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Artificial Intelligence Technologies Supporting Nurses' Clinical Decision-Making: A Systematic Review.

Kristina Mikkonen1,2, Saara Tuunainen1, Anne Oikarinen1,2

  • 1Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.

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Summary
This summary is machine-generated.

Artificial intelligence (AI) tools significantly enhance nurses' clinical decision-making, improving patient care and workflow efficiency. This technology addresses nursing challenges like staffing shortages and workload, promoting better patient outcomes.

Keywords:
AI tool usabilityartificial intelligencenursing decision‐makingsystematic review

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Area of Science:

  • Nursing Informatics
  • Artificial Intelligence in Healthcare
  • Clinical Decision Support Systems

Background:

  • Growing healthcare demands necessitate technology to support nurses' decision-making.
  • Artificial intelligence (AI) presents a significant opportunity to improve nursing practice and patient care.
  • Systematic implementation of AI is key to realizing its potential in healthcare.

Purpose of the Study:

  • To identify and describe AI technologies used by nurses for clinical decision-making.
  • To evaluate the impact of AI on nursing practice and patient outcomes.

Main Methods:

  • Systematic literature review of experimental studies published between 2005 and 2024.
  • Searches conducted across CINAHL, PubMed, Scopus, ProQuest, and Medic databases.
  • Study eligibility and quality assessed using JBI guidelines, with narrative analysis of findings.

Main Results:

  • Eight studies demonstrated AI tools improved decision-making, patient care, and staff performance.
  • AI applications showed significant reductions in hospital readmissions, improved response times for patient deterioration, and enhanced accuracy in neonatal resuscitation.
  • AI also improved confidence in seizure assessment, pressure ulcer prevention, visual differentiation, and documentation quality.

Conclusions:

  • AI integration in nursing optimizes decision-making, enhances patient care quality, and improves workflow efficiency.
  • Addressing ethical considerations like transparency, bias, data privacy, and accountability is crucial for safe and trustworthy AI implementation.
  • AI can help mitigate nursing challenges, improve patient safety, and allow nurses to focus more on direct patient care.