{"title":"AI-enabled fraud detection, prevention, and perpetration in nursing credential evaluation: A scoping study","authors":"Lauren Herckis PhD , Emily Tse MPhil","doi":"10.1016/j.jnr.2025.08.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Credential fraud among healthcare professionals is a global, significant, and ever-evolving challenge. Technological innovations, such as digital imaging and generative artificial intelligence (AI) that make it easier to fabricate documents, have changed the credential evaluation and verification landscape. A global health worker shortage compounds the critical need to maintain integrity, reliability, and rigor in credential verification of healthcare professionals.</div></div><div><h3>Purpose</h3><div>To identify evidence-based best practices for combatting nursing credential fraud in the context of AI.</div></div><div><h3>Methods</h3><div>This research effort entailed a scoping review following Arskey and O'Malley's methodological framework to identify scholarly research related to AI and nursing credential fraud. After the scoping review, an environmental scan of grey literature and professional guidance was performed. Integrated analysis of the findings was used to develop themes and recommendations to guide future work.</div></div><div><h3>Results</h3><div>Four articles, all published between 2020 and 2025, were subjected to full-text review. Of these four articles, none directly addressed AI in perpetrating or combatting nursing credential fraud. The environmental scan revealed practices documented by professional associations and regulatory bodies as well as emerging trends. Five areas of future research are recommended based on these findings: (1) translate existing research, (2) collaborate in cross-functional teams; (3) engage in experimental software development; (4) generate evidence-based guidance; and (5) participate in ongoing evaluation processes.</div></div><div><h3>Conclusions</h3><div>This study found emerging practices but no empirical research or evidence-based guidance on the use of AI in combatting or perpetuating nursing credential fraud. Literature addressing employment fraud, AI and nursing regulation, and AI in credential evaluation reveal that nursing credential fraud leveraging AI tools requires urgent attention from regulators, credential evaluators, employers, and researchers.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 3","pages":"Pages 183-194"},"PeriodicalIF":6.3000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Regulation","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2155825625000973","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Credential fraud among healthcare professionals is a global, significant, and ever-evolving challenge. Technological innovations, such as digital imaging and generative artificial intelligence (AI) that make it easier to fabricate documents, have changed the credential evaluation and verification landscape. A global health worker shortage compounds the critical need to maintain integrity, reliability, and rigor in credential verification of healthcare professionals.
Purpose
To identify evidence-based best practices for combatting nursing credential fraud in the context of AI.
Methods
This research effort entailed a scoping review following Arskey and O'Malley's methodological framework to identify scholarly research related to AI and nursing credential fraud. After the scoping review, an environmental scan of grey literature and professional guidance was performed. Integrated analysis of the findings was used to develop themes and recommendations to guide future work.
Results
Four articles, all published between 2020 and 2025, were subjected to full-text review. Of these four articles, none directly addressed AI in perpetrating or combatting nursing credential fraud. The environmental scan revealed practices documented by professional associations and regulatory bodies as well as emerging trends. Five areas of future research are recommended based on these findings: (1) translate existing research, (2) collaborate in cross-functional teams; (3) engage in experimental software development; (4) generate evidence-based guidance; and (5) participate in ongoing evaluation processes.
Conclusions
This study found emerging practices but no empirical research or evidence-based guidance on the use of AI in combatting or perpetuating nursing credential fraud. Literature addressing employment fraud, AI and nursing regulation, and AI in credential evaluation reveal that nursing credential fraud leveraging AI tools requires urgent attention from regulators, credential evaluators, employers, and researchers.
期刊介绍:
Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.