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人工智能对护理领域的预测影响:范围综述

Predicted Influences of Artificial Intelligence on the Domains of Nursing: Scoping Review.

作者信息

Buchanan Christine, Howitt M Lyndsay, Wilson Rita, Booth Richard G, Risling Tracie, Bamford Megan

机构信息

Registered Nurses' Association of Ontario, Toronto, ON, Canada.

Arthur Labatt Family School of Nursing, Western University, London, ON, Canada.

出版信息

JMIR Nurs. 2020 Dec 17;3(1):e23939. doi: 10.2196/23939.

Abstract

BACKGROUND

Artificial intelligence (AI) is set to transform the health system, yet little research to date has explored its influence on nurses-the largest group of health professionals. Furthermore, there has been little discussion on how AI will influence the experience of person-centered compassionate care for patients, families, and caregivers.

OBJECTIVE

This review aims to summarize the extant literature on the emerging trends in health technologies powered by AI and their implications on the following domains of nursing: administration, clinical practice, policy, and research. This review summarizes the findings from 3 research questions, examining how these emerging trends might influence the roles and functions of nurses and compassionate nursing care over the next 10 years and beyond.

METHODS

Using an established scoping review methodology, MEDLINE, CINAHL, EMBASE, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central, Education Resources Information Center, Scopus, Web of Science, and ProQuest databases were searched. In addition to the electronic database searches, a targeted website search was performed to access relevant gray literature. Abstracts and full-text studies were independently screened by 2 reviewers using prespecified inclusion and exclusion criteria. Included articles focused on nursing and digital health technologies that incorporate AI. Data were charted using structured forms and narratively summarized.

RESULTS

A total of 131 articles were retrieved from the scoping review for the 3 research questions that were the focus of this manuscript (118 from database sources and 13 from targeted websites). Emerging AI technologies discussed in the review included predictive analytics, smart homes, virtual health care assistants, and robots. The results indicated that AI has already begun to influence nursing roles, workflows, and the nurse-patient relationship. In general, robots are not viewed as replacements for nurses. There is a consensus that health technologies powered by AI may have the potential to enhance nursing practice. Consequently, nurses must proactively define how person-centered compassionate care will be preserved in the age of AI.

CONCLUSIONS

Nurses have a shared responsibility to influence decisions related to the integration of AI into the health system and to ensure that this change is introduced in a way that is ethical and aligns with core nursing values such as compassionate care. Furthermore, nurses must advocate for patient and nursing involvement in all aspects of the design, implementation, and evaluation of these technologies.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/17490.

摘要

背景

人工智能(AI)必将改变医疗体系,但迄今为止,几乎没有研究探讨其对护士这一最大医疗专业群体的影响。此外,关于人工智能将如何影响患者、家属和护理人员以患者为中心的关怀护理体验,也鲜有讨论。

目的

本综述旨在总结关于人工智能驱动的健康技术新趋势及其对护理以下领域影响的现有文献:管理、临床实践、政策和研究。本综述总结了来自3个研究问题的结果,探讨这些新趋势在未来10年及以后可能如何影响护士的角色和职能以及关怀护理。

方法

采用既定的范围综述方法,检索了MEDLINE、CINAHL、EMBASE、PsycINFO、Cochrane系统评价数据库、Cochrane中心、教育资源信息中心、Scopus、科学引文索引和ProQuest数据库。除了电子数据库检索外,还进行了有针对性的网站搜索以获取相关灰色文献。两位审稿人使用预先设定的纳入和排除标准独立筛选摘要和全文研究。纳入的文章聚焦于结合人工智能的护理和数字健康技术。数据使用结构化表格记录并进行叙述性总结。

结果

从范围综述中检索到131篇文章,涉及构成本文重点的3个研究问题(118篇来自数据库来源,13篇来自目标网站)。综述中讨论的新兴人工智能技术包括预测分析、智能家居、虚拟医疗助手和机器人。结果表明,人工智能已经开始影响护士的角色、工作流程和护患关系。总体而言,机器人不被视为护士的替代品。人们一致认为,人工智能驱动的健康技术可能有潜力提升护理实践。因此,护士必须积极定义在人工智能时代如何保持以患者为中心的关怀护理。

结论

护士有共同责任影响与将人工智能整合到医疗体系相关的决策,并确保以符合道德且与关怀护理等核心护理价值观一致的方式引入这一变革。此外,护士必须倡导患者和护理人员参与这些技术设计、实施和评估的各个方面。

国际注册报告识别码(IRRID):RR2-10.2196/17490。

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