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Welcome to our April club! Jessica Junge has offered to lead, and she chose the topic of AI in healthcare.
For those of you new to the club, you must post 3 out of 4 of the questions in the description on this page. You must also reply to at least 2 of your peers to complete requirements for the month.I look forward to reading your responses.
Here is the club introduction and articles from Jessica:
Hi, my name is Jessica Junge. I am an Outpatient Clinic Nurse at The James Outpatient Care New Albany.
Modern technology is becoming an integral part of the evolving healthcare landscape, with Artificial Intelligence (AI) playing an increasingly significant role. I first encountered this when my primary care provider asked for my permission to use AI to write her progress notes about me. This experience sparked my curiosity about the presence of AI in healthcare settings and its application in practice-urology is my clinic’s specialty. I’m also interested in exploring the ethical considerations of AI in healthcare. I look forward to engaging in discussions on this topic.
The Integration of Artificial Intelligence in Urologic Nursing
Billingsley, L., Calderon, A., & Agosta, L. (2024). Transforming Health Care: Exploring Artificial Intelligence Integration, Data Governance, and Ethical Considerations in Nursing. Journal of Radiology Nursing, 43(2), 107–111. https://doi.org/10.1016/j.jradnu.2024.04.002
Gallegos, J. L. (2023). The Integration of Artificial Intelligence in Urologic Nursing. Urologic Nursing, 43(6), 259–260. https://doi.org/10.7257/2168-4626.2023.43.6.259
Hello, My name is Jeff and I am one of the outpatient float pool nurses. Thanks for hosting this month Jessica. It is an interesting topic in an ever changing world with AI. It seems like the majority of commercials now are talking about AI and how it’s used for XYZ company
1. What was the knowledge gained from the article? I did not know that AI was actually created in 1956 (a time when electronics were not really popular). I know that AI is designed to follow whatever rules are programmed in- and in healthcare that is essential to not take the individuality and compassion out of our care that we provide. As the article mentions keeping privacy is of the utmost concern going forward. AI is not going to be an end all be all because of biases and how that could impact clinical outcomes negatively (think cultural differences and what different cultures may see as common medical diagnoses).
2. Will the research/information in this article change or influence your practice? If so how? I think the research in these articles will change my practice (now if that is for better or not is to be determined). The protocols and regulatory framework need to be universalized so there aren’t differences from region to region or even health care system to health care system. I like to think I am savvy with technology but there still need to be regulations and guidelines for how AI can and should be used.
3. What other questions does the article raise about current practice? How is AI consent going to be obtained- will it be a general consent or will consent be implied? How are we as nurses (and patients) going to make sure our health information is safe? What will the additional training look like for nurses and other healthcare professionals to utilize and interpret AI data points? Is AI going to lead to higher or lower care costs (double charges for AI and radiology to read and interpret results just as an example)? Will AI lead to a difference in citations for future publications?
4. Do you agree/disagree with the conclusions of the author, why? I agree with the authors in that nursing needs to be involved with the utilization of AI before it become the accepted practice. As we all have seen- nurses need more input in a new building or renovation of existing building but even then the healthcare system as a whole normally does not listen to our suggestions (think doors too small to fit a wheelchair through, the oxygen being in the wrong location, sharps containers impeding patient care, etc.) I do not think that AI can completely replace humans in the healthcare sector; but rather it should be used to augment our decision making progress. I am by no means an expert at grammar, but certain parts of the 1st article read as if AI wrote the article (and I wanted to make a joke about that as it seems clunky at times and not flowing) but they actually had a disclaimer at the bottom that parts of the article were in fact written with AI (more specifically ChatGPT).Hi, my name is Trish Strickland and I am an After-Hours triage nurse at the James. I am very curious how AI will be incorporated into health care and I feel it is a WHEN not an IF. This is a great topic, Jessica. Thank you for presenting this.
1. What was the knowledge gained from the article?
In the second article, is states that AI is used to help urology with robotic surgeries and diagnostic tools, AI also helps nursing interpret lab and complex information. AI can also use algorithms to review patient data and predict patient outcomes. So, AI can be used as an additional tool to develop patient plans but is not meant to replace the human aspect of interpreting all the data and patient information. The article doesn’t discuss the ethical implications of AI and states that these need to be carefully considered.
2. Will the research/information in this article change or influence your practice? If so how?
I am curious in what capacity AI would be used in healthcare. Some of the electronic features we have in our EPIC charting such as releasing labs to the patient via mychart as soon as they have finalized without the physician’s interpretation can sometimes cause undo alarm when the patient sees that his/her lab values are not normal. Similarly, patient’s that go down the “google rabbit hole” when they receive a diagnosis but don’t have a clear context regarding their own medical situation, can be unnecessarily alarmed by the information they find. I don’t know how AI would be able to be incorporated into health care, but I don’t think that it is avoidable either at this time in history with continuing nursing shortages.
3. What other questions does the article raise about current practice?
I think AI has a place in health care, for instance, education and training. I used AI in my Master of Nursing program for learning about diagnoses, assessment and disease process. AI was a great tool for learning; however, it cannot replace empathy and human compassion that is such a large part of nursing care. AI also cannot account for the individuality of each patient regarding their co-morbid diagnosis’s, patient compliance, education level and ethnic uniqueness that the nurse can factor in.Hello! My name is Jennifer McConnell. I work in Thoracic Oncology at BSH. Thanks for such interesting articles, and so timely!
1. What was the knowledge gained from the article?
These are such timely selections! I was really surprised to learn that AI was first developed in 1956 – I had no idea of its longevity! I was also unaware of the components of extended reality and how it can help aid in student learning and procedure practice. That sounds super cool and very helpful from a patient-protective and confidence building perspective.
2. Will the research/information in this article change or influence your practice? If so, how?
One thing that caught my attention is the potential for bias: “As they design nursing care interventions for their patients and daily workflows, nurses should be alert to any inherent biases and be prepared to adjust accordingly” (Billingsley, 108). It’s actually sort of interesting to ponder, as bias is a very human tendency. I hadn’t considered it previously, but as AI moves towards more humanlike thinking, it would be susceptible to similar humanlike deficits.
3. What other questions does the article raise about current practice?
One quote really stuck with me: “As healthcare becomes increasingly more infiltrated with AI initiatives, nurses are strategically positioned to provide oversight and ensure that technological advances are implemented stringently and morally” (Billingsley, 108). This seems like an apt charge, but I wonder what that might look like in practice. And how will that oversight and surveillance work into the current nursing workflow, especially in light of never-ending staffing shortages? I feel the weight of responsibility and would want to ensure that we are equipped to help protect our patients from new potential harms.Hi Jeff!
Thanks so much for your thoughts! That’s such a great point about needing to involve nurses prior to implementation. I often joke with patients as I reach behind them to gather gloves for a procedure “no one asked a nurse where to put the gloves,” but it’s also true. AI (and any big sweeping change) would really benefit from having all of the stakeholders at the table, working together in an interdisciplinary manner. This would help ensure that much troubleshooting occurs prior to the rollout, not afterwards. Thanks!Hi Trish!
Thanks so much for sharing your thoughts. I completely agree with the multifaceted care that nurses can offer that takes into account so many of the individual needs, values, backgrounds, abilities, and preferences of the patients that we are caring for. It makes me wonder if it’s possible for AI to have such a high emotional intelligence in the future, as it has come a long way since its inception but then I also wonder if those considerations and critical thinking could be too human for AI to learn to adopt. Such interesting food for thought . . . Thank you!Hello my name is Kathy and I work for the After Hours Triage Line. I really enjoyed reading your journal articles this month. The ethical considerations of AI in healthcare is such an appropriate and intriguing topic.
1) What was the knowledge gained from the articles? The articles centered on how AI is increasingly being integrated into healthcare. AI does have the potential to improve diagnostic accuracy, and support clinical decision making. However, I do not believe that it can ever take the place of compassion, personal interactions, the caring/empathy factor nurses give, and most importantly critical reasoning skills. Nurses and other medical professionals sometimes just have a gut feeling and more often than not are accurate.
2) Will the research/information in these articles change or influence your practice? If so, how? Yes, the information provided in these articles have made me more aware of the ethical implications of AI use in healthcare. This also brings to my attention the need to advocate for my patients privacy, and their understanding of AI use. Not to mention that AI technology cannot replace compassionate, human centered care.
3) What other questions does the article raise about current practice? The questions I have are how will nurses be prepared to work alongside AI? Who is accountable when AI decisions impact patient outcomes? But the biggest question for me is how do we maintain empathy and ethical standards in this increasingly technology driven world.
4) Do you agree/disagree with the conclusions of the author, why? The jury is still out for me. With the increasing need in the medical field and the increasing shortages I can see a potential benefit to AI in the healthcare field. As long as it remains patient centered and the core values line up with professional responsibility.Jeff, I agree that a the a lot more thought process will need to go into AI in healthcare with all of the variables of human beings I also agree that this would have to be a standardization across all regions and systems. Standardizing could reduce disparities, improve patient outcomes, and allow data sharing and possible collaboration globally. I also agree that a machine will never be able to take the place of human compassion and understanding.
Jeff, I agree that a the a lot more thought process will need to go into AI in healthcare with all of the variables of human beings. I also agree that this would have to be a standardization across all regions and systems. Standardizing could reduce disparities, improve patient outcomes, and allow data sharing and possible collaboration globally. I also agree that a machine will never be able to take the place of human compassion and understanding. Thank you.
Trish,
I agree with your first statement, “I feel it is a WHEN not an IF.” As it was stated in the article, “As AI becomes more integrated into Healthcare.” I also agree that AI could be helpful in labs, data, and pt outcomes, but will never replace the human aspect. Nursing builds compassion, and most of all critical reasoning skills from experiences. Nursing is one of the most trusted professions as well, build through nurse patient interactions. I also agree with increasing need in the medical field and the increasing shortages I can see a potential benefit to AI in the healthcare field, I am just unsure as you are Trish where that would be at this time. Thank youTrish and Kathy,
To piggyback on the “when not if…” of AI in healthcare. The last few years and even as much as decade plus nursing has been one of the most trusted professions. With AI coming in is that going to still be the case or is everything healthcare trustworthiness wise going to be plummet trustworthiness wise? Rhetorical question obviously but makes you think that levels of trust are going to fall for healthcare professions.
Hello my name is Kelly Harms and I work in CTU on 7 JOC.
1. Knowledge gained- When I hear the term “AI” I think of robot type intelligence, and in my brain I’m thinking there is no way AI has much of a place in nursing. The specific examples given in the Urologic article, such as robotic assisted devices during surgeries and advanced diagnostic tools to diagnose, helped me wrap my brain more around what we are talking about when it comes to AI and the nursing world.
2. This will not influence my current practice. Can anyone give some examples of AI used in the outpatient world here at OSU?
3. Questions raised for me, were very similar to the other article, sure machines are great, until they aren’t, right? I do not see a world where AI plays a part in the day to day care of our patients. I can’t imagine that in a nursing world. It honestly makes me a little sad/mad how much AI has taken over other parts of our world. Ordering food from kiosks at restaurants, having to go through how many prompts on the phone until you actually get to talk to a human. The human connection is important, and especially in nursing.
4. I agree with the summary in the Transforming Health Care article, especially the part from the American Nurses Association from 2022. “AI should not serve as a replacement for the technical proficiencies, personal interactions, compassion, caring, empathy, and critical reasoning skills of the nurse.”Hi! I am Reena and work in outpatient endoscopy at OSU East.
1. What was the knowledge gained from the articles? AI has become more readily used in many aspects of our lives and now has increased in the area of healthcare. As a matter of fact, at some of the other outpatient facilities have AI that detects polyps during procedures. What I did not realize is that AI has been in existence since 1956.
2. Will the information learned in these articles change or influence my practice? I believe that AI is going to eventually change all of our practices as automation seems to be the direction medical practices are heading towards. Streamlining care and lowering the cost of care appears to be what is important in the end, so using AI will then potentially lessen the number of actual people to provide care, hence not having the amount of payroll needs.
3. What other questions does the articles raise about current practice? I feel like the biggest question is how this well effect nursing practices…the human touch and empathy are two examples of what AI cannot provide. AI is very detached and if some individuals already feel as though their needs and concerns aren’t truly being listened to, how is this going to improve?
4. Do I agree or disagree with the conclusions of the articles? I am kind of in between. I think AI is good for some areas of healthcare, but not in other areas of healthcare, especially being a nurse.
Kelly-I too cannot wrap my brain around the use of AI in nursing. It just does not seem right. AI seems so sterile and would not have the ability to provide the warmth that comes from an actual human.
Jeff- I agree that more thought will have to be placed on the process of integrating AI in healthcare/nursing and that it will need to be regulated across all of the United States to ensure the same level of care being provided. And this could pose a problem in areas where there is more money as opposed to poorer areas.
Jeff- I agree with you that nursing needs to be involved before AI is put into practice. Prime example, trialing the all in ones with outpatient world before rolling them out everywhere. I’m sure these were trialed, but at least in our unit, half of the time they don’t work, call back numbers aren’t fully recorded on the phone so calling people back is a pain, etc. I also like your question about the cost of AI for the patient.
Trish-I agree with you that it appears as though AI will definitely have more of a future in nursing, just as we have seen it everywhere else play a bigger role. But, I agree it could be a dangerous slope.
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