Evidence map›Paper›PMID 41841218›Full record

SynthesisJournal of advanced nursing2026

Artificial Intelligence Technologies in Nursing Clinical Decision-Making: An Umbrella Review.

Robyn Cant, Colleen Ryan, Ritesh Chugh

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Robyn CantHealth Innovation and Transformation Centre, Federation University Australia, Berwick, Victoria, Australia.ORCID https://orcid.org/0000-0001-5430-3275
Colleen RyanSchool of Nursing, Midwifery and Social Sciences, CREATE Research Centre, Central Queensland University, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-1126-3901
Ritesh ChughSchool of Engineering and Technology, CML-NET & CREATE Research Centres, Central Queensland University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-0061-7206

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo describe contemporary peer-reviewed literature on artificial intelligence in nurses' clinical decision-making.

methodsAn umbrella review of literature reviews. DATA SOURCES: Four major databases were searched for reviews published between 2019 and 2024.

resultsSixteen literature reviews reported on 965 nursing artificial intelligence primary studies. The studies focused on technology development and emerging performance evaluations, whilst real-world testing or implementation in nursing clinical settings was rare. Rigorous comparative analyses were lacking. While artificial intelligence demonstrates promise in decision-making, challenges such as a lack of controlled studies, algorithmic bias, limited reproducibility and insufficient clinical trials hinder its practical impact. Ethical concerns, transparency and patient data privacy issues pose barriers to AI integration in nursing practice. Ethical and legal guidelines for patient privacy are needed and should be taught along with AI literacy training for nurses.

conclusionsArtificial intelligence has the potential to enhance clinical nursing decision-making, although evidence is limited by too few examples of nurse participation during development. Underutilisation in administrative nursing functions hinders implementation. Nurses should assume a central role in the design and development of AI applications to ensure that these technologies address the realities of nursing practice. With such improvements, artificial intelligence can transform nursing practice, improve nurses' clinical decision-making and ultimately enhance consumer healthcare outcomes. PATIENT OR PUBLIC INVOLVEMENT: No Patient or Public Involvement. REPORTING

methodWhile there is no reporting checklist for umbrella reviews, the PRISMA guide for systematic reviews was followed.

Indexed as

Artificial IntelligenceClinical Decision-MakingHumansartificial intelligenceclinical decision‐makingdata analyticsmachine learningnursing

Identifiers

PMID41841218
PMCPMC13576850

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.