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Using a Socio-Technical Strategy to Identify the Use and Implications of Generative Artificial Intelligence Tools on
John Robert Bautista1,2, Reagan Westendorf1, Olivia Goth1
1Sinclair School of Nursing, University of Missouri-Columbia, Columbia, Missouri, USA.
Journal of Advanced Nursing
|November 25, 2025
Summary
Generative artificial intelligence (GenAI) tools are transforming nursing education and practice. Training nurses in responsible GenAI use is crucial to harness benefits and mitigate risks in patient care.
Area of Science:
- Nursing Education and Practice
- Artificial Intelligence in Healthcare
- Socio-technical Systems
Background:
- Generative artificial intelligence (GenAI) tools are increasingly prevalent.
- Understanding their impact on nursing is essential for future healthcare.
- A socio-technical perspective is needed to analyze these changes.
Purpose of the Study:
- To identify the use and implications of GenAI tools in nursing education and practice.
- To explore the socio-technical intricacies of GenAI adoption in nursing.
- To understand the challenges and opportunities presented by GenAI in the nursing profession.
Main Methods:
- Descriptive qualitative study utilizing online interviews.
- 32 nursing students, faculty, and practitioners were interviewed (February-April 2024).
- Data analysis employed the Framework Method.
Main Results:
- Participants reported using eight GenAI tools across seven use cases.
- GenAI impacts nursing education, presenting new pedagogical realities and mixed sentiments.
- GenAI integration into patient care, workflows, and organizational support was observed in practice.
- Capacity-building for an AI-ready workforce, ethical use, and professional advancement were identified.
Conclusions:
- GenAI tools are poised to significantly disrupt nursing practice, following their impact on education.
- Training in responsible and ethical GenAI use is imperative for nurses.
- Nurses must actively shape GenAI integration to maximize benefits and minimize risks for the profession and patient care.
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