Integration of artificial intelligence into nursing practice

Abuzaid, M. M., Elshami, W., & Fadden, S. M. (2022). Integration of artificial intelligence into nursing practice.
Health and Technology, 12, 1109-1115. https://doi.org/10.1007/s12553-022-00697-0

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4 Integration of artificial intelligence into nursing practice
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7 Abstract
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9 Background;
10 Artificial Intelligence (AI) is developing rapidly across the healthcare service. However, health
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professionals have positive feedback and concerns about AI integration in practice. This study assesses
13 the knowledge, attitude, willingness, and organizational readiness to integrate AI into nursing practice.
14 Methods;
15 This study was a cross-sectional survey conducted among the nurses working in health organizations
16 in United Arab Emirates (UAE). A survey link was emailed to participants to the manager of nursing
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18 departments to be shared with the nursing staff. The data collection period was over three months (July
19 to November 2021), with email reminders to maximize response. Nurses in the United Arab Emirates
20 (UAE) health organizations participated. Eligibility criteria included registered nurses in government
21 or private hospitals, clinics, or medical centres.
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Cross-sectional study using an electronic survey distributed among registered nurses in UAE. The
24 survey captured the nurse's demographic, knowledge, perceptions, organizational readiness and
25 challenges regarding implementing AI into nursing practice.
26 Results;
27 Five hundred fifty-three responses were returned from 650 invitations giving a response rate of 85%.
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29 51% of respondents stated their knowledge of AI was obtained through self-taught measures for most
30 participants, while 20% gained it through various courses. Only 8% stated they learned through
31 postgraduate courses, while 9% stated they lack knowledge of AI. 75% of all respondents agreed that
32 the nursing curriculum should include some basic knowledge of AI.
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Conclusions.
35 There is a lack of understanding of the principles of AI across the nursing profession. Therefore, further
36 education and training are required to enable a seamless and safe integration of AI into nursing practice.
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Keywords: Nurse, Artificial intelligence, acceptance, integrate into practice, future applications of AI,
41 technology in nursing
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4 Introduction
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6 Artificial intelligence (AI) works by developing computer systems that can usually perform tasks done
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8 by humans. Different methods of AI exist, i.e. Machine learning (ML) is a branch of AI that comprises
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10 teaching algorithms to complete tasks using data to understand patterns and characteristics. In contrast,
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12 Deep learning (DL) is a type of ML in which a job is completed using deep neural networks containing
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numerous layers of mathematical equations (1).
15 There is a vast growth of AI applications across all aspects of healthcare. Nursing practice is critical
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17 where AI technology will enhance practice and patient outcomes (1). Currently, there are numerous AI
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19 applications used in nursing practice, such as speech recognition (2), data mining (2), and prediction of
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21 physical deterioration (3). Nevertheless, the future applications of AI technology will help nurses
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23 provide individualized, evidence-based care and integrate relevant data (1).In contrast to the vast
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majority of AI research, which focuses on developing and testing AI algorithms and their related
26 prediction models, few studies explored the perceptions of nurses and nursing students(4). A recent
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28 survey of 675 nurses in the US reported that 30% of respondents know how AI is used in clinical
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30 nursing practice, while 70% had fair or no knowledge of the technology employed in AI (5). It is
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32 possible that this lack of knowledge exists across the discipline and needs to be addressed. There is no
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34 doubt that the application of AI will continue to increase in healthcare practice and education(4).
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Successful implementation of AI into clinical practice requires a thorough understanding of the
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37 attitudes and behaviours of the nurses as end-users towards the existing and future AI applications.
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39 Moreover, assessing the current knowledge of AI among nurses is essential to identify future training
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41 requirements, as they are the technology users and have direct contact with patients.
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43 Numerous AI applications have been developed to improve patient care and change nurses' jobs. In the
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45 context of healthcare, AI often refers to a computer's capacity to autonomously transform data into
46 knowledge to inform decisions or autonomous actions(6–8).
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48 With limited staff and resources, mobile health (mHealth) and sensor-based technologies offer chances
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50 to redefine a nurse's capacity to give care and monitor patients. For example, nurses regularly
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52 communicated with patients remotely during the COVID-19 pandemic using voice assistants and
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54 robotics to cut down on the need for personal protective equipment and recurrent viral exposure. These
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technologies may also shorten the time nurses spend gathering information and documenting it per
57 visit.
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4 This study assesses the knowledge, attitude, willingness, and organizational readiness to integrate AI
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6 into nursing practice.
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9 Methods
10 An exploratory cross-sectional electronic survey of nurses working in the United Arab Emirates (UAE)
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12 health organization was conducted. The participants' eligibility included registered nurses working
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14 across government or private hospitals, clinics, or medical centres during the data collection period.
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16 The research team adapted a previously validated survey used in similar studies (9–11). The survey
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18 was modified to suit the nurse's practice. Three senior nurses and two nurse educators piloted the survey
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to ascertain whether participants understood the questions, as well as the accuracy and dependability
21 of the information. Based on the working environment in the UAE, the comments and ideas were used
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23 to make the survey easier to understand.
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25 The survey was designed in two parts. (i) The first part recorded the participants' demographic
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27 information, including gender, age, qualifications, clinical experience, and country obtained the latest
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29 academic degree. (ii) The second part captured the nurses' knowledge, perceptions and organizational
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readiness regarding integrating AI into nurses' practice.
32 Convenience sampling was utilized in this study because it is a simple way to reach out to people in
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34 different parts of the UAE. Nurses were invited to participate in the online survey using the "Google
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36 Forms" link. A research assistant emailed the survey link to the manager of nursing departments to be
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38 shared with nurses. The invitation email had detailed information about the objectives of the study and
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40 requested consent to participate in the study. Participants had to click to confirm consent to enable
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progression to the survey and were informed that completing the survey also implied consent to
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43 participate in the study.
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46 The survey was completely anonymous, and participants were informed that they could withdraw at
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48 any time before the submission with no repercussions. The data collection period was over three months
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(July to November 2021), with regular email reminders every second week.
51 Data analysis was performed using the Statistical Package for Social Sciences (SPSS) version 22. All
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53 questions that the participants responded to were included in the study. In addition, descriptive data
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55 was conducted for all questions extracting the frequencies and percentages of the responses. Statistical
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57 Package for the Social Sciences (SPSS), version 24®, Armonk, NY: IBM Corp., was used to classify
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4 and analyze the quantitative data. Percentages, mean, median, and standard deviation were used to
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6 present the quantitative data. The Chi-Square test and P-values were used to compare the results.
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8 Ethical Approval: The research ethics committee at the University of XXXXX approved the project.
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10 The committee's norms and restrictions followed the study's goal, protocols, and techniques (reference
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12 number REC-20-05-06-01).
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15 Results
16 Demographic information
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18 Six hundred and fifty participants were invited, and data was collected from 553 nurses giving a response rate
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20 of 85%. Most respondents were female (n=490, 89%), and a minority were male (n=63, 11%). Most of the
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22 participants (n=482, 87%) had a Bachelor's degree, (n=66, 12%) had a Diploma, and only (n=5, 1%) had a
23 Master's degree in nursing as their highest qualification. The majority of respondents (n=211, 38%) were 30-39
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25 years old, followed by 20-29 years (n=167, 30%), 40-49 years (n=126, 23%), 50-59 years (n=41, 7%), and those
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27 above 60 years of age were (n=8, 1%). The participants of the study graduated from a multitude of different
28 countries; (n=218, 39%) from Philippines, (n=131, 24%) India, (n=68, 12%) UAE, (n=36, 7%) western
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30 education and (n=99, 18%) from Arab Universities.
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32 Most respondents (n=409, 74%) worked in public hospitals, while (n=144, 26%) were from private hospitals.
33 The study included respondents who had a range of experience: 0-5 years (n=183, 33%), 6-10 years (n=127,
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35 23%), 11-20 years (n=169, 31%), and more than 20 years (n=72, 13%), table 1.
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37 Table 1: Participants' demographic information
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39 n %
40 Female 490 89
Gender
41 Male 63 11
42 20-29 167 30
43 30-39 211 38
Age groups
44 40-49 126 23
(years)
45 50-59 41 7
46 60+ 8 1
47 Diploma 66 12
48 Education BSc 482 87
49 MSc 5 1
50 UAE 68 12
51 India 131 24
52 Country of
Philippines 218 39
graduation
53 Western Education 36 7
54 Arab Universities 99 18
55 0-5 183 33
56 Experience 6-10 127 23
57 (years) 11-20 169 31
58 20+ 72 13
59 Hospital 409 74
60 Work Clinic 144 26
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7 Nurses' knowledge
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When asked how well they understood what AI means, 165 respondents (30%) stated that their knowledge is
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10 only what they have read in news, posters, or media. In contrast (26%, n=144) stated they are familiar with AI
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12 but would not be confident applying that knowledge at work. On the other hand, other respondents (22%, n=122)
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stated that they are comfortable with what it means (n=68, 12%) declared they are very comfortable with working
15 with AI applications. In contrast, the rest of the respondents (n=54, 10%) stated they did not understand it (Figure
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17 1).
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27 I'm comfortable with what
28 it means, but I am not
12 technical
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30 I'm familiar with it but
31 wouldn't confidently apply
32 that knowledge at work
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34 I have no idea
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36 30
37 Only what I've read in news,
38 posters or media
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Very comfortable. I work in
41 10 AI
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47 Figure 1 Knowledge Assessment
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49 Participants were asked about AI learning in the nursing curriculum and practice. Data were gathered in a 5 point
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51 Likert scale scored from 1-5 for Strongly Disagree to Strongly Agree, tables 2 and 3. Most respondents (n=414,
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75%) agreed that the nursing curriculum should include at least some basic knowledge of AI (μ=3.93,
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54 SD=0.915). 75% of them agreed that AI should be included in the undergraduate programme (n=430, 78%)
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56 (μ=3.98, SD=0.916) and postgraduate programme (n=459, 83%) (μ=4.15, SD=0.865). Although most
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respondents (n=378, 69%) were affirmative when they were asked if they have a basic understanding of AI (μ =
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59 3.79, SD = 0.783), less than half of the participants (n=220, 40%) stated they have a working knowledge of AI
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4 (μ=3.22, SD=1.039). Respondents were asked if they had been trained and educated on AI; almost equal
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6 distribution of responses was received for agreed (n=203, 36%), disagreed (n=184, 34%), and neutral (n=166,
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8 30%) (μ=3.07, SD=1.175).
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12 Table 2 Knowledge Assessment
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14 Strongly Disagree Neutral Agree Strongly
15 Disagree (D) (%) (N) (%) (N) (%) Agree
16 (SD) (%) (SA) (%)
17 The curriculum should include at least some basic knowledge of AI 10(2) 31(5) 98(18) 261(47) 153(28)
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19 AI should be taught in the undergraduate programme 8(1) 37(7) 78(14) 265(48) 165(30)
20 AI should be taught in the postgraduate programme 8(1) 20(4) 66(12) 246(44) 213(39)
21 I have a basic understanding of AI 8(1) 16(3) 151(27) 291(53) 87(16)
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I have a working knowledge of AI 19(3) 126(23) 188(34) 153(28) 67(12)
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24 I have been trained and educated about the AI 53(10) 131(24) 166(30) 130(23) 73(13)
25 Table 3 Descriptive Statistics of Knowledge
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29 Minimum Maximum Mean Std. Deviation
30 The nursing curriculum includes at least some basic knowledge of AI. 1 5 3.93 .915
31 AI should be taught in the undergraduate program 1 5 3.98 .916
32 AI should be taught in the postgraduate program 1 5 4.15 .865
33 I have a basic understanding of AI 1 5 3.79 .783
34 I have a working knowledge of AI 1 5 3.22 1.039
35 I have been trained and educated about the AI 1 5 3.07 1.175
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The study also assessed how participants developed their knowledge and skills in AI. Most participants obtained
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38 knowledge of AI through self-taught measures (n=283, 51%), while some (n=113, 20%) gained it through
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40 various courses. Only a few (n=43, 8%) stated they learned through postgraduate courses, while others (n=51,
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9%) stated that they lack knowledge of AI, figure 2.
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5 Knowledge
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9 20
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16 51
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20 Attending courses Self-taught Work-related activities
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No Knowledge Postgraduate training
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Figure 2 Knowledge Gain
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29 In terms of the skills on AI developed, distribution of responses was self-taught (n=206, 37%), developed through
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attending courses (n=132, 24%), through work-related activities (n=109, 20%), through post-graduate training
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32 (n=26, 5%), and they lack the knowledge (n=80, 14%). See figure 3.
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39 Skills
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50 37
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54 Attending courses Self-taught Work-related activities
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56 No Knowledge Postgraduate training
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58 Figure 3 Skills Gain
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4 Nurses perceptions
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6 The participant's perception of AI was assessed through a series of questions that had responses on 5 points
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8 Likert scale. Scores were assigned for responses, 1 = 'Strongly Disagree' (SD), 2 = 'disagree' (D), 3 = 'Neutral'
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(N), 4 = 'Agree' (A), and 5 = 'Strongly Agree' (SA), for which frequencies, percentages, mean and standard
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11 deviation were calculated and displayed in table 4 and 5.
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Table 4 Perception of AI
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17 SD (%) D (%) N (%) A (%) SA (%)
18 AI play an important role in Nursing 8(1) 11(2) 62(11) 215(39) 257(47)
19 AI will take place in many nursing applications and practice 8(1) 11(2) 48(9) 243(44) 245(44)
20 AI will threaten/disrupt the nursing practice 32(5) 82(15) 203(37) 138(25) 98(18)
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AI will threaten/disrupt some nursing careers. 34(6) 74(14) 128(23) 205(37) 112(20)
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AI has no limitations in my work 25(5) 107(19) 145(26) 174(32) 102(18)
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26 Table 5 Descriptive Statistics on Perception
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29 Minimum Maximum Mean Std. Deviation
30 AI play an important role in Nursing 1 5 4.27 .846
31 AI will take place in many nursing applications and practice 1 5 4.29 .779
32 AI will threaten/disrupt the Nursing practice 1 5 3.34 1.107
33 AI will threaten/disrupt some nursing careers. 1 5 3.52 1.137
34 AI has no limitations in my work 1 5 3.40 1.127
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Participants strongly agreed that AI plays an important role in nursing practice (n=257, 47%), (μ= 4.27,
38 SD=0.846). Most participants (n=488, 88%) agreed that AI would have a place in many nursing applications and
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40 practices (μ = 4.29, SD = 0.779). A neutral opinion was common (n=203, 37%) when the respondents were
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asked if AI would threaten/disrupt nursing practice (μ= 3.34, SD= 1.107). Further, the participants were asked
43 if AI would threaten/disrupt nursing careers (n=317, 57%) of them agreed (μ =3.52, SD = 1.137). Affirmative
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45 responses were received from the participants (n=276, 50%), stating that AI has no limitations in their work (μ
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47 = 3.40, SD = 1.127).
48 When asked how they feel about AI, the respondents stated that they are aware of the challenges (n=191, 35%),
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50 (n=176, 32%) were excited, (n=70, 13%) were neutral, and (n=69, 12%) did not know enough. However, a small
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52 fraction (n=47, 8%) of the respondents were worried about the impact of AI in nursing g practice, figure 4.
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17 I don't know enough Aware of the challenges
18 Neutral Worried about the impact
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20 Excited
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23 Figure 4 Perceptions toward AI
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25 Organizational readiness regarding integrating AI into practice
26 When asked if someone was in charge of AI at their institutes (n=213, 39%) said they were unsure. In contrast
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28 (n=186,34%) said no. 220(40%) stated that AI is a big part of what they do, some (n=183, 33%) mentioned it
29 was in their organization's plan, other respondents (n=57, 10%) stated it was a small part. The rest (n=93, 17%)
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31 stated that they have no idea regarding AI integration in their current work. When the respondents were asked if
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33 their organization has any strategy for AI integration, the responses indicated their lack of knowledge of it
34 (n=219, 40%), yes (n=153, 28%) and no (n=181, 32%).
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38 Comparison of Demographics and Responses
39 The association between the demographics and the participants' responses was analyzed through Chi-Square.
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41 Neutral responses were excluded from the analysis, and the two 'extreme' responses on either side of the neutral
42 column were combined to form two data groups. The new data columns were labelled 'Disagreement' and
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44 'Agreement'.
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46 The study concluded that there is an association between the respondents' workplace and their perception of AI.
47 The workplace plays an important role (p=0.02) where the respondents from hospitals (n=358, 98%) tend to
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49 agree more with it compared to the respondents from the clinics (n=114, 91%).
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51 An association was found between the opinion of participants on whether AI will have a place in many nursing
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applications and practices and the age of participants (p=0.014), country of education (p=0.0001), and experience
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54 (p=0.0001). Participants between 50-59 years (n=33, 00%) were more inclined to agree. Participants who
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56 obtained education from UAE (n=56, 10%), Philippines (n=200, 10%) and Western Education (n=30, 100%)
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were in more agreement compared to those who graduated from India (n=119, 94%) and Arab countries. Nurses
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4 with experience between 0-5 years (n=170, 100%) were inclined to agree that AI is integrated into nursing
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6 applications and practices.
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8 There was an association between the age of participants and their perception of whether AI will threaten/disrupt
9 Nursing practice (p=0.037), where participants were within age 30-39 years (n=100, 74%) and those between
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11 50-59 years (n=24, 77%) were inclined to agree to it compared to other age categories. Further, an association
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13 was found between the experience of the participants and their idea whether AI will threaten/disrupt the Nursing
14 practice (p=0.006), where participants in the 6-10 years age group (n=61, 75%) and those between 11-20 years
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16 (n=77, 76%) tend to agree to the idea compared to the others.
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18 The study revealed an association between the years of experience of the participants and their opinion regarding
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20 the threat/disruption AI brings to nursing jobs (p=0.024), where participants between 6-10 years of experience
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22 (n=81, 81%) and those between 11-20 years experience (n=98, 80%) were more likely to feel threatened.
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24 Furthermore, the participants' age was associated with the perception that AI has no limitations on their work
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26 (p=0.043). Participants, those between 30-39 years, 50-59 years, and those above 60+ were in a greater
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agreement than the other age groups that AI positively impacts nursing practice. There also was an association
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29 between the perceptions and participant's experience (p=0.028) and workplace (p=0.019). Participants with 6-
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31 10 years of nursing experience and those with more than 20 years of nursing experience agreed with the above
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perception, and those from clinics were similarly affirmative.
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35 Discussion
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This study reports significant results from the nursing workforce in the UAE regarding the integration
39 of AI into nursing practice.
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41 Many work sectors are affected by the integration of AI in their work practice; for example, fewer
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43 labourers are currently employed in agriculture, ticketing and tourism as jobs become more automated.
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45 In healthcare AI application is applied in robotics and radiology image interpretation(9). Integration of
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47 AI in health and medicine has become a reality, and every healthcare professional will experience some
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sort of impact of work automation and integration of AI applications(7). Woolery et al. published the
50 first report about utilizing artificial intelligence and machine learning in nursing literature for the first
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52 time in 1991(12). With the increased digitization in healthcare and the usage of electronic health data,
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54 nursing practice will be greatly impacted.
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56 The nursing profession is critical in healthcare delivery as it works directly with the patients and ensures
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58 the diagnostic and treatment plans work efficiently. The daily nursing tasks are wide and varied and
59 include maintaining the patient charting, recording, taking vital signs, assisting in physical exams, and
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4 communication between patients, physicians, other healthcare professionals, and administrator's
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6 sectors(13). Therefore, there is no question that the impact of AI in nursing practice will be
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8 transformational. An example of AI application in nursing practice is the utilization of robotics in
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10 medication dispensing, special needs robotics and decision-making applications for health management
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12 and coordination (1,14). Nurses are important in healthcare delivery, so they must be aware and
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knowledgeable about AI. However, most current studies concentrated on AI application development
15 and compared the work performed before and after AI integration; few studies tried to understand the
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17 knowledge and readiness to integrate AI in their daily practice(6).
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19 Swan investigated the knowledge, attitude, application of AI, and implications among (n = 675) nurses
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21 and students in the United States. 72% considered themselves well-oriented, 70% heard about AI
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23 applications, and 24% reported well knowledge about AI. Our study's knowledge is less than Swan's
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results as 40% agreed they have AI knowledge while almost similar in the basic understanding (table
26 1) (5,13). Interim of attitude, perceptions and implications both studies showed the excitement of the
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28 nurses towards integrating AI application in daily work practice. In both studies, more than 70% agreed
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30 that AI application would help nurses in work practice with a great understanding of the importance of
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32 AI in nurse work (5,14).
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34 The participants in this study were enthusiastic about incorporating AI into nursing and were aware of
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the challenges that would have to be overcome; yet, the majority agreed on the role of AI in nursing
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37 practice. AI would threaten or disrupt their professional careers, according to 57% of respondents.
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39 There could be two reasons for this. First, it's unclear whether this is related to how AI is used in the
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41 local nursing context, where the workforce sees no use for it. The second explanation could be a lack
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43 of sufficient and in-depth understanding of how AI can be deployed and what it can achieve beyond
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45 the widely held perception of x-ray cases being classified as normal or abnormal(4,9,15).
46 Implementing AI applications in nursing could help nurses make clinical decisions; nevertheless, there
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48 are a few things to keep in mind. First, AI education is not enough in undergraduate nursing programs
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50 and continuous education. Important educational elements should be added, such as clinical
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52 information systems, data quality, data standardization, data mining, and data analytics. In the nursing
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54 management system, AI technologies can support responsive and evidence-based nursing practice, for
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example, through visualization of patient trends that can provide insights for both immediate patient
57 care and long-term planning and management. Moreover, nurses should engage with the current
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59 research and encourage up-to-date knowledge of the evidence to support practice.
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4 Limitation: A focus group research is also suggested to facilitate a deeper understanding and is
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6 anticipated to complement the growing awareness of AI's role in nursing practice.
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8 Conclusion
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10 The integration of artificial intelligence into nursing practice will continue to arouse interest; however,
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12 there is a lack of understanding of its technical potential. We strongly recommend universities and
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professional organizations implement appropriate educational and training programs. Nurses need to
15 increase their knowledge of basic AI and understand how it is integrated into nursing practice.
16
17 Reference
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20 1. Ronquillo CE, Peltonen LM, Pruinelli L, Chu CH, Bakken S, Beduschi A, et al. Artificial
21
22
intelligence in nursing: Priorities and opportunities from an international invitational think-
23 tank of the Nursing and Artificial Intelligence Leadership Collaborative. J Adv Nurs.
24
25 2021;77(9):3707–17.
26
27 2. Topaz M, Murga L, Gaddis KM, McDonald M V., Bar-Bachar O, Goldberg Y, et al. Mining
28
29 fall-related information in clinical notes: Comparison of rule-based and novel word
30
31 embedding-based machine learning approaches. J Biomed Inform [Internet].
32
33
2019;90(November 2018):103103. Available from: https://doi.org/10.1016/j.jbi.2019.103103
34 3. Hannaford L, Cheng X, Kunes-Connell M. Predicting nursing baccalaureate program graduates
35
36 using machine learning models: A quantitative research study. Nurse Educ Today [Internet].
37
38 2021;99(December 2020):104784. Available from: https://doi.org/10.1016/j.nedt.2021.104784
39
40 4. O'Connor S. Artificial intelligence and predictive analytics in nursing education. Nurse Educ
41
42 Pract [Internet]. 2021;56:103224. Available from: https://doi.org/10.1016/j.nepr.2021.103224
43
5. Swan BA, Haas S a. Assessing the Knowledge and Attitudes of Registered Nurses about
44
45 Artificial Intelligence in Nursing and Health Care. Nurs Econ. 2021;39(3):139–43.
46
47 6. Maskara R, Bhootra V, Thakkar D, Nishkalank N. A study on the perception of medical
48
49 professionals towards artificial intelligence. Int J Multidiscip Res Dev. 2017;4(4):34–9.
50
51 7. Kulkarni S, Seneviratne N, Baig MS, Khan AHA. Artificial Intelligence in Medicine: Where
52
53 Are We Now? Acad Radiol. 2020;27(1):62–70.
54 8. Davenport T, Kalakota R. DIGITAL TECHNOLOGY The potential for artificial intelligence
55
56 in healthcare. Futur Healthc J. 2019;6(2):94–102.
57
58 9. Abuzaid MM, Elshami W, Tekin H IB. Assessment of the Willingness of Radiologists and
59
60 Radiographers to Accept the Integration of Artificial Intelligence Into Radiology Practice.
61
62
63
64
65
 1
2
3
4 Acad Radiol. 2022 Oct;29(1):87–94.
5
6 10. Abuzaid MM, Elshami W, McConnell J, Tekin HO. An extensive survey of radiographers
7
8 from the Middle East and India on artificial intelligence integration in radiology practice.
9
10 Health Technol (Berl) [Internet]. 2021;11(5):1045–50. Available from:
11
12 https://doi.org/10.1007/s12553-021-00583-1
13
14
11. Abuzaid MM, Tekin HO, Reza M, Elhag IR, Elshami W. Assessment of MRI technologists in
15 acceptance and willingness to integrate artificial intelligence into practice. Radiography
16
17 [Internet]. 2021;27:S83–7. Available from: https://doi.org/10.1016/j.radi.2021.07.007
18
19 12. Woolery L, Grzymala-Busse J, Summers S BA. The use of machine learning program LERS-
20
21 LB 2.5 in knowledge acquisition for expert system development in nursing. Comput Nurs
22
23 [Internet]. 1991 [cited 2022 Apr 9];9(6):227–34. Available from:
24
25
https://pubmed.ncbi.nlm.nih.gov/1747822/
26 13. Taryudi T, Lindayani L, Purnama H, Mutiar A. Nurses' View towards the Use of Robotic
27
28 during Pandemic COVID-19 in Indonesia: A Qualitative Study. Open Access Maced J Med
29
30 Sci. 2022;10:14–8.
31
32 14. Booth RG, Strudwick G, McBride S, O'Connor S, Solano López AL. How the nursing
33
34 profession should adapt for a digital future. BMJ. 2021;373:1–5.
35
15. Clancy TR. Artificial Intelligence and Nursing: The Future Is Now. J Nurs Adm.
36
37 2020;50(3):125–7.
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65