Abstract

AimTo develop a consensus paper on the central points of an international invitational think-tank on nursing and artificial intelligence (AI).MethodsWe established the Nursing and Artificial Intelligence Leadership (NAIL) Collaborative, comprising interdisciplinary experts in AI development, biomedical ethics, AI in primary care, AI legal aspects, philosophy of AI in health, nursing practice, implementation science, leaders in health informatics practice and international health informatics groups, a representative of patients and the public, and the Chair of the ITU/WHO Focus Group on Artificial Intelligence for Health. The NAIL Collaborative convened at a 3-day invitational think tank in autumn 2019. Activities included a pre-event survey, expert presentations and working sessions to identify priority areas for action, opportunities and recommendations to address these. In this paper, we summarize the key discussion points and notes from the aforementioned activities.Implications for nursingNursing's limited current engagement with discourses on AI and health posts a risk that the profession is not part of the conversations that have potentially significant impacts on nursing practice.ConclusionThere are numerous gaps and a timely need for the nursing profession to be among the leaders and drivers of conversations around AI in health systems.ImpactWe outline crucial gaps where focused effort is required for nursing to take a leadership role in shaping AI use in health systems. Three priorities were identified that need to be addressed in the near future: (a) Nurses must understand the relationship between the data they collect and AI technologies they use; (b) Nurses need to be meaningfully involved in all stages of AI: from development to implementation; and (c) There is a substantial untapped and an unexplored potential for nursing to contribute to the development of AI technologies for global health and humanitarian efforts.

Highlights

  • Artificial intelligence (AI) is defined as ‘... the science and engineering of making intelligent machines, especially intelligent computer programs’ (McCarthy, 1956)

  • The dynamics between AI and nursing has yet to be critically interrogated. This is despite nurses being the largest group of healthcare professionals internationally (International Council of Nurses, 2017), and, by sheer volume of the workforce, nurses likely being the healthcare professionals who are most exposed to new AI technologies

  • There appears to be limited understanding of the link between nursing documentation and how these documents may be used for purposes beyond immediate clinical decision making, administrative reporting and keeping a legal record as taught in basic nursing education. While understanding these aspects of documentation has been sufficient to inform nursing practice in the past, we argue that nurses should understand the relationship between their clinical documentation and AI

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Summary

| INTRODUCTION

Artificial intelligence (AI) is defined as ‘... the science and engineering of making intelligent machines, especially intelligent computer programs’ (McCarthy, 1956). | 3 review has highlighted that much of the research on AI in healthcare has focused on secondary and tertiary care, leaving still considerable opportunity to explore nurses' use of AI in primary care (Abbasgholizadeh-­Rahimi et al, 2020). From these examples, it is clear that nurses are not exempt from the proliferation of AI in healthcare systems, with AI often touted as tools that can transform the provision of health care and improve health outcomes (Clancy, 2020)

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