Evidence map›Paper›PMID 40811767›Full record

ReviewJMIR nursing2025

Opportunities, Challenges, and Future Directions for the Integration of Automation in Nursing Practice: Discursive Study.

Joseph Andrew Pepito, Neilan John Acaso, Rommel Merioles, Judith Ismael

Abstract readReview
In one paragraph

Review in JMIR nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Observational
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Joseph Andrew PepitoDepartment of Medical Technology, College of Allied Medical Sciences, Cebu Doctors' University, 1 Dr. P.V. Larrazabal Jr. Ave. North Reclamation, Mandaue, 6014, Philippines, 63 9984682591.ORCID 0000-0003-1403-1572
Neilan John AcasoMultiCare Tacoma General Hospital, Tacoma, WA, United States.ORCID 0000-0002-3124-6703
Rommel Merioles *College of Nursing, Cebu Doctors' University, Mandaue, Philippines.ORCID 0009-0001-7116-9423
Judith Ismael *College of Nursing and Allied Health Sciences, Cebu Institute of Technology University, Cebu, Philippines.ORCID 0000-0002-3794-2056

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Global health care systems are under increasing strain due to aging populations, workforce shortages, and rising patient complexity. In response, automation technologies are being explored as a means to optimize nursing workflows, reduce burdens, and improve patient outcomes. However, the integration of such technologies raises complex ethical, legal, and professional considerations that remain insufficiently addressed in current literature. Objective: This study aims to critically examine the integration of automation into nursing practice through a discursive analysis. Specifically, it seeks to (1) identify nursing tasks most amenable to automation; (2) evaluate the benefits and drawbacks of automating these tasks; (3) explore ethical and legal implications; (4) propose strategies for ethical and equitable integration; and (5) outline future directions for research, practice, and policy. Methods: An integrative review and conceptual analysis were conducted, grounded in sociotechnical systems theory and the ethics of care. A structured search across PubMed, CINAHL, Scopus, Web of Science, and JMIR Publications identified 73 peer-reviewed papers published between 2019 and 2025. Thematic synthesis was performed to identify key domains relevant to automation in nursing. Results: Five major categories of automatable nursing tasks were identified: administrative documentation, medication management, patient monitoring, infection control, and mobility support. Automation in these areas was associated with improved efficiency, enhanced patient safety, and reduced physical and cognitive workload for nurses. Nevertheless, challenges such as deskilling, dehumanization of care, inequitable access, and unclear legal accountability were prominent. The study proposes the Integration of Automation Technologies in Nursing Practice Conceptual Framework. Conclusions: The ethical integration of automation into nursing practice requires more than technological readiness; it demands policy development, targeted education, and inclusive governance. When guided by professional values and human-centered design, automation can complement nursing practice and improve care delivery. Future research should prioritize longitudinal impact assessments, legal clarity, and equitable infrastructure investment to support sustainable adoption.

Indexed as

AutomationHumansartificial intelligencedigital healthhealthcare technologynursing automationnursing ethicspatient safetysociotechnical systems

Identifiers

PMID40811767
PMCPMC12352802

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.