Research Article

Artificial intelligence in healthcare education: Cross-sectional survey of knowledge, attitudes, and readiness among Sikkim’s healthcare students

Number: 1 April 10, 2026
Barkha Devi *, Champa Sharma , Ms. Shrijana Pradhan , Nazung Lepcha , Shashirani Pangbagam , Narmaya Chettri

Artificial intelligence in healthcare education: Cross-sectional survey of knowledge, attitudes, and readiness among Sikkim’s healthcare students

Abstract

Objective: Artificial intelligence (AI) is increasingly transforming healthcare worldwide, enhancing diagnostic accuracy, treatment planning, and health system management. However, understanding how future healthcare professionals perceive and prepare for AI integration remains essential. This study aimed to assess the knowledge, attitudes, and readiness (KAR) of healthcare students in Sikkim, a region where digital healthcare implementation is still evolving.

Method: A cross-sectional survey was conducted among 1,219 students enrolled in nursing, physiotherapy, pharmacy, and allied health sciences programs across five universities using stratified random sampling. Data were collected through a structured questionnaire comprising multiple-choice items (knowledge), Likert-scale statements (attitude), and scenario-based assessments (readiness). Demographic characteristics, academic background, and familiarity with digital technologies were also recorded. The instrument was pretested for reliability, and ethical approval was obtained prior to data collection.

Results: Overall, 51.4% of participants demonstrated adequate AI knowledge, and 77.3% expressed positive attitudes toward AI. However, only 38.6% were classified as ready to apply AI in clinical practice. No significant correlations were observed between knowledge and readiness (r=0.047, p=0.104) or between attitude and readiness (r=0.075, p=0.151), indicating that favourable perceptions and conceptual understanding did not translate into practical preparedness.

Conclusion: Readiness was associated with prior curricular exposure to AI, technological confidence, and openness to training. The findings highlight a gap between awareness and practical preparedness, emphasizing the need for structured, hands-on AI training within healthcare curricula.

Keywords

Artificial Intelligence, Health Occupations Students, Computer Literacy, Health Education, Readiness for Practice

Supporting Institution

Sikkim Manipal University.

Ethical Statement

Permission was obtained for the study from Sikkim Manipal University& Institutional Ethics Committee (SMIMS/IEC/2023-152) of Sikkim Manipal University.

Thanks

All authors have signed this cover letter as required. We sincerely hope you find our work suitable for publication and look forward to your favourable response.

References

  1. 1. Fetzer JH. Turing test: Still valid for the problem of machine intelligence. Minds Mach. 1990;1(1):3–17.
  2. 2. Ronquillo CE, Peltonen L-M, Pruinelli L. Artificial intelligence in nursing: Priorities and opportunities. J Adv Nurs. 2021;77:3707–17.
  3. 3. Michalowski M. Artificial intelligence and nursing: The what, the why, and the how. Brocher Workshop on AI for Nursing. 2019.
  4. 4. Moen H, Hakala K, Peltonen L-M, et al. Assisting nurses in care documentation. J Biomed Semantics. 2020;11(1):4.
  5. 5. Monica K. Using EHR voice recognition to improve documentation. EHR Intelligence. 2018. Available from: https://ehrintelligence.com/news/using-ehr-voice-recognition-to-improve-documentation
  6. 6. Mozur P. Google’s AlphaGo defeats Chinese Go master in win for AI. New York Times. 2017. Available from:https://www.nytimes.com/2017/05/23/business/google-deepmind-alphago-go-champion-defeat.html
  7. 7. Wagner N, Sherwood J. Attitudes toward IT and its effect on behavior. J Educ Technol Syst. 2019;48(3):241–60.
  8. 8. Jotham I. Google’s AI clones itself. Int Bus Times. 2017. Available from: https://www.ibtimes.com/googles-ai-clones-itself-2622203
  9. 9. von Gerich H, Moen H, Block LJ, et al. Artificial intelligence–based technologies in nursing: a scoping literature review of the evidence. Int J Nurs Stud. 2022;127:104153.
  10. 10. Alsaggaf R, Almatrafi A, Alqurashi T, et al. Awareness and attitude toward artificial intelligence among Saudi medical students. BMC Med Educ. 2023;23(1):12.
APA
Devi, B., Sharma, C., Pradhan, M. S., Lepcha, N., Pangbagam, S., & Chettri, N. (2026). Artificial intelligence in healthcare education: Cross-sectional survey of knowledge, attitudes, and readiness among Sikkim’s healthcare students. Turkish Journal of Public Health, 1. https://doi.org/10.20518/tjph.1756462
AMA
1.Devi B, Sharma C, Pradhan MS, Lepcha N, Pangbagam S, Chettri N. Artificial intelligence in healthcare education: Cross-sectional survey of knowledge, attitudes, and readiness among Sikkim’s healthcare students. TJPH. 2026;(1). doi:10.20518/tjph.1756462
Chicago
Devi, Barkha, Champa Sharma, Ms. Shrijana Pradhan, Nazung Lepcha, Shashirani Pangbagam, and Narmaya Chettri. 2026. “Artificial Intelligence in Healthcare Education: Cross-Sectional Survey of Knowledge, Attitudes, and Readiness Among Sikkim’s Healthcare Students”. Turkish Journal of Public Health, no. 1. https://doi.org/10.20518/tjph.1756462.
EndNote
Devi B, Sharma C, Pradhan MS, Lepcha N, Pangbagam S, Chettri N (April 1, 2026) Artificial intelligence in healthcare education: Cross-sectional survey of knowledge, attitudes, and readiness among Sikkim’s healthcare students. Turkish Journal of Public Health 1
IEEE
[1]B. Devi, C. Sharma, M. S. Pradhan, N. Lepcha, S. Pangbagam, and N. Chettri, “Artificial intelligence in healthcare education: Cross-sectional survey of knowledge, attitudes, and readiness among Sikkim’s healthcare students”, TJPH, no. 1, Apr. 2026, doi: 10.20518/tjph.1756462.
ISNAD
Devi, Barkha - Sharma, Champa - Pradhan, Ms. Shrijana - Lepcha, Nazung - Pangbagam, Shashirani - Chettri, Narmaya. “Artificial Intelligence in Healthcare Education: Cross-Sectional Survey of Knowledge, Attitudes, and Readiness Among Sikkim’s Healthcare Students”. Turkish Journal of Public Health. 1 (April 1, 2026). https://doi.org/10.20518/tjph.1756462.
JAMA
1.Devi B, Sharma C, Pradhan MS, Lepcha N, Pangbagam S, Chettri N. Artificial intelligence in healthcare education: Cross-sectional survey of knowledge, attitudes, and readiness among Sikkim’s healthcare students. TJPH. 2026. doi:10.20518/tjph.1756462.
MLA
Devi, Barkha, et al. “Artificial Intelligence in Healthcare Education: Cross-Sectional Survey of Knowledge, Attitudes, and Readiness Among Sikkim’s Healthcare Students”. Turkish Journal of Public Health, no. 1, Apr. 2026, doi:10.20518/tjph.1756462.
Vancouver
1.Barkha Devi, Champa Sharma, Ms. Shrijana Pradhan, Nazung Lepcha, Shashirani Pangbagam, Narmaya Chettri. Artificial intelligence in healthcare education: Cross-sectional survey of knowledge, attitudes, and readiness among Sikkim’s healthcare students. TJPH. 2026 Apr. 1;(1). doi:10.20518/tjph.1756462