Neonatal Intensive Care Nurses' Perceptions of Artificial Intelligence Integration in Neonatal Skin Assessment: A Qualitative Phenomenological Study.

IF 1.4 4区医学 Q3 DERMATOLOGY

Advances in Skin & Wound Care Pub Date : 2025-10-01 Epub Date: 2025-09-02 DOI:10.1097/ASW.0000000000000345

Adnan Batuhan Coşkun, Carole Kenner, Nejla Canbulat Şahiner, Erhan Elmaoğlu

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引用次数: 0

Abstract

Objective: This study explores neonatal intensive care unit (NICU) nurses' perceptions of artificial intelligence (AI)-assisted neonatal skin assessment, focusing on its benefits, challenges, and ethical implications. Optimizing AI integration requires understanding nurses' attitudes.

Methods: A qualitative phenomenological approach was employed. Semi-structured interviews were conducted with 23 NICU nurses from a public hospital in Gaziantep, Turkey, between January and March 2025. Data were analyzed using inductive content analysis to identify emerging themes related to AI's impact on clinical decision-making, workflow efficiency, and professional autonomy.

Results: Findings revealed that nurses acknowledged AI's potential to enhance diagnostic accuracy, standardize assessments, and reduce interobserver variability. However, concerns were raised regarding algorithm reliability, professional autonomy, and ethical considerations. Nurses recognized AI's potential but stressed the need for transparency, training, and safeguards against over-reliance. Participants emphasized human oversight to ensure patient-centered care.

Conclusions: Artificial intelligence may improve neonatal skin assessment, but integration must balance technology and ethics. Engaging NICU nurses in AI system development and implementation is essential to fostering trust and ensuring alignment with clinical needs. Future research should assess AI's long-term impact and support interdisciplinary tool development that complements nursing expertise.

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新生儿重症监护护士对新生儿皮肤评估中人工智能整合的认知：一项定性现象学研究。

目的：本研究探讨新生儿重症监护病房（NICU）护士对人工智能（AI）辅助新生儿皮肤评估的看法，重点关注其益处、挑战和伦理影响。优化人工智能整合需要了解护士的态度。方法：采用定性现象学方法。在2025年1月至3月期间，对土耳其加齐安泰普一家公立医院的23名新生儿重症监护病房护士进行了半结构化访谈。使用归纳内容分析对数据进行分析，以确定与人工智能对临床决策、工作流程效率和专业自主权的影响相关的新兴主题。结果：调查结果显示，护士承认人工智能在提高诊断准确性、标准化评估和减少观察者之间的差异方面具有潜力。然而，人们对算法可靠性、专业自主性和道德考虑提出了担忧。护士认识到人工智能的潜力，但强调需要透明度、培训和防止过度依赖的保障措施。与会者强调了人为监督，以确保以患者为中心的护理。结论：人工智能可以改善新生儿皮肤评估，但整合必须平衡技术和伦理。让新生儿重症监护病房护士参与人工智能系统的开发和实施对于促进信任和确保与临床需求保持一致至关重要。未来的研究应评估人工智能的长期影响，并支持跨学科工具的开发，以补充护理专业知识。

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

Advances in Skin & Wound Care DERMATOLOGY-NURSING

CiteScore

2.50

自引率

12.50%

发文量

271

审稿时长

>12 weeks

期刊介绍： A peer-reviewed, multidisciplinary journal, Advances in Skin & Wound Care is highly regarded for its unique balance of cutting-edge original research and practical clinical management articles on wounds and other problems of skin integrity. Each issue features CME/CE for physicians and nurses, the first journal in the field to regularly offer continuing education for both disciplines.