IS ARTIFICIAL INTELLIGENCE A MENACE OR AN ASSISTANCE IN NURSING? NURSES' PERSPECTIVES AND EXPERIENCES: A QUALITATIVE STUDY

Öz

Objective: This study aimed to explore nurses’ perspectives and experiences regarding the use of artificial intelligence (AI) in clinical settings, with particular attention to its relevance in technology-intensive areas such as surgical nursing. Method: This qualitative study was conducted using a phenomenological design. Data were collected between November 2024 and March 2025 through semi-structured interviews with 13 nurses working in Healthcare Information and Management Systems Society (HIMSS) Level 6 and 7 hospitals in Türkiye. Most participants were employed in surgical units, including operating rooms and intensive care settings. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis. Descriptive statistics were used to summarize participant characteristics. The study was reported in accordance with the COREQ checklist. Results: Four main themes emerged: use of AI, benefits of AI, challenges of AI, and recommendations. Nurses reported using AI in clinical practice, academic work, and daily life, particularly for literature review, translation, clinical decision support, and patient monitoring. In surgical and high-risk clinical environments, AI-supported systems such as real-time monitoring, early warning mechanisms, and digital documentation were perceived to enhance patient safety and support timely interventions. AI applications were also found to reduce workload and improve time management. However, participants reported important challenges, including concerns about data privacy and security, ethical issues, and the potential negative impact on critical thinking and the human aspect of care. Conclusion: The findings reveal that the experiences and perspectives of nurses working in HIMSS Level 6 and 7 hospitals regarding artificial intelligence are multidimensional. These results point to the need to support nurses in digital literacy, ethical reasoning, and system integration. The conscious, safe, and humane use of artificial intelligence is particularly critical in surgical and advanced technology-intensive clinical settings. Nevertheless, ethical concerns and structural limitations remain. Strengthening education and infrastructure is essential to ensure the safe and effective use of AI in nursing.

Anahtar Kelimeler

• Artificial Intelligence
• Experiences
• Nursing
• Perspectives
• Qualitative Research

Destekleyen Kurum

Gazi University

Etik Beyan

Ethics committee approval was obtained from Gazi University Ethics Committee for conducting the study under the approval number E-77082166-604.01-1077704 (dated 28.10.2024).

YAPAY ZEKÂ HEMŞİRELİKTE BİR TEHDİT Mİ YOKSA YARDIMCI MI? HEMŞİRELERİN BAKIŞ AÇILARI VE DENEYİMLERİ: NİTEL BİR ÇALIŞMA

Öz

Amaç: Bu çalışmanın amacı, hemşirelerin yapay zekânın (YZ) klinik ortamlarda kullanımına ilişkin bakış açılarını ve deneyimlerini incelemek ve özellikle cerrahi hemşireliği gibi teknoloji yoğun alanlardaki önemini ortaya koymaktır. Yöntem: Bu çalışma fenomenolojik desen kullanılarak yürütülen nitel bir araştırmadır. Veriler, Kasım 2024-Mart 2025 tarihleri arasında Türkiye’de Sağlık Bilgi ve Yönetim Sistemleri Derneği (HIMSS) Seviye 6 ve 7 hastanelerinde çalışan 13 hemşire ile yarı yapılandırılmış görüşmeler yoluyla toplandı. Katılımcıların büyük çoğunluğu ameliyathane ve yoğun bakım gibi cerrahi birimlerde görev yapmaktadır. Görüşmeler ses kaydı alınarak yazıya döküldü ve veriler tematik analiz yöntemiyle incelendi. Katılımcı özellikleri tanımlayıcı istatistiklerle özetlendi. Çalışma COREQ kontrol listesine uygun olarak raporlandı. Bulgular: Analiz sonucunda dört ana tema belirlendi: YZ’nin kullanımı, YZ’nin faydaları, YZ’nin zorlukları ve öneriler. Hemşireler YZ’yi klinik uygulamalarda, akademik çalışmalarda ve günlük yaşamda; özellikle literatür tarama, çeviri, klinik karar desteği ve hasta izlem süreçlerinde kullandıklarını ifade etti. Özellikle cerrahi ve yüksek riskli klinik ortamlarda YZ destekli gerçek zamanlı izlem, erken uyarı sistemleri ve dijital kayıt uygulamalarının hasta güvenliğini artırdığı ve zamanında müdahaleyi desteklediği belirtildi. YZ uygulamalarının iş yükünü azalttığı ve zaman yönetimini iyileştirdiği de vurgulandı. Bununla birlikte veri gizliliği ve güvenliği, etik sorunlar ve bakımın insani boyutuna olası etkiler önemli zorluklar olarak dile getirildi. Sonuç: Bulgular, SBYST Seviye 6 ve 7 hastanelerinde çalışan hemşirelerin YZ’ye ilişkin deneyim ve bakış açılarının çok boyutlu olduğunu ortaya koydu. Bu sonuçlar, hemşirelerin dijital okuryazarlık, etik akıl yürütme ve sistem entegrasyonu konularında desteklenmesinin gerekliliğine işaret etmektedir. Özellikle cerrahi ve ileri teknoloji gerektiren klinik alanlarda yapay zekânın bilinçli, güvenli ve insancıl biçimde kullanımı kritik önem taşımaktadır. Ancak etik ve yapısal sorunlar devam etmektedir. YZ’nin güvenli ve etkili kullanımı için eğitim ve altyapının güçlendirilmesi gereklidir.

Anahtar Kelimeler

• Yapay Zekâ
• Deneyimler
• Hemşirelik
• Algılar
• Nitel Araştırma

Destekleyen Kurum

Gazi Üniversitesi

Etik Beyan

Çalışmanın yürütülmesi için Gazi Üniversitesi Etik Kurulu'ndan E-77082166-604.01-1077704 numaralı onay (28.10.2024 tarihli) alınmıştır.

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