Evidence map›Paper›PMID 42634263›Full record

ArticleJournal of nursing management2026

AI Substitution Perception and Nurses' Active Learning Behavior: The Mediating Role of Job Insecurity and Moderating Role of Occupational Self-Efficacy.

Yimeng Zheng, Ding Xu, Yongtian Yin, Cuixia Lin, Beibei Liang, Jielong Du

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Yimeng ZhengSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China, sdutcm.edu.cn.ORCID https://orcid.org/0009-0001-1272-6955
Ding XuSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China, sdutcm.edu.cn.ORCID https://orcid.org/0009-0006-2870-1521
Yongtian YinSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China, sdutcm.edu.cn.ORCID https://orcid.org/0000-0002-6235-2867
Cuixia LinSchool of Health, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China, sdutcm.edu.cn.ORCID https://orcid.org/0000-0002-9018-4127
Beibei LiangSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China, sdutcm.edu.cn.ORCID https://orcid.org/0009-0001-5713-7185
Jielong DuSchool of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China, sdutcm.edu.cn.ORCID https://orcid.org/0009-0006-6823-3718

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rapid advancement of artificial intelligence is profoundly reshaping the nursing profession, potentially raising nurses' concerns about their professional safety and development, thereby affecting their learning behaviors.

aimsThis study aimed to examine the current state and influencing factors of nurses' active learning behavior, explore the mediating effect of job insecurity on the relationship between nurses' artificial intelligence technology substitution perception and active learning behavior, as well as the moderating effect of occupational self-efficacy.

methodsUsing a convenience sampling method, 560 nurses from 10 hospitals in Shandong Province, China, were recruited from March 1 to March 31, 2026. Data were collected using the General Information Questionnaire, the Perception Scale of AI Technology Substitution, the Job Insecurity Questionnaire, the Occupational Self-Efficacy Scale-6, and the Active Learning Behavior Scale. SPSS 26.0 and AMOS 29.0 were used for data analysis.

resultsNurses' mean active learning behavior was 23.63 ± 5.59. The direct effect of artificial intelligence technology substitution perception on active learning behavior was 0.232 (46.96%), and the indirect effect via job insecurity was 0.262 (53.04%). Occupational self-efficacy positively moderated the relationship between job insecurity and active learning behavior (moderated mediation index = 0.007).

conclusionThe mediating effect of job insecurity between artificial intelligence technology substitution perception and active learning behavior was positively moderated by occupational self-efficacy. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing managers should correctly guide nurses' perception of artificial intelligence, shape their positive attitude toward artificial intelligence technology, make rational use of job insecurity, and enhance their occupational self-efficacy, which may help promote nurses' active learning behavior and career development.

Indexed as

Artificial IntelligenceNursesPerceptionProblem-Based LearningSelf EfficacyAdultChinaFemaleHumansJob SecurityMaleSurveys and Questionnairesactive learning behaviorartificial intelligence technology substitution perceptionjob insecuritymediating effectmoderating roleoccupational self-efficacy

Identifiers

PMID42634263
PMCPMC13501010

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Registered trials

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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.