Amin Shaimaa Mohamed, El-Gazar Heba Emad, Zoromba Mohamed Ali, El-Sayed Mona Metwally, Atta Mohamed Hussein Ramadan
Community Health Nursing, Faculty of Nursing, Damanhour University, Damanhour, Egypt.
Nursing Administration Department, Faculty of Nursing, Port Said University, Port Said, Egypt.
J Adv Nurs. 2025 Apr;81(4):2087-2098. doi: 10.1111/jan.16435. Epub 2024 Sep 5.
Research identified preliminary evidence that artificial intelligence (AI) has emerged as a transformative force in healthcare, revolutionising various aspects of healthcare delivery, from diagnostics to treatment planning. However, integrating AI into healthcare systems in Egypt is challenging, particularly concerning healthcare professionals' acceptance and adoption of these technologies. This mixed-method study aimed to explore the sentiment of nurses at different organisational levels towards AI and resistance to change in healthcare organisations.
A mixed-method design was employed, with quantitative data collected through a survey of 500 nurses using the general attitudes towards AI and resistance to change scale and qualitative data from semi-structured interviews with 17 nurses. Quantitative data were analysed using descriptive and inferential statistics, while qualitative data were analysed thematically.
The survey demonstrated that positive attitudes were inversely correlated with resistance behaviour and resistance to change. Additionally, perceptions of AI's usefulness, ease of use and value were strongly and positively correlated with positive attitudes and negatively correlated with negative attitudes. Moreover, the influence of colleagues' opinions, self-efficacy for change and organisational support showed significant positive correlations with positive attitudes towards AI and negative correlations with negative attitudes. Qualitatively, nurses cited obstacles such as lack of familiarity with AI technologies, biases affecting decision-making, technological challenges, inadequate training and fear of technology replacing human interaction. Readiness for AI integration was associated with the necessity of training and the timing of AI use.
Nurses demonstrated varied understanding of AI's applications and benefits. Some acknowledged its potential for efficiency and time-saving, while others highlighted a need for up-to-date knowledge.
No patient or public contribution.
研究发现初步证据表明,人工智能(AI)已成为医疗保健领域的变革力量,正在彻底改变医疗保健服务的各个方面,从诊断到治疗规划。然而,在埃及将人工智能整合到医疗系统中具有挑战性,尤其是在医疗保健专业人员对这些技术的接受和采用方面。这项混合方法研究旨在探讨不同组织层面的护士对人工智能的看法以及对医疗保健组织变革的抵触情绪。
采用混合方法设计,通过对500名护士进行调查收集定量数据,使用对人工智能的总体态度和对变革的抵触量表,以及对17名护士进行半结构化访谈收集定性数据。定量数据采用描述性和推断性统计进行分析,而定性数据采用主题分析。
调查表明,积极态度与抵触行为和对变革的抵触呈负相关。此外,对人工智能有用性、易用性和价值的认知与积极态度呈强正相关,与消极态度呈负相关。此外,同事意见的影响、变革的自我效能感和组织支持与对人工智能的积极态度呈显著正相关,与消极态度呈负相关。在定性方面,护士提到了一些障碍,如对人工智能技术不熟悉、影响决策的偏见、技术挑战、培训不足以及担心技术取代人际互动。人工智能整合的准备情况与培训的必要性和人工智能使用的时机有关。
护士对人工智能的应用和益处表现出不同的理解。一些人认可其提高效率和节省时间的潜力,而另一些人则强调需要最新知识。
无患者或公众贡献。