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Decoding machine learning in nursing research: A scoping review of effective algorithms.

作者信息

Choi Jeeyae, Lee Hanjoo, Kim-Godwin Yeounsoo

机构信息

School of Nursing, College of Health and Human Services, University of North Carolina Wilmington, Wilmington, North Carolina, USA.

Joint Biomedical Engineering Department, School of Medicine, University of North Carolina Chapel Hill, Chapel Hill, North Carolina, USA.

出版信息

J Nurs Scholarsh. 2025 Jan;57(1):119-129. doi: 10.1111/jnu.13026. Epub 2024 Sep 18.


DOI:10.1111/jnu.13026
PMID:39294553
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11771615/
Abstract

INTRODUCTION: The rapid evolution of artificial intelligence (AI) technology has revolutionized healthcare, particularly through the integration of AI into health information systems. This transformation has significantly impacted the roles of nurses and nurse practitioners, prompting extensive research to assess the effectiveness of AI-integrated systems. This scoping review focuses on machine learning (ML) used in nursing, specifically investigating ML algorithms, model evaluation methods, areas of focus related to nursing, and the most effective ML algorithms. DESIGN: The scoping review followed the Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) guidelines. METHODS: A structured search was performed across seven databases according to PRISMA-ScR: PubMed, EMBASE, CINAHL, Web of Science, OVID, PsycINFO, and ProQuest. The quality of the final reviewed studies was assessed using the Medical Education Research Study Quality Instrument (MERSQI). RESULTS: Twenty-six articles published between 2019 and 2023 met the inclusion and exclusion criteria, and 46% of studies were conducted in the US. The average MERSQI score was 12.2, indicative of moderate- to high-quality studies. The most used ML algorithm was Random Forest. The four second-most used were logistic regression, least absolute shrinkage and selection operator, decision tree, and support vector machine. Most ML models were evaluated by calculating sensitivity (recall)/specificity, accuracy, receiver operating characteristic (ROC), area under the ROC (AUROC), and positive/negative prediction value (precision). Half of the studies focused on nursing staff or students and hospital readmission or emergency department visits. Only 11 articles reported the most effective ML algorithm(s). CONCLUSION: The scoping review provides insights into the current status of ML research in nursing and recognition of its significance in nursing research, confirming the benefits of ML in healthcare. Recommendations include incorporating experimental designs in research studies to optimize the use of ML models across various nursing domains. CLINICAL RELEVANCE: The scoping review demonstrates substantial clinical relevance of ML applications for nurses, nurse practitioners, administrators, and researchers. The integration of ML into healthcare systems and its impact on nursing practices have important implications for patient care, resource management, and the evolution of nursing research.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7444/11771615/3ceff5db852a/JNU-57-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7444/11771615/3ceff5db852a/JNU-57-119-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7444/11771615/3ceff5db852a/JNU-57-119-g001.jpg

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The Basics of Artificial Intelligence in Nursing: Fundamentals and Recommendations for Educators.

J Nurs Educ. 2023-12

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The Impact and Issues of Artificial Intelligence in Nursing Science and Healthcare Settings.

SAGE Open Nurs. 2023-9-8

[3]
Development of a Nurse Turnover Prediction Model in Korea Using Machine Learning.

Healthcare (Basel). 2023-5-28

[4]
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[5]
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[6]
Capturing Concerns about Patient Deterioration in Narrative Documentation in Home Healthcare.

AMIA Annu Symp Proc. 2022

[7]
Drawbacks of Artificial Intelligence and Their Potential Solutions in the Healthcare Sector.

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[8]
Global output on artificial intelligence in the field of nursing: A bibliometric analysis and science mapping.

J Nurs Scholarsh. 2023-7

[9]
Applications of artificial intelligence for nursing: has a new era arrived?

Eur J Cardiovasc Nurs. 2023-4-12

[10]
Investigating Psychological Differences Between Nurses and Other Health Care Workers From the Asia-Pacific Region During the Early Phase of COVID-19: Machine Learning Approach.

JMIR Nurs. 2022-6-1

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