护士对证据传播障碍和基于大型语言模型的支持的观点:使用焦点小组和名义小组技术进行定性研究
Junyi Ruan1, Yimin Tang1, Zhongyu Wei2,3
1School of Nursing, Fudan University, Shanghai, China.
Journal of medical Internet research
|November 7, 2025
概括
临床护士在证据传播方面面临障碍. 量身定制的大型语言模型 (LLM) 可以改善这一点,护士优先考虑基于证据的答案和个性化的建议.
科学领域:
- 护理信息学 护理信息学
- 医疗保健中的人工智能
- 基于证据的实践.
背景情况:
- 目前的证据传播方法对临床护士来说不足,阻碍了基于证据的护理实践.
- 一般用途的大型语言模型 (LLM) 缺乏有效的临床证据传播所需的领域特定知识.
- 开发定制的人工智能工具对于满足护士需求和加强证据传播至关重要.
研究的目的:
- 确定临床护士在证据传播中遇到的挑战和障碍.
- 检查护士对利用现有LLM进行证据传播的观点.
- 探索护士对基于LLM的护理证据问答系统的需求和偏好.
主要方法:
- 综合焦点小组讨论和名义小组技术 (NGT) 的定性研究.
- 22名临床护士参与了这项研究,这些护士是通过针对不同专业和经验水平的有目的抽样招募的.
- 进行了在线聚焦小组和NGT会议,以探索障碍,法学士观点和所需的系统功能.
主要成果:
- 焦点小组确定了证据传播途径,障碍和LLM优势/局限性的主题.
- 名义组技术为基于LLM的护理证据系统确定了9个理想的功能.
- 排名最高的期望功能包括基于证据,高质量的问答,提供证据来源和个性化的证据建议.
结论:
- 目前的护理证据传播流程存在重大障碍.
- 大型语言模型 (LLM) 显示了支持证据传播的潜力,但需要改进.
- 临床护士确定的功能需求为开发专门的护理实践LLM提供了路线图.
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