Interdisciplinary Journal of Acute Care

Interdisciplinary Journal of Acute Care

Artificial Intelligence in Nursing Education: A Catalyst for Innovation or a Threat to Critical Thinking and Academic Integrity?

Document Type : Letter to the Editor

Authors
1 Department of Nursing, Khor.C., Islamic Azad University, Khorramabad, Iran
2 PhD student in nursing, Student Research Committee, School of Nursing and Midwifery Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract
This letter to the editor examines the dual impact of artificial intelligence (AI) in nursing education. While AI tools, such as ChatGPT and virtual simulations, offer transformative opportunities to enhance clinical training and personalize learning, they also raise urgent ethical and pedagogical concerns. A 2023 survey of 1,200 U.S. nursing students revealed a lack of awareness of AI mechanisms, complicating plagiarism detection efforts. Meanwhile, AI-driven simulations, such as Body Interact, demonstrate efficacy in improving clinical decision-making among students with access to these resources. However, low- and middle-income countries (LMICs) face systemic barriers to AI adoption, exacerbating global inequities. Through critical analysis of recent literature and case studies, this letter identifies three key strategies for responsible integration: embedding AI literacy into curricula, establishing international ethical guidelines, and leveraging problem-based learning (PBL) to prioritize human-centered care. Without safeguards, AI risks prioritizing efficiency over empathy and widening disparities in healthcare education. Interdisciplinary collaboration among educators, policymakers, and technologists is critical to ensure that AI enhances rather than replaces the irreplaceable human elements of nursing practice.
Keywords

1. O'Connor S, Permana AF, Neville S, Denis-Lalonde D. Artificial intelligence in nursing education 2: opportunities and threats. Nursing Times. 2023;119(11):28-32.
2. Amiri H, Peiravi S, Rezazadeh Shojaee Ss, Rouhparvarzamin M, Nateghi MN, Etemadi MH, et al. Medical, dental, and nursing students' attitudes and knowledge towards artificial intelligence: a systematic review and meta-analysis. BMC Medical Education. 2024;24(1):412. https://doi.org/10.1186/s12909-024-05406-1  
3. Glauberman G, Ito-Fujita A, Katz S, Callahan J. Artificial intelligence in nursing education: opportunities and challenges. Hawai'i Journal of Health & Social Welfare. 2023;82(12):302.
4. Montejo L, Fenton A, Davis G. Artificial intelligence (AI) applications in healthcare and considerations for nursing education. Nurse Education in Practice. 2024;80:104158. https://doi.org/10.1016/j.nepr.2024.104158  
5. Bozkurt SA, Aydoğan S, Dursun Ergezen F, Türkoğlu A. A systematic review and sequential explanatory synthesis: Artificial intelligence in healthcare education, a case of nursing. International Nursing Review. 2025;72(2):e70018. https://doi.org/10.1111/inr.70018  
6. Martinez-Ortigosa A, Martinez-Granados A, Gil-Hernández E, Rodriguez-Arrastia M, Ropero-Padilla C, Roman P. Applications of artificial intelligence in nursing care: a systematic review. Journal of Nursing Management. 2023;2023(1):3219127. https://doi.org/10.1155/2023/3219127  
7. O'Connor S. Open Artificial Intelligence Platforms in Nursing Education: Tools for Academic Progress or Abuse? Nurse education in practice. 2023;66:103537. 
https://doi.org/10.1016/j.nepr.2022.103537  
8. von Gerich H, Moen H, Block LJ, Chu CH, DeForest H, Hobensack M, et al. Artificial Intelligence-based technologies in nursing: A scoping literature review of the evidence. International journal of nursing studies. 2022;127:104153. https://doi.org/10.1016/j.ijnurstu.2021.104153  
9. Organization WH. Global strategic directions for nursing and midwifery 2021-2025. 
10. Stokel-Walker C. AI bot ChatGPT writes smart essays-should professors worry? Nature, Advance online publication. https://doi.org/10.1038/d41586-022-04397-7  
11. Abuzaid MM, Elshami W, Fadden SM. Integration of artificial intelligence into nursing practice. Health and Technology. 2022;12(6):1109-15. 
https://doi.org/10.1007/s12553-022-00697-0  
12. Tam W, Huynh T, Tang A, Luong S, Khatri Y, Zhou W. Nursing education in the age of artificial intelligence powered Chatbots (AI-Chatbots): are we ready yet? Nurse Education Today. 2023;129:105917.  https://doi.org/10.1016/j.nedt.2023.105917  
13. Ramírez‐Baraldes El, García‐Gutiérrez D, García‐Salido C. Artificial intelligence in nursing: New opportunities and challenges. European Journal of Education. 2025;60(1):e70033. https://doi.org/10.1111/ejed.70033   
14. El-Ashry AM, Al Saleh NS, AlOtaibi NG, Almutairi TZ, Sallam LA, Alnassar MM, et al. The Impact of Artificial Intelligence Attitudes and Acceptance on Critical Thinking Motivation among Nursing Students in Saudi Arabia. SAGE Open Nursing. 2025;11:23779608251369564. https://doi.org/10.1177/23779608251369564  
15. Prasetyo YA, Dedi B, Ngadiran A. Critical thinking and artificial intelligence in tandem: A nursing perspective. Journal of Healthcare Administration. 2024;3(1):72-81. 
https://doi.org/10.33546/joha.3352  
16. Exploring the Use of White lies in patient care Process by triangulation Method. Journal of Qualitative Research in Health Sciences. 2021;`0(1):11-22.(In Persian).
17. Chen Y, Qi H, Qiu Y, Li J, Zhu L, Gao X, et al. Artificial intelligence in medical problem-based learning: opportunities and challenges. Global Medical Education. Postgraduate medical journal, qgag067. 29 May. 202 Advance online publication https://doi.org/10.1093/postmj/qgag067  
18. Ruiz Viruel S, Sánchez Rivas E, Ruiz Palmero J. The role of artificial intelligence in project-based learning: Teacher perceptions and pedagogical implications. Education Sciences. 2025;15(2):150. https://doi.org/10.3390/educsci15020150  
19. Huang W, Wang T, Tong Y. The effect of gamified project-based learning with AIGC in information literacy education. Innovations in Education and Teaching International. 2024:1-15. https://doi.org/10.1080/14703297.2024.2423012 
Volume 7, Issue 1
June 2026
Pages 82-85

  • Receive Date 03 August 2025
  • Revise Date 05 December 2025
  • Accept Date 02 February 2026