Evidence map›Paper›PMID 41556156›Full record

ArticleJournal of clinical nursing2026

Integrating Artificial Intelligence in Nursing Practice With Decubitus Risk Prediction Alerts: A Pilot Process Evaluation.

Denise Spoon, Annemarie de Vroed, Steffen Greup, Monique van Dijk, Erwin Ista

Abstract read
In one paragraph

Article 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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.

Denise SpoonDepartment of Internal Medicine, Division of Nursing Science, Erasmus MC, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Annemarie de VroedDepartment of Quality and Patient Care, Erasmus MC, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Steffen GreupDepartment of Data & Analytics, Erasmus MC, Erasmus University Medical Centre, Rotterdam, the Netherlands.ORCID https://orcid.org/0009-0007-2117-2767
Monique van DijkDepartment of Internal Medicine, Division of Nursing Science, Erasmus MC, Erasmus University Medical Centre, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-9856-0318
Erwin IstaDepartment of Internal Medicine, Division of Nursing Science, Erasmus MC, Erasmus University Medical Centre, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0003-1257-3108

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate the acceptability and feasibility among nurses of Decubitus Risk Prediction Alerts based on Artificial Intelligence (DRAAI), and to assess the feasibility of the implementation plan.

designA process evaluation of a pilot implementation study using mixed methods.

methodsAcceptability and feasibility of DRAAI among nurses from three general wards in a university hospital was assessed via questionnaire. The tailored implementation plan included thirteen strategies distributed over six domains, such as facilitation, continuous evaluation, and educational sessions. Adaptations, acceptability, and feasibility were recorded in field notes.

resultsFifty-five nurses completed the questionnaire and valued DRAAI's predictions, believing these could contribute to pressure ulcer (PU) prevention. Some initially faced challenges distinguishing between PU risk and PU detection. Most found it feasible to integrate DRAAI into their workflow. Adaptations included adding PU preventive measures to educational sessions and sharing frequently asked questions and answers. Overall, implementation efforts were feasible. DRAAI generated PU risk predictions for 428 unique admitted patients; 128 (30%) patients received at least one at-risk prediction. Regarding fidelity, nearly 80% (101/128) of at-risk predictions were followed by a nursing care plan.

conclusionOngoing involvement and clear communication were crucial for successfully integrating AI into nursing workflows. Although some nurses were concerned that DRAAI might miss at-risk patients, they continued to independently identify at-risk patients. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Implementation of DRAAI served as a prompt for nurses to focus more on PU prevention. While DRAAI shows promise in improving PU prevention, future research is needed to evaluate its clinical impact. IMPACT: Addressed the challenge of identifying patients at risk for developing pressure ulcers. Demonstrated feasibility and acceptability of implementing AI in clinical practice. Highlighted the need for ongoing support and communication for successful implementation. PATIENT CONTRIBUTION: None. REPORTING

methodStandard for Reporting Implementation Studies (StaRI).

Indexed as

Artificial IntelligencePressure UlcerAdultFemaleHumansMiddle AgedPilot ProjectsRisk AssessmentSurveys and Questionnairesclinical decision‐makingfundamentals of carehospitalimplementationinformation technologynursesnurse's responsibilitiespressure ulcerrisk assessment

Identifiers

PMID41556156
PMCPMC13569127

What OpenQuestion holds

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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.