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人工智能在护理中的应用系统评价:我们现状如何,未来走向何方?

A Systematic Review of the Application of Artificial Intelligence in Nursing Care: Where are We, and What's Next?

作者信息

Ruksakulpiwat Suebsarn, Thorngthip Sutthinee, Niyomyart Atsadaporn, Benjasirisan Chitchanok, Phianhasin Lalipat, Aldossary Heba, Ahmed Bootan Hasan, Samai Thanistha

机构信息

Department of Medical Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand.

Department of Nursing Siriraj Hospital, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

出版信息

J Multidiscip Healthc. 2024 Apr 12;17:1603-1616. doi: 10.2147/JMDH.S459946. eCollection 2024.

Abstract

BACKGROUND

Integrating Artificial Intelligence (AI) into healthcare has transformed the landscape of patient care and healthcare delivery. Despite this, there remains a notable gap in the existing literature synthesizing the comprehensive understanding of AI's utilization in nursing care.

OBJECTIVE

This systematic review aims to synthesize the available evidence to comprehensively understand the application of AI in nursing care.

METHODS

Studies published between January 2019 and December 2023, identified through CINAHL Plus with Full Text, Web of Science, PubMed, and Medline, were included in this review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines guided the identification, screening, exclusion, and inclusion of articles. The convergent integrated analysis framework, as proposed by the Joanna Briggs Institute, was employed to synthesize data from the included studies for theme generation.

RESULTS

A total of 337 records were identified from databases. Among them, 35 duplicates were removed, and 302 records underwent eligibility screening. After applying inclusion and exclusion criteria, eleven studies were deemed eligible and included in this review. Through data synthesis of these studies, six themes pertaining to the use of AI in nursing care were identified: 1) Risk Identification, 2) Health Assessment, 3) Patient Classification, 4) Research Development, 5) Improved Care Delivery and Medical Records, and 6) Developing a Nursing Care Plan.

CONCLUSION

This systematic review contributes valuable insights into the multifaceted applications of AI in nursing care. Through the synthesis of data from the included studies, six distinct themes emerged. These findings not only consolidate the current knowledge base but also underscore the diverse ways in which AI is shaping and improving nursing care practices.

摘要

背景

将人工智能(AI)整合到医疗保健领域已经改变了患者护理和医疗服务的格局。尽管如此,在现有的文献中,对于人工智能在护理中的应用进行全面理解的综合研究仍存在显著差距。

目的

本系统评价旨在综合现有证据,以全面了解人工智能在护理中的应用。

方法

通过CINAHL Plus全文数据库、科学网、PubMed和Medline检索2019年1月至2023年12月发表的研究,并纳入本评价。系统评价和Meta分析的首选报告项目指南指导了文章的识别、筛选、排除和纳入。采用乔安娜·布里格斯研究所提出的收敛性综合分析框架,对纳入研究的数据进行综合以生成主题。

结果

从数据库中总共识别出337条记录。其中,去除了35条重复记录,对302条记录进行了资格筛选。在应用纳入和排除标准后,11项研究被认为符合资格并纳入本评价。通过对这些研究的数据综合,确定了与人工智能在护理中的应用相关的六个主题:1)风险识别,2)健康评估,3)患者分类,4)研究发展,5)改善护理服务和医疗记录,6)制定护理计划。

结论

本系统评价为人工智能在护理中的多方面应用提供了有价值的见解。通过对纳入研究的数据综合,出现了六个不同的主题。这些发现不仅巩固了当前的知识库,还强调了人工智能塑造和改善护理实践的多种方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de33/11020344/72a9b38a56c3/JMDH-17-1603-g0001.jpg

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