Challenges and implications of the use of artificial intelligence in health care, with an emphasis on nursing. Scoping review

人工智能在医疗保健领域(以护理为重点)应用所面临的挑战和影响:范围界定综述

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Abstract

OBJECTIVE: To review the literature related to ethics of artificial intelligence (AI) in healthcare, with a particular emphasis on its challenges and implications in nursing. METHODS: Data bases including PubMed, Scopus, Web of Science, and CINAHL are reviewed. Inclusion criteria focused on English-language articles addressing AI ethics in healthcare, with priority given to empirical studies, World Health Organization (WHO) reports, and nursing-specific scholarship. General Search Items included artificial intelligence ethics, AI in healthcare challenges, nursing AI implications, algorithmic bias healthcare, informed consent AI, privacy data protection AI, and WHO AI guidelines, combined with Boolean operators (e.g., "AI AND nursing autonomy") and filters for publication date (post-2018) and article type (reviews, originals). RESULTS: Most of the studies emphasizes that integration of Artificial intelligence provides substantial benefits for patients, medical professionals, and the overall healthcare framework. Like the improving the primary healthcare, cost reduction, and enhanced efficiency of medical and clinical processes and it also helps where human intelligence is needed i.e. analytical reasoning, acquiring knowledge, and decision-making. While it offers immense possibilities, this technology demands vast amounts of patient information, leading to concerns about confidentiality, protection, and other moral dilemmas. It also highlights the need for nurses to develop AI literacy and bias recognition to balance technological efficiency with humanistic care and ethical evaluation; enabling nurses to monitor unethical AI applications and ensure fairness in patient care. CONCLUSION: AI is revolutionizing the healthcare sector but demands robust ethical governance to mitigate harms like discrimination and privacy erosion. For nursing, proactive integration-via updated curricula and interdisciplinary policies-can foster safe, equitable AI adoption, ultimately advancing human dignity and health outcomes.

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