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Redesigning Nursing Curricula for Human-AI Collaboration Using a Fifth Industrial Revolution Framework: Discursive
Joseph Andrew Pepito1, Faustino Jerome Babate2, Judith D Ismael3
1Cebu Doctors University, Cebu, Philippines.
SAGE Open Nursing
|March 16, 2026
Summary
Nursing education needs a human-centered framework for effective artificial intelligence (AI) collaboration. A new Fifth Industrial Revolution (5IR) model guides curriculum redesign for ethical AI integration in healthcare.
Area of Science:
- Nursing Education
- Artificial Intelligence in Healthcare
- Digital Health Informatics
Background:
- Artificial intelligence (AI) is increasingly integrated into healthcare, impacting clinical decisions, care delivery, and nursing roles.
- Current nursing curricula inadequately prepare nurses for ethical, relational, and collaborative engagement with intelligent systems.
- A human-centered framework is essential for meaningful human-AI collaboration in nursing education.
Purpose of the Study:
- To develop a theoretically grounded Fifth Industrial Revolution (5IR) framework for nursing curriculum redesign.
- To guide ethical and effective collaboration between nurses and AI systems.
- To address the gap in preparing nurses for AI-integrated healthcare environments.
Main Methods:
- Discursive conceptual approach integrating conceptual analysis and a non-systematic literature review (2019-2025).
- Guided by Fifth Industrial Revolution (5IR) theory, postdigital theory, and sociotechnical systems thinking.
- Iterative thematic synthesis to identify core competencies, pedagogical strategies, and institutional conditions.
Main Results:
- Identified seven competency domains: technological fluency, ethical acumen, digital empathy, critical thinking, interdisciplinary collaboration, adaptive learning, and cultural competence.
- Developed the 5IR Human-AI Collaborative Nursing Education Model with five interdependent components.
- Highlighted a gap between existing curricula and the demands of AI-enabled healthcare.
Conclusions:
- Current nursing curricula require significant updates to meet the ethical and sociotechnical demands of AI in healthcare.
- The proposed 5IR model provides an adaptable, human-centered framework for nursing education.
- This framework positions nurses as ethical collaborators and codesigners of intelligent care systems, fostering innovation and policy development.
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