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AI Interventions to Alleviate Healthcare Shortages and Enhance Work Conditions in Critical Care: Qualitative Analysis.

作者信息

Bienefeld Nadine, Keller Emanuela, Grote Gudela

机构信息

ETH Zurich, Zurich, Switzerland.

University Hospital of Zurich, Zurich, Switzerland.

出版信息

J Med Internet Res. 2025 Jan 13;27:e50852. doi: 10.2196/50852.


DOI:10.2196/50852
PMID:39805110
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11773285/
Abstract

BACKGROUND: The escalating global scarcity of skilled health care professionals is a critical concern, further exacerbated by rising stress levels and clinician burnout rates. Artificial intelligence (AI) has surfaced as a potential resource to alleviate these challenges. Nevertheless, it is not taken for granted that AI will inevitably augment human performance, as ill-designed systems may inadvertently impose new burdens on health care workers, and implementation may be challenging. An in-depth understanding of how AI can effectively enhance rather than impair work conditions is therefore needed. OBJECTIVE: This research investigates the efficacy of AI in alleviating stress and enriching work conditions, using intensive care units (ICUs) as a case study. Through a sociotechnical system lens, we delineate how AI systems, tasks, and responsibilities of ICU nurses and physicians can be co-designed to foster motivating, resilient, and health-promoting work. METHODS: We use the sociotechnical system framework COMPASS (Complementary Analysis of Sociotechnical Systems) to assess 5 job characteristics: autonomy, skill diversity, flexibility, problem-solving opportunities, and task variety. The qualitative analysis is underpinned by extensive workplace observation in 6 ICUs (approximately 559 nurses and physicians), structured interviews with work unit leaders (n=12), and a comparative analysis of data science experts' and clinicians' evaluation of the optimal levels of human-AI teaming. RESULTS: The results indicate that AI holds the potential to positively impact work conditions for ICU nurses and physicians in four key areas. First, autonomy is vital for stress reduction, motivation, and performance improvement. AI systems that ensure transparency, predictability, and human control can reinforce or amplify autonomy. Second, AI can encourage skill diversity and competence development, thus empowering clinicians to broaden their skills, increase the polyvalence of tasks across professional boundaries, and improve interprofessional cooperation. However, careful consideration is required to avoid the deskilling of experienced professionals. Third, AI automation can expand flexibility by relieving clinicians from administrative duties, thereby concentrating their efforts on patient care. Remote monitoring and improved scheduling can help integrate work with other life domains. Fourth, while AI may reduce problem-solving opportunities in certain areas, it can open new pathways, particularly for nurses. Finally, task identity and variety are essential job characteristics for intrinsic motivation and worker engagement but could be compromised depending on how AI tools are designed and implemented. CONCLUSIONS: This study demonstrates AI's capacity to mitigate stress and improve work conditions for ICU nurses and physicians, thereby contributing to resolving health care staffing shortages. AI solutions that are thoughtfully designed in line with the principles for good work design can enhance intrinsic motivation, learning, and worker well-being, thus providing strategic value for hospital management, policy makers, and health care professionals alike.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9885/11773285/d522623dcc69/jmir_v27i1e50852_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9885/11773285/3127cbc1b6a9/jmir_v27i1e50852_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9885/11773285/c326f554e7a7/jmir_v27i1e50852_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9885/11773285/d522623dcc69/jmir_v27i1e50852_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9885/11773285/3127cbc1b6a9/jmir_v27i1e50852_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9885/11773285/c326f554e7a7/jmir_v27i1e50852_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9885/11773285/d522623dcc69/jmir_v27i1e50852_fig3.jpg

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[1]
AI Interventions to Alleviate Healthcare Shortages and Enhance Work Conditions in Critical Care: Qualitative Analysis.

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引用本文的文献

[1]
Artificial Intelligence in Primary Care: Support or Additional Burden on Physicians' Healthcare Work?-A Qualitative Study.

Clin Pract. 2025-7-25

[2]
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[3]
Can artificial intelligence revolutionize healthcare in the Global South? A scoping review of opportunities and challenges.

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[4]
Confirmatory factor analyses of the Mandarin Chinese version of the perceived stressors in intensive care units among healthcare professionals.

Front Public Health. 2025-3-3

本文引用的文献

[1]
Human-AI Teaming in Critical Care: A Comparative Analysis of Data Scientists' and Clinicians' Perspectives on AI Augmentation and Automation.

J Med Internet Res. 2024-7-22

[2]
Human-AI teaming: leveraging transactive memory and speaking up for enhanced team effectiveness.

Front Psychol. 2023-8-4

[3]
Solving the explainable AI conundrum by bridging clinicians' needs and developers' goals.

NPJ Digit Med. 2023-5-22

[4]
Foundation models for generalist medical artificial intelligence.

Nature. 2023-4

[5]
Artificial Intelligence in Emergency Medicine: Viewpoint of Current Applications and Foreseeable Opportunities and Challenges.

J Med Internet Res. 2023-5-23

[6]
Stakeholder Perspectives of Clinical Artificial Intelligence Implementation: Systematic Review of Qualitative Evidence.

J Med Internet Res. 2023-1-10

[7]
Changes in Burnout and Satisfaction With Work-Life Integration in Physicians During the First 2 Years of the COVID-19 Pandemic.

Mayo Clin Proc. 2022-12

[8]
Human-machine teaming is key to AI adoption: clinicians' experiences with a deployed machine learning system.

NPJ Digit Med. 2022-7-21

[9]
The global health workforce stock and distribution in 2020 and 2030: a threat to equity and 'universal' health coverage?

BMJ Glob Health. 2022-6

[10]
Diagnostic uncertainty in patients, parents, and physicians: a compensatory control theory perspective.

Health Psychol Rev. 2023-9

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