Evidence map›Paper›PMID 41293898›Full record

ReviewJournal of clinical nursing2026

Generative AI at the Bedside: An Integrative Review of Applications and Implications in Clinical Nursing Practice.

Adrianna L Watson, Carmel Bond, Helen Aveyard, Graeme D Smith, Debra Jackson

Abstract readReview
In one paragraph

Review in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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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

5 authors.

Adrianna L WatsonCollege of Nursing, Brigham Young University, Provo, Utah, USA.ORCID https://orcid.org/0000-0002-0134-0520
Carmel BondDepartment of Nursing and Midwifery, School of Health and Social Care, Sheffield Hallam University, Sheffield, UK.ORCID https://orcid.org/0000-0002-9945-8577
Helen AveyardSchool of Nursing and Midwifery, Oxford Brookes University, Oxford, UK.
Graeme D SmithS. K. Yee School of Health Sciences, St. Francis University, Tseung Kwan O, Hong Kong.
Debra JacksonFaculty of Medicine and Health, Sydney Nursing School, The University of Sydney, Sydney, New South Wales (NSW), Australia.ORCID https://orcid.org/0000-0001-5252-5325

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this integrative review is to critically appraise and synthesise empirical evidence on the clinical applications, outcomes, and implications of generative artificial intelligence in nursing practice.

designIntegrative review following Whittemore and Knafl's five-stage framework.

methodsSystematic searches were performed for peer-reviewed articles and book chapters published between 1 January 2018 and 30 June 2025. Two reviewers independently screened titles/abstracts and full texts against predefined inclusion/exclusion criteria focused on generative artificial intelligence tools embedded in nursing clinical workflow (excluding nursing education-only applications). Data were extracted into a standardised matrix and appraised for quality using design-appropriate checklists. Guided by Whittemore and Knafl's integrative review framework, a constant comparative analysis was applied to derive the main themes and subthemes. DATA SOURCES: CINAHL, MEDLINE, and Embase.

resultsIncluded literature was a representative mix of single-group quality improvement pilots, mixed-method usability and feasibility studies, randomised controlled trials, qualitative descriptive and phenomenological studies, as well as preliminary and proof-of-concept observational research. Four overarching themes emerged: (1) Workflow Integration and Efficiency, (2) AI-Augmented Clinical Reasoning, (3) Patient-Facing Communication and Education, and (4) Role Boundaries, Ethics and Trust.

conclusionGenerative artificial intelligence holds promise for enhancing nursing efficiency, supporting clinical decision making, and extending patient communication. However, consistent human validation, ethical boundary setting, and more rigorous, longitudinal outcome and equity evaluations are essential before widespread clinical adoption. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: Although generative artificial intelligence could reduce nurses' documentation workload and routine decision-making burden, these gains cannot be assumed. Safe and effective integration will require rigorous nurse training, robust governance, transparent labelling of AI-generated content, and ongoing evaluation of both clinical outcomes and equity impacts. Without these safeguards, generative artificial intelligence risks introducing new errors and undermining patient safety and trust. REPORTING

methodPRISMA 2020.

Indexed as

Artificial IntelligenceGenerative Artificial IntelligenceHumansWorkflow

Identifiers

PMID41293898
PMCPMC13569124

What OpenQuestion holds

Textmetadata
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.