快速回顾护理中大型语言模型的当前和潜在用途
Mollie Hobensack1, Hanna von Gerich2, Pankaj Vyas3
1Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
International journal of nursing studies
|April 1, 2024
概括
大型语言模型 (LLM) 对护理教育,实践和研究具有前景,但诸如偏见和抄袭之类的伦理挑战需要仔细考虑和安全实施的指导方针.
科学领域:
- 医疗保健中的人工智能
- 护理信息学 护理信息学
- 数字健康数字健康
背景情况:
- 大型语言模型 (LLM) 在商业和消费部门的快速增长.
- 识别了关于LLM支持护理实践,教育和研究的文献上的差距.
- 需要在护理专业中综合现有和潜在的LLM应用.
研究的目的:
- 系统地审查和综合现有关于在护理中使用大型语言模型的文献.
- 探索LLMs在护理实践,教育和研究中的当前和潜在应用.
- 确定与在护理中采用LLM相关的挑战和局限性.
主要方法:
- 根据Cochrane和PRISMA指南进行了快速文献审查.
- 利用广泛的包容性标准来捕捉新兴的LLM文献.
- 在2023年8月搜索了PubMed,CINAHL和Embase数据库,包括30篇相关文章.
主要成果:
- 对30篇文章的分析揭示了LLM在护理教育 (47%),临床实践 (40%) 和研究 (10%) 的应用.
- 聊天GPT是最常讨论的LLM (93%).
- 常见的限制包括缺乏系统评估,道德问题 (偏见,滥用) 和法律考虑.
结论:
- 本次审查突出了LLM在护理方面的重大机遇,以及伦理问题和抄袭等挑战.
- 建议制定强有力的评估,评估,标准和指导方针,以确保在护理中安全地实施LLM.
- 强调需要未来的研究和合作伙伴关系,以提高在医疗保健中的LLM理解和应用.
相关概念视频
01:30Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
01:28Current Trends in Nursing I
1.5K
Current trends in nursing include:
1.5K
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
01:22The Professional Nurse
4.2K
Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.
Communication skills: These are critical characteristics, especially speaking and listening.
4.2K
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K
01:30Theoretical Foundations of Nursing Practice
11.5K
Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
11.5K