Augmenting Community Nursing Practice With Generative AI: A Formative Study of Diagnostic Synergies Using Simulation-Based Clinical Cases.

IF 3 Q1 PRIMARY HEALTH CARE
Odelyah Saad, Mor Saban, Erika Kerner, Chedva Levin
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引用次数: 0

Abstract

Objective: To compare the diagnostic accuracy and clinical decision-making of experienced community nurses versus state-of-the-art generative AI (GenAI) systems for simulated patient case scenarios.

Methods: In the months of 5 to 6/2024, 114 community Israeli nurses completed a questionnaire including 4 medical case studies. Responses were also collected from 3 GenAI models (ChatGPT-4, Claude 3.0, and Gemini 1.5), analyzed both without word limits and with a 10-word constraint. Responses were scored on accuracy, speed, and comprehensiveness.

Results: Nurses scored higher on average compared to the shortened GenAI responses. GenAI responses were faster but more verbose, and contained unnecessary information. Gemini (full version) and Claude (full version) achieved the highest accuracy among the GenAI models.

Conclusions: While GenAI shows potential to support aspects of nursing practice, human clinicians currently exhibit advantages in holistic clinical reasoning abilities, a skill requiring experience, contextual knowledge, and ability to bring concise and practical responses. Further research is needed before GenAI can adequately substitute nursing expertise.

用生成式人工智能增强社区护理实践:基于模拟的临床病例诊断协同作用的形成性研究。
目的:比较经验丰富的社区护士与最先进的生成人工智能(GenAI)系统在模拟患者病例情景中的诊断准确性和临床决策。方法:于2024年5月至6月对114名以色列社区护士进行问卷调查,其中包括4例病例分析。还收集了3个GenAI模型(ChatGPT-4、Claude 3.0和Gemini 1.5)的回复,分析了无字数限制和10字限制的两种情况。回答的准确性、速度和全面性得分。结果:护士的平均得分高于缩短的GenAI反应。GenAI的反应更快,但更冗长,并且包含不必要的信息。Gemini(完整版)和Claude(完整版)在GenAI模型中达到了最高的精度。结论:虽然GenAI显示出支持护理实践方面的潜力,但人类临床医生目前在整体临床推理能力方面表现出优势,这是一种需要经验、背景知识和简明实用反应能力的技能。在GenAI能够充分替代护理专业知识之前,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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