative Research was followed in reporting this study.
Findings
Study findings were classified into five subthemes under the two main themes: (1) structuring the care process: (i) establishing authentic relationships with patients with dementia and caregivers and (ii) preparation of caregivers as “wild card”; and (2) MNC process: (i) key contributors of MNC, (ii) occurrence of MNC, and (iii) suggestions for prevention of MNC. The nurses identified that they constructed a trust-based relationship between themselves and patients with dementia and their caregivers by providing increased attention, demonstrating patience, and allocating sufficient time for care. Most participants reported facing numerous challenges that led to MNC in the care of patients with dementia, such as feelings of inadequacy, communication gaps, lack of cooperation between caregivers and nurses, and lack of teamwork. Moreover, all nurses reported experiencing MNC in the care of patients with dementia, including leaving the care to caregivers or physicians, ignoring the autonomy of patients with dementia, delaying care, and not maintaining authentic communication.
Conclusion
The challenges nurses encounter in caring for patients with dementia have led them to MNCs.Nurses strive to build trust-based relationships with both patients and caregivers, yet systemic barriers, such as insufficient teamwork, communication challenges, and feelings of professional inadequacy—often compromise care delivery. These findings underscore the urgent need to address the structural and interpersonal dynamics that perpetuate MNC in dementia care settings.
{"title":"Missed Nursing Care in Patients With Dementia: A Qualitative Study","authors":"Aysun Bayram, Aysel Özsaban","doi":"10.1111/inr.70082","DOIUrl":"https://doi.org/10.1111/inr.70082","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Patients with dementia face challenges in participating in their care, making decisions, and expressing needs, increasing the risk of missed nursing care (MNC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the MNC experiences of nurses providing care to patients with dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This phenomenological study involved 13 clinic nurses with at least one year of experience in neurology clinics and care for patients with dementia. Data were collected through semi-structured interviews in May–June 2024. Data were analyzed using reflexive thematic analysis with an inductive approach. The ethical committee approval and institutional permission were obtained to conduct this study. The Consolidated Criteria for Reporting Qualitative Research was followed in reporting this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Study findings were classified into five subthemes under the two main themes: (1) structuring the care process: (i) establishing authentic relationships with patients with dementia and caregivers and (ii) preparation of caregivers as “wild card”; and (2) MNC process: (i) key contributors of MNC, (ii) occurrence of MNC, and (iii) suggestions for prevention of MNC. The nurses identified that they constructed a trust-based relationship between themselves and patients with dementia and their caregivers by providing increased attention, demonstrating patience, and allocating sufficient time for care. Most participants reported facing numerous challenges that led to MNC in the care of patients with dementia, such as feelings of inadequacy, communication gaps, lack of cooperation between caregivers and nurses, and lack of teamwork. Moreover, all nurses reported experiencing MNC in the care of patients with dementia, including leaving the care to caregivers or physicians, ignoring the autonomy of patients with dementia, delaying care, and not maintaining authentic communication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The challenges nurses encounter in caring for patients with dementia have led them to MNCs.Nurses strive to build trust-based relationships with both patients and caregivers, yet systemic barriers, such as insufficient teamwork, communication challenges, and feelings of professional inadequacy—often compromise care delivery. These findings underscore the urgent need to address the structural and interpersonal dynamics that perpetuate MNC in dementia care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 ","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ema Šagátová, Jana Rottková, Hana Padyšáková, Zuzana Slezáková, Dimitrios Paouris
Introduction
Workplace bullying, a widespread phenomenon, significantly impacts interpersonal relationships, mental health, professional performance, and organizational efficiency in healthcare. Defined as repeated behaviors intended to intimidate or degrade, bullying thrives in hierarchical, high-stress environments like hospitals, where nurses face disproportionate risk. Such behaviors harm morale, increase turnover, and jeopardize patient safety through errors and negligence. Understanding its prevalence and contributors is essential for fostering healthier work environments and improving healthcare outcomes.
Methods
This cross-sectional descriptive study followed the STROBE guidelines. A Slovak adaptation of the Negative Act Questionnaire-Revised, developed as part of this study, was administered to nurses, resulting in a final sample of 244 participants. Spearman's correlation and Welch's ANOVA tests analyzed variable relationships using jamovi software.
Results
Nearly one-third of nurses were victims of bullying (32.2%, >45 points), with another third experiencing occasional bullying (32.2%, 33–44 points). The median score per responder was 38 (IQR: 23), with person-related bullying scoring highest (median 19, IQR: 13). Younger nurses with less experience reported higher mobbing levels (p < 0.001). Nurses in frontline roles (operating rooms, intensive care units, and surgical units) experienced significantly more bullying than those in outpatient clinics (p = 0.01). Doctoral degree holders had the lowest mobbing scores (p < 0.001), while nurses in frontline roles reported higher mobbing levels than Ward/Charge Nurses (p < 0.001).
Conclusions
The study highlights a significant correlation between nurses’ experiences of mobbing and factors such as age, experience, education, position, and workplace type. The high incidence of bullying among Slovak nurses requires immediate attention from healthcare leaders.
Implications
To address workplace bullying, healthcare institutions should implement zero-tolerance policies, provide ongoing education in professional conduct, emotional intelligence, and conflict resolution and integrate these topics into nursing curricula. Leadership should model respectful behavior, while mentorship frameworks and resilience training support novice nurses. Finally, accessible reporting systems must ensure a
{"title":"Workplace Mobbing Among Nurses in Slovakia: The Impact of Education, Workplace Type, and Job Position","authors":"Ema Šagátová, Jana Rottková, Hana Padyšáková, Zuzana Slezáková, Dimitrios Paouris","doi":"10.1111/inr.70072","DOIUrl":"https://doi.org/10.1111/inr.70072","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Workplace bullying, a widespread phenomenon, significantly impacts interpersonal relationships, mental health, professional performance, and organizational efficiency in healthcare. Defined as repeated behaviors intended to intimidate or degrade, bullying thrives in hierarchical, high-stress environments like hospitals, where nurses face disproportionate risk. Such behaviors harm morale, increase turnover, and jeopardize patient safety through errors and negligence. Understanding its prevalence and contributors is essential for fostering healthier work environments and improving healthcare outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional descriptive study followed the STROBE guidelines. A Slovak adaptation of the Negative Act Questionnaire-Revised, developed as part of this study, was administered to nurses, resulting in a final sample of 244 participants. Spearman's correlation and Welch's ANOVA tests analyzed variable relationships using jamovi software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nearly one-third of nurses were victims of bullying (32.2%, >45 points), with another third experiencing occasional bullying (32.2%, 33–44 points). The median score per responder was 38 (IQR: 23), with person-related bullying scoring highest (median 19, IQR: 13). Younger nurses with less experience reported higher mobbing levels (<i>p</i> < 0.001). Nurses in frontline roles (operating rooms, intensive care units, and surgical units) experienced significantly more bullying than those in outpatient clinics (<i>p</i> = 0.01). Doctoral degree holders had the lowest mobbing scores (<i>p</i> < 0.001), while nurses in frontline roles reported higher mobbing levels than Ward/Charge Nurses (<i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study highlights a significant correlation between nurses’ experiences of mobbing and factors such as age, experience, education, position, and workplace type. The high incidence of bullying among Slovak nurses requires immediate attention from healthcare leaders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>To address workplace bullying, healthcare institutions should implement zero-tolerance policies, provide ongoing education in professional conduct, emotional intelligence, and conflict resolution and integrate these topics into nursing curricula. Leadership should model respectful behavior, while mentorship frameworks and resilience training support novice nurses. Finally, accessible reporting systems must ensure a","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The integration of artificial intelligence (AI) in nursing practice holds promise for enhancing patient care but is hindered by significant challenges.
Method
This literature reviews synthesized research from 2015 to 2024, examining barriers nurses face in adopting AI technologies. A comprehensive search across multiple databases identified relevant articles, leading to the inclusion of 19 studies for thematic analysis.
Results
The analysis revealed nine key challenges: a lack of training and education, resistance to change, data privacy and security concerns, integration issues with existing systems, high costs, limited access to technology, and regulatory and ethical dilemmas. These interconnected obstacles collectively impact the effective integration of AI in nursing practice.
Discussion
Addressing these challenges is crucial for leveraging AI's full potential to improve patient outcomes. As organizations implement AI solutions, they must prioritize targeted training, infrastructure upgrades, and ethical guidelines to foster an adaptive and compliant nursing workforce.
Conclusion
Proactively navigating these barriers is essential for optimizing AI integration in nursing, ultimately enhancing the quality of care and operational efficiency.
Implications for Nursing and Health Policy
The integration of AI in nursing practice necessitates enhanced training and education to equip nurses with the skills needed for effective use, fostering a culture of adaptability to technological advancements. Additionally, healthcare policies must prioritize investments in robust cybersecurity and clear regulatory frameworks to ensure ethical AI implementation while safeguarding patient data and enhancing care delivery.
{"title":"Navigating Challenges in the Integration of Artificial Intelligence in Nursing Practice: An Integrative Literature Review","authors":"Mohammed Qutishat, Lina Shakman","doi":"10.1111/inr.70077","DOIUrl":"https://doi.org/10.1111/inr.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The integration of artificial intelligence (AI) in nursing practice holds promise for enhancing patient care but is hindered by significant challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This literature reviews synthesized research from 2015 to 2024, examining barriers nurses face in adopting AI technologies. A comprehensive search across multiple databases identified relevant articles, leading to the inclusion of 19 studies for thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis revealed nine key challenges: a lack of training and education, resistance to change, data privacy and security concerns, integration issues with existing systems, high costs, limited access to technology, and regulatory and ethical dilemmas. These interconnected obstacles collectively impact the effective integration of AI in nursing practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Addressing these challenges is crucial for leveraging AI's full potential to improve patient outcomes. As organizations implement AI solutions, they must prioritize targeted training, infrastructure upgrades, and ethical guidelines to foster an adaptive and compliant nursing workforce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Proactively navigating these barriers is essential for optimizing AI integration in nursing, ultimately enhancing the quality of care and operational efficiency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Nursing and Health Policy</h3>\u0000 \u0000 <p>The integration of AI in nursing practice necessitates enhanced training and education to equip nurses with the skills needed for effective use, fostering a culture of adaptability to technological advancements. Additionally, healthcare policies must prioritize investments in robust cybersecurity and clear regulatory frameworks to ensure ethical AI implementation while safeguarding patient data and enhancing care delivery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article examines the critical role of social media in reshaping the public perception of the nursing profession, building on recent research that highlights the need for strategic branding in nursing. Despite being ranked as the most trusted profession in annual Gallup polls, nursing's full scope—including its leadership and intellectual contributions—often remains underrepresented. This article argues that social media, particularly platforms like LinkedIn, offers a unique opportunity to bridge this gap by allowing nurses to present themselves as leaders, innovators, and intellectuals who are shaping the future of healthcare. Social media's ability to enhance visibility, engage with global audiences, and promote the diverse contributions of nursing is essential for rebranding the profession. Additionally, the article emphasizes the importance of digital literacy and the strategic use of social media for students and young professionals whose careers will span deep into the digital age. A well-crafted social media policy within healthcare institutions is also discussed, ensuring professionalism, protecting staff from online harassment, and promoting the nursing profession's values. This article highlights how effective use of social media can redefine nursing's image, showcasing it as a dynamic, science-driven, leadership-focused profession vital to global healthcare systems.
{"title":"The Role of Social Media in Rebranding the Nursing Profession","authors":"Faustino Jerome Babate, Siti Fatimah Sa'at","doi":"10.1111/inr.70073","DOIUrl":"https://doi.org/10.1111/inr.70073","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>This article examines the critical role of social media in reshaping the public perception of the nursing profession, building on recent research that highlights the need for strategic branding in nursing. Despite being ranked as the most trusted profession in annual Gallup polls, nursing's full scope—including its leadership and intellectual contributions—often remains underrepresented. This article argues that social media, particularly platforms like LinkedIn, offers a unique opportunity to bridge this gap by allowing nurses to present themselves as leaders, innovators, and intellectuals who are shaping the future of healthcare. Social media's ability to enhance visibility, engage with global audiences, and promote the diverse contributions of nursing is essential for rebranding the profession. Additionally, the article emphasizes the importance of digital literacy and the strategic use of social media for students and young professionals whose careers will span deep into the digital age. A well-crafted social media policy within healthcare institutions is also discussed, ensuring professionalism, protecting staff from online harassment, and promoting the nursing profession's values. This article highlights how effective use of social media can redefine nursing's image, showcasing it as a dynamic, science-driven, leadership-focused profession vital to global healthcare systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144657647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aims to examine the mediating role of fear of future violence in the relationship between exposure to violent events at work and burnout among physicians and nurses.
Background
Workplace violence is an escalating concern within healthcare institutions in Türkiye. Increasing exposure to violent events among healthcare professionals contributes to heightened fear of future violence, which may in turn exacerbate burnout.
Methods
A cross-sectional research design was utilized, collecting data via an online survey distributed to 387 physicians and nurses. The hypothesized model was analyzed using structural equation modeling techniques implemented in AMOS and SmartPLS software.
Results
The analysis revealed that exposure to workplace violence significantly elevated the depersonalization and emotional exhaustion dimensions of burnout. Conversely, it was associated with a paradoxical decrease in the personal accomplishment dimension. Notably, no statistically significant relationship was found between exposure to violence and fear of future violence. These findings underscore the complex interplay between various burnout dimensions and the impact of workplace violence on physicians and nurses.
Discussion and conclusion
Workplace violence emerges as a significant contributor to burnout among physicians and nurses, affecting emotional exhaustion, depersonalization, and personal accomplishment in multifaceted ways. However, the anticipated relationship between exposure to violence and fear of future violence was not supported by the data, indicating a need for further research in this area.
Implications for nursing policy
The findings of this study indicate that health policies in Türkiye should prioritize strategies aimed at preventing and managing violence against physicians and nurses. Measures such as violence management training, strengthening organizational support systems, and implementing clear protocols for reporting and responding to violent incidents can help mitigate burnout among physicians and nurses.
{"title":"The Complex Dynamics of Violence and Burnout in Healthcare: A Closer Look at Physicians and Nurses","authors":"Orhan Çakır, İrfan Akkoç, Korhan Arun, Ebru Dığrak, Hasibe Serap Uluırmak Ünlüeroğlugil","doi":"10.1111/inr.70075","DOIUrl":"https://doi.org/10.1111/inr.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and objectives</h3>\u0000 \u0000 <p>This study aims to examine the mediating role of fear of future violence in the relationship between exposure to violent events at work and burnout among physicians and nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Workplace violence is an escalating concern within healthcare institutions in Türkiye. Increasing exposure to violent events among healthcare professionals contributes to heightened fear of future violence, which may in turn exacerbate burnout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional research design was utilized, collecting data via an online survey distributed to 387 physicians and nurses. The hypothesized model was analyzed using structural equation modeling techniques implemented in AMOS and SmartPLS software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis revealed that exposure to workplace violence significantly elevated the depersonalization and emotional exhaustion dimensions of burnout. Conversely, it was associated with a paradoxical decrease in the personal accomplishment dimension. Notably, no statistically significant relationship was found between exposure to violence and fear of future violence. These findings underscore the complex interplay between various burnout dimensions and the impact of workplace violence on physicians and nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and conclusion</h3>\u0000 \u0000 <p>Workplace violence emerges as a significant contributor to burnout among physicians and nurses, affecting emotional exhaustion, depersonalization, and personal accomplishment in multifaceted ways. However, the anticipated relationship between exposure to violence and fear of future violence was not supported by the data, indicating a need for further research in this area.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing policy</h3>\u0000 \u0000 <p>The findings of this study indicate that health policies in Türkiye should prioritize strategies aimed at preventing and managing violence against physicians and nurses. Measures such as violence management training, strengthening organizational support systems, and implementing clear protocols for reporting and responding to violent incidents can help mitigate burnout among physicians and nurses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To pose an argument for health systems to improve responses to armed conflict by investing in developing the advanced practice nursing workforce.
Background
Armed conflict catalyzes infectious disease, noncommunicable disease, and physical and psychological trauma. Health systems in countries at war face challenges in meeting the health service needs for affected populations while providing sufficient care for the rest of the public. Integrating advanced practice nurses into the workforce is one solution to address the demand for health services during war. Importantly, policies facilitating a quick, efficacious advanced practice nurse response during war must be in place before armed conflict arises.
Sources of Evidence
A critical narrative review of peer-reviewed articles was conducted. The review focused on the benefits of advanced practice nurses during crises and systemic policy setbacks preventing advanced practice nurse workforce development. A case study from the Israel–Hamas War is presented.
Discussion
Holistic, patient-centered care positions advanced practice nurses to care for the physical and psychological needs of the population arising from war. Evidence from other public health crises, such as the COVID-19 and H1N1 pandemics, reinforces this notion. However, common policy setbacks, such as an ill-defined scope of practice and a lack of interprofessional awareness of the role, prevent advanced practice nurses from providing care when conflict arises. Israel's policy efforts before and during the Israel–Hamas War exemplify advanced practice nursing workforce policy development that facilitated an effective response to crisis.
Conclusion
Addressing expanded advanced practice nurse authorities before conflict starts will facilitate an improved health system response.
Implications for Health Policy
Research examining the effectiveness of advanced practice nursing care quality during armed conflict will facilitate national-level investment in advanced practice nursing workforce development.
{"title":"Investing in the Advanced Practice Nursing Workforce to Improve Health System Responses to Armed Conflict","authors":"Joshua Porat-Dahlerbruch, Jocelyn Boyd, Hilla Fighel","doi":"10.1111/inr.70074","DOIUrl":"https://doi.org/10.1111/inr.70074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To pose an argument for health systems to improve responses to armed conflict by investing in developing the advanced practice nursing workforce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Armed conflict catalyzes infectious disease, noncommunicable disease, and physical and psychological trauma. Health systems in countries at war face challenges in meeting the health service needs for affected populations while providing sufficient care for the rest of the public. Integrating advanced practice nurses into the workforce is one solution to address the demand for health services during war. Importantly, policies facilitating a quick, efficacious advanced practice nurse response during war must be in place before armed conflict arises.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Sources of Evidence</h3>\u0000 \u0000 <p>A critical narrative review of peer-reviewed articles was conducted. The review focused on the benefits of advanced practice nurses during crises and systemic policy setbacks preventing advanced practice nurse workforce development. A case study from the Israel–Hamas War is presented.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Holistic, patient-centered care positions advanced practice nurses to care for the physical and psychological needs of the population arising from war. Evidence from other public health crises, such as the COVID-19 and H1N1 pandemics, reinforces this notion. However, common policy setbacks, such as an ill-defined scope of practice and a lack of interprofessional awareness of the role, prevent advanced practice nurses from providing care when conflict arises. Israel's policy efforts before and during the Israel–Hamas War exemplify advanced practice nursing workforce policy development that facilitated an effective response to crisis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Addressing expanded advanced practice nurse authorities before conflict starts will facilitate an improved health system response.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Health Policy</h3>\u0000 \u0000 <p>Research examining the effectiveness of advanced practice nursing care quality during armed conflict will facilitate national-level investment in advanced practice nursing workforce development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inr.70074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144657648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aims to assess the relationship between artificial intelligence (AI) chatbot usage on the academic performance of nursing students, focusing on the mediating roles of technophobia and technophilia.
Design
A cross-national, correlational design was utilized to explore the relationships among AI chatbot usage, technophobia, technophilia, digital competence, and academic performance among nursing students.
Methods
The study involved 550 nursing students from Egypt, Iraq, and Saudi Arabia. Data were collected via an online survey using the Technophobia Technophilia Questionnaire (TTQ) and the Students’ Digital Competence Scale (SDiCoS). Multiple regression and mediation analyses were conducted to examine the direct and indirect effects of AI chatbot usage on academic performance, mediated by technophobia and technophilia.
Results
AI chatbot usage positively correlated with academic performance (β = 0.30, p < 0.001). Technophobia negatively affected academic performance (β = −0.12, p < 0.001), while technophilia positively influenced it (β = 0.11, p = 0.001). Both technophobia and technophilia significantly mediated the relationship between AI chatbot usage and academic performance.
Conclusion
AI chatbots can be significantly associated with academic outcomes in nursing education. However, the benefits are mediated by students’ attitudes toward technology, with technophobia hindering and technophilia facilitating educational success.
Implications for the profession and/or patient care
Understanding the mediating effects of technophobia and technophilia can help educators tailor AI integration strategies in nursing curricula to optimize educational outcomes and prepare students for technologically advanced healthcare environments.
Impact
This research highlights the importance of addressing psychological factors when implementing AI tools in education. While the study includes students from three different countries, they share similar regional, linguistic, and educational contexts. Thus, findings should be interpreted with caution regarding broader cultural generalizations. Further research in more diver
目的探讨人工智能（AI）聊天机器人使用对护生学业成绩的影响，重点研究技术恐惧症和技术癖的中介作用。设计采用跨国相关设计，探讨护理学生人工智能聊天机器人使用、技术恐惧症、技术癖、数字能力和学习成绩之间的关系。方法对来自埃及、伊拉克和沙特阿拉伯的550名护生进行研究。数据是通过在线调查收集的，使用技术恐惧症和技术偏好问卷（TTQ）和学生数字能力量表（SDiCoS）。采用多元回归和中介分析来检验人工智能聊天机器人的使用对学业成绩的直接和间接影响，并以技术恐惧症和技术癖为中介。结果AI聊天机器人的使用与学习成绩呈正相关(β = 0.30, p <；0.001)。科技恐惧症对学习成绩有负向影响(β = - 0.12, p <；0.001)，而技术偏好对其有积极影响（β = 0.11, p = 0.001）。技术恐惧症和技术偏好在人工智能聊天机器人使用与学习成绩之间的关系中起着显著的中介作用。结论人工智能聊天机器人与护理教育的学业成绩有显著的相关性。然而，这些好处是由学生对技术的态度来调节的，技术恐惧症阻碍了教育的成功，而技术癖促进了教育的成功。对专业和/或患者护理的影响了解技术恐惧症和技术癖的中介作用可以帮助教育工作者在护理课程中定制人工智能集成策略，以优化教育成果，并为学生适应技术先进的医疗环境做好准备。这项研究强调了在教育中实施人工智能工具时解决心理因素的重要性。虽然这项研究包括了来自三个不同国家的学生，但他们有着相似的地区、语言和教育背景。因此，研究结果应该谨慎地解释更广泛的文化概括。需要在更多样化的背景下进行进一步的研究。
{"title":"Artificial Intelligence–Based Chabots’ and Nursing Students’ Academic Performance: The Mediating Role of Technophobia and Technophilia","authors":"Fatma Gomaa Mohamed Amer, Majed Awad Alanazi, Mostafa Shaban, Mohamed Ezzelregal Abdelgawad, Huda Hamdy Mohammed, Sahar Hassan, Masouda Hassan Atrous, Safaa Sayed Mustafa Ibrahim, Amal Hashem Mohamed, Elsayed Mahmoud Sabek","doi":"10.1111/inr.70056","DOIUrl":"https://doi.org/10.1111/inr.70056","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to assess the relationship between artificial intelligence (AI) chatbot usage on the academic performance of nursing students, focusing on the mediating roles of technophobia and technophilia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-national, correlational design was utilized to explore the relationships among AI chatbot usage, technophobia, technophilia, digital competence, and academic performance among nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study involved 550 nursing students from Egypt, Iraq, and Saudi Arabia. Data were collected via an online survey using the Technophobia Technophilia Questionnaire (TTQ) and the Students’ Digital Competence Scale (SDiCoS). Multiple regression and mediation analyses were conducted to examine the direct and indirect effects of AI chatbot usage on academic performance, mediated by technophobia and technophilia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>AI chatbot usage positively correlated with academic performance (β = 0.30, <i>p</i> < 0.001). Technophobia negatively affected academic performance (β = −0.12, <i>p</i> < 0.001), while technophilia positively influenced it (β = 0.11, <i>p</i> = 0.001). Both technophobia and technophilia significantly mediated the relationship between AI chatbot usage and academic performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>AI chatbots can be significantly associated with academic outcomes in nursing education. However, the benefits are mediated by students’ attitudes toward technology, with technophobia hindering and technophilia facilitating educational success.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for the profession and/or patient care</h3>\u0000 \u0000 <p>Understanding the mediating effects of technophobia and technophilia can help educators tailor AI integration strategies in nursing curricula to optimize educational outcomes and prepare students for technologically advanced healthcare environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Impact</h3>\u0000 \u0000 <p>This research highlights the importance of addressing psychological factors when implementing AI tools in education. While the study includes students from three different countries, they share similar regional, linguistic, and educational contexts. Thus, findings should be interpreted with caution regarding broader cultural generalizations. Further research in more diver","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chao Zeng, Fulan Wang, Weichu Liu, Lin Wang, Qian Wu, Qinghua Zhao, Mingzhao Xiao, Yan Hu
Aims
This study explores how workplace violence influences community nurses’ job burnout, specifically identifying the chain-mediating role of perceived stress and job satisfaction in this relationship.
Background
Existing research highlights the negative impacts of workplace violence on nurses’ physical health, mental well-being, and job attitudes. However, community nurses remain understudied, particularly regarding the sequential mediating roles of perceived stress and job satisfaction between workplace violence and burnout.
Methods
This cross-sectional study followed STROBE guidelines and recruited 814 community nurses from 75 communities in southwest China. Data were collected via Questionnaire Star using five validated instruments to assess job burnout, job satisfaction, workplace violence exposure, and perceived stress. Descriptive statistics and Pearson's correlations were analyzed using SPSS 26.0, while structural equation modeling tested the chain-mediating effects of perceived stress and job satisfaction in the workplace violence–burnout relationship among community nurses.
Results
Workplace violence was positively correlated with job burnout. Perceived stress and job satisfaction partially mediated this relationship and functioned as sequential mediators in the violence-burnout pathway.
Conclusion
Workplace violence exacerbates community nurses’ job burnout through a chain-mediating pathway involving elevated perceived stress and subsequent diminished job satisfaction.
Implications for nursing and nursing policy
Managers should prioritize workplace violence against community nurses by enhancing violence prevention training to improve staff's risk assessment and emergency response skills. Additionally, standardized violence reporting systems, trauma assessment protocols, workplace environment improvements, and psychological support mechanisms should be established to create a comprehensive prevention-response framework.
{"title":"Relationship Between Workplace Violence and Job Burnout Among Community Nurses in China: A Chained Mediation Modeling Analysis","authors":"Chao Zeng, Fulan Wang, Weichu Liu, Lin Wang, Qian Wu, Qinghua Zhao, Mingzhao Xiao, Yan Hu","doi":"10.1111/inr.70071","DOIUrl":"https://doi.org/10.1111/inr.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study explores how workplace violence influences community nurses’ job burnout, specifically identifying the chain-mediating role of perceived stress and job satisfaction in this relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Existing research highlights the negative impacts of workplace violence on nurses’ physical health, mental well-being, and job attitudes. However, community nurses remain understudied, particularly regarding the sequential mediating roles of perceived stress and job satisfaction between workplace violence and burnout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study followed STROBE guidelines and recruited 814 community nurses from 75 communities in southwest China. Data were collected via Questionnaire Star using five validated instruments to assess job burnout, job satisfaction, workplace violence exposure, and perceived stress. Descriptive statistics and Pearson's correlations were analyzed using SPSS 26.0, while structural equation modeling tested the chain-mediating effects of perceived stress and job satisfaction in the workplace violence–burnout relationship among community nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Workplace violence was positively correlated with job burnout. Perceived stress and job satisfaction partially mediated this relationship and functioned as sequential mediators in the violence-burnout pathway.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Workplace violence exacerbates community nurses’ job burnout through a chain-mediating pathway involving elevated perceived stress and subsequent diminished job satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing and nursing policy</h3>\u0000 \u0000 <p>Managers should prioritize workplace violence against community nurses by enhancing violence prevention training to improve staff's risk assessment and emergency response skills. Additionally, standardized violence reporting systems, trauma assessment protocols, workplace environment improvements, and psychological support mechanisms should be established to create a comprehensive prevention-response framework.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shibo Zhang, Xia Yang, Lingyun Zhang, Huarong Liu, Xiaolin Chen, Xin Yang, Yan Hu, Qin Liu, Yang He
<div> <section> <h3> Aim</h3> <p>This study explores nursing students’ experiences and needs regarding chatbot-assisted learning, while evaluating the opportunities and challenges they encounter.</p> </section> <section> <h3> Background</h3> <p>As artificial intelligence (AI) advances, chatbots are increasingly integrated into nursing education, offering real-time feedback and personalized support. While chatbots show promise in enhancing theoretical knowledge and clinical skills, little is known about students’ actual experiences and expectations. Gaining insight into students’ perspectives is essential for optimizing chatbots’ implementation in nursing education.</p> </section> <section> <h3> Methods</h3> <p>This study conducts a systematic search of several electronic databases, including PubMed, Web of Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), and Wanfang, using search terms related to nursing students, chatbots, experiences, perceptions, and qualitative research. A thematic synthesis approach is employed to extract and analyze the relevant studies.</p> </section> <section> <h3> Results</h3> <p>Nine studies were included in this review. Thematic synthesis revealed four major themes: perceived availability, role participation, potential challenges, and student needs. Nursing students highlighted chatbots’ technical and interactive availability—valuing timely responses, ease of use, and personalized support. Chatbots were seen as active participants in learning, facilitating bidirectional communication, clinical simulation, information retrieval, academic assistance, and decision-making. However, concerns were raised regarding information accuracy, ethical risks, over-reliance, and misalignment with nursing values. Students expressed clear expectations for chatbot updates, curriculum integration, and regulatory oversight to ensure safe and effective usage.</p> </section> <section> <h3> Conclusion</h3> <p>Chatbots not only offer substantial benefits for nursing education but also present notable challenges. Students prefer more specialized chatbots tailored to their diverse learning needs. They also emphasize the need for better regulation and training to improve chatbots’ effectiveness.</p> </section> <section> <h3> Implications for Practice and Policy</h3> <p>Educators should integrate chatbot training into curricula to enhance student readiness and ethical use. Policymakers must prioritize regulation that ensures data protection, conte
目的探讨护生在聊天机器人辅助学习方面的经验和需求，并评估他们遇到的机遇和挑战。随着人工智能（AI）的发展，聊天机器人越来越多地融入护理教育，提供实时反馈和个性化支持。虽然聊天机器人有望提高理论知识和临床技能，但人们对学生的实际经历和期望知之甚少。深入了解学生的观点对于优化聊天机器人在护理教育中的应用至关重要。方法系统检索PubMed、Web of Science、Cochrane Library、中国知网（CNKI）、万方等多个电子数据库，使用与护生、聊天机器人、经验、认知相关的检索词和定性研究。本文采用主题综合的方法对相关研究进行提炼和分析。结果本综述纳入9项研究。主题综合揭示了四个主要主题：感知可用性、角色参与、潜在挑战和学生需求。护理专业的学生强调了聊天机器人的技术和交互式可用性——重视及时响应、易用性和个性化支持。聊天机器人被视为学习的积极参与者，促进双向交流、临床模拟、信息检索、学术协助和决策。然而，人们对信息准确性、伦理风险、过度依赖以及与护理价值观不一致等问题提出了担忧。学生们明确表达了对聊天机器人更新、课程整合和监管监督的期望，以确保安全有效地使用。结论聊天机器人在为护理教育带来巨大收益的同时，也面临着显著的挑战。学生们更喜欢根据他们不同的学习需求定制的更专业的聊天机器人。他们还强调需要更好的监管和培训，以提高聊天机器人的效率。教育工作者应该将聊天机器人培训纳入课程，以提高学生的准备和道德使用。政策制定者必须优先考虑确保数据保护、内容准确性和公平访问的监管。开发护理专用聊天机器人系统和机构指南对于负责任的采用和可持续创新至关重要。
{"title":"Exploring the Role and Potential of Chatbots in Learning From the Perspective of Nursing Students: A Systematic Review of Qualitative Studies","authors":"Shibo Zhang, Xia Yang, Lingyun Zhang, Huarong Liu, Xiaolin Chen, Xin Yang, Yan Hu, Qin Liu, Yang He","doi":"10.1111/inr.70060","DOIUrl":"https://doi.org/10.1111/inr.70060","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study explores nursing students’ experiences and needs regarding chatbot-assisted learning, while evaluating the opportunities and challenges they encounter.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>As artificial intelligence (AI) advances, chatbots are increasingly integrated into nursing education, offering real-time feedback and personalized support. While chatbots show promise in enhancing theoretical knowledge and clinical skills, little is known about students’ actual experiences and expectations. Gaining insight into students’ perspectives is essential for optimizing chatbots’ implementation in nursing education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study conducts a systematic search of several electronic databases, including PubMed, Web of Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), and Wanfang, using search terms related to nursing students, chatbots, experiences, perceptions, and qualitative research. A thematic synthesis approach is employed to extract and analyze the relevant studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nine studies were included in this review. Thematic synthesis revealed four major themes: perceived availability, role participation, potential challenges, and student needs. Nursing students highlighted chatbots’ technical and interactive availability—valuing timely responses, ease of use, and personalized support. Chatbots were seen as active participants in learning, facilitating bidirectional communication, clinical simulation, information retrieval, academic assistance, and decision-making. However, concerns were raised regarding information accuracy, ethical risks, over-reliance, and misalignment with nursing values. Students expressed clear expectations for chatbot updates, curriculum integration, and regulatory oversight to ensure safe and effective usage.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Chatbots not only offer substantial benefits for nursing education but also present notable challenges. Students prefer more specialized chatbots tailored to their diverse learning needs. They also emphasize the need for better regulation and training to improve chatbots’ effectiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice and Policy</h3>\u0000 \u0000 <p>Educators should integrate chatbot training into curricula to enhance student readiness and ethical use. Policymakers must prioritize regulation that ensures data protection, conte","PeriodicalId":54931,"journal":{"name":"International Nursing Review","volume":"72 3","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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