Ethical and regulatory considerations in the use of AI and machine learning in nursing: A systematic review

IF 3.8 3区医学 Q1 NURSING

International Nursing Review Pub Date : 2025-03-05 DOI:10.1111/inr.70010

Sobhia Ahmed Abdel Qader Mohammed , Yasmine Mahmoud Moussa Osman PhD, Ateya Megahed Ibrahim PhD, Mostafa Shaban PhD

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引用次数: 0

Abstract

Aim

This study systematically explores the ethical and regulatory considerations surrounding the integration of artificial intelligence (AI) and machine learning (ML) in nursing practice, with a focus on patient autonomy, data privacy, algorithmic bias, and accountability.

Background

AI and ML are transforming nursing practice by enhancing clinical decision-making and operational efficiency. However, these technologies present significant ethical challenges related to ensuring patient autonomy, safeguarding data privacy, mitigating algorithmic bias, and ensuring transparency in decision-making processes. Current frameworks are not sufficiently tailored to nursing-specific contexts.

Methods

A systematic review was conducted, adhering to PRISMA guidelines. Six major databases were searched for studies published between 2000 and 2024. Seventeen studies met the inclusion criteria and were included in the final analysis.

Results

Five key themes emerged from the review: enhancement of clinical decision-making, promotion of ethical awareness, support for routine nursing tasks, challenges in algorithmic bias, and the importance of public engagement in regulatory frameworks. The review identified critical gaps in nursing-specific ethical guidelines and regulatory oversight for AI integration in practice.

Discussion

AI technologies offer substantial benefits for nursing, particularly in decision-making and task efficiency. However, these advantages must be balanced against ethical concerns, including the protection of patient rights, algorithmic transparency, and bias mitigation. Current regulatory frameworks require adaptation to meet the ethical needs of nursing.

Conclusion and implications for nursing and health policy

The findings emphasize the need for the development of nursing-specific ethical guidelines and robust regulatory frameworks to ensure the responsible integration of AI technologies into nursing practice. AI integration must uphold ethical principles while enhancing the quality of care.

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来源期刊

International Nursing Review 医学-护理

CiteScore

7.90

自引率

7.30%

发文量

审稿时长

6-12 weeks

期刊介绍： International Nursing Review is a key resource for nurses world-wide. Articles are encouraged that reflect the ICN"s five key values: flexibility, inclusiveness, partnership, achievement and visionary leadership. Authors are encouraged to identify the relevance of local issues for the global community and to describe their work and to document their experience.