Evidence map›Paper›PMID 41917935›Full record

ArticleBMC palliative care2026

Ethical considerations of AI integration in palliative care: a qualitative study.

Mengying Qiu, Yijin Wu, Lan Zeng, Fengying Zhang

Abstract read
In one paragraph

Article in BMC palliative care, 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

4 authors.

Mengying QiuSchool of English Studies, Sichuan International Studies University, Chongqing, China.ORCID http://orcid.org/0000-0001-8009-1923
Yijin WuCenter for Geriatric Healthcare Services and Health Education, Qufu Normal University, Rizhao, Shandong, China.ORCID http://orcid.org/0000-0002-2505-6575
Lan ZengWest China School of Nursing/Nursing Key Laboratory of Sichuan Province/West China Hospital, Sichuan University, Guoxuexiang 37#, Wuhou District, Chengdu, Sichuan, China.ORCID http://orcid.org/0009-0007-9192-8291
Fengying ZhangWest China School of Nursing/Nursing Key Laboratory of Sichuan Province/West China Hospital, Sichuan University, Guoxuexiang 37#, Wuhou District, Chengdu, Sichuan, China. zhangfengying@scu.edu.cn.ORCID http://orcid.org/0000-0002-3294-954X

Funding

National Natural Science Foundation of China 71871147Sichuan Provincial Department of Science and Technology 2024YFFK0128
6 · The paper itself

Abstract

backgroundNurses are integral to delivering humanistic care in palliative care settings. While Artificial Intelligence (AI) boasts significant potential for palliative care practices, its integration raises critical ethical concerns such as AI’s impact on patient autonomy and its risks of depersonalized care that warrant further exploration.

methodsA qualitative study using reflexive thematic analysis was conducted to explore nurses’ perspectives on the potential impact of AI integration in palliative care, with a focus on ethical considerations and the prospective actions needed for implementation. Semi-structured interviews were conducted with 20 registered nurses experienced in palliative care, recruited from four hospitals across two urban centers in Sichuan Province, China.

resultsNurses perceive AI integration as ethically transformative rather than merely technical, raising concerns regarding autonomy, trust, justice, and cultural alignment. The thematic analysis identified five major ethical considerations regarding AI integration in palliative care from nurses’ perspectives: (1) ethical challenges to patients’ autonomy and dignity; (2) AI-driven reconstruction of trust dynamics; (3) decision making conflicts in palliative care; (4) difficulties in achieving equity in AI-enabled health services; and (5) adaptation to cultural sensitivity.

conclusionsThe inclusion of AI ethics and dynamic moral decision‑making modules in nursing education is suggested to enhance nurses’ moral sensitivity to deliver equitable care, and strengthen their digital literacy and ethical awareness in AI‑mediated environments. Nurses may assume an ethical responsibility to reduce the risks of cultural bias in AI tools, and to advocate the integration of multicultural perspectives into AI design, training and evaluation, thereby advancing the development of more culturally responsive technologies.

Indexed as

Artificial IntelligencePalliative CareAdultAttitude of Health PersonnelChinaEthics, NursingFemaleHumansMaleQualitative ResearchArtificial IntelligenceMedical ethicsNursesPalliative careQualitative study

Identifiers

PMID41917935
PMCPMC13162374

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.